Cassville Health Care Center: Mouse Infestation in Rooms - MO
Two certified nurse assistants, both working the 6:00 P.M. to 6:00 A.M. shift, told inspectors they saw one to two mice every night inside the facility. They had found mouse droppings in the room of at least one resident. Mice turned up most often on the back hall, near the rooms of two other residents.
A third aide said she saw mice on the back hall all the time. A fourth said he witnessed a mouse running in the hallway just that Friday. A fifth, the activity director, had seen one running down the hall the previous month.
The housekeeper who first flagged the problem had documented a mouse crossing the hallway and disappearing into a resident's room. He wrote it in a blue binder kept in a file cabinet behind the nurses' station, the facility's designated pest log. That, according to the medication technician who described it to inspectors, was where staff responsibility ended. "They wrote pest issues in the binder and that was the end of their part," the report summarized.
The pest control technician who serviced the building monthly had never seen the binder. He told inspectors on November 25 that he had been unaware of any rodent activity inside the facility until that day. His contract covered only the exterior. He had completed his most recent monthly visit one week earlier, on November 18, and noted heavier activity at the outdoor traps. He left without going inside to check.
When a state surveyor opened a lower cabinet in the activity room at the end of the back hall, roughly 20 mouse droppings were visible along the front edge, sitting beside boxes of jigsaw puzzles kept there for residents. A drawer in the same cabinet, holding boxes of playing cards, also contained droppings.
The Director of Nursing told inspectors that a night-shift staff member had reported seeing droppings one or two days earlier, and that she had passed the information to the administrator. She said she had not seen any mice herself.
The administrator, interviewed that same afternoon, acknowledged that the pest control company had never signed the logbook and said he was unsure whether the technician had ever reviewed it. His expectation, he told inspectors, was that staff who spotted a problem would notify him so he could pass the information along to the exterminator at the next visit.
That chain never closed. Staff were logging sightings. The administrator was waiting to be told. The exterminator was treating the perimeter and leaving. Nobody connected those three things until the state showed up.
A second housekeeper, who transferred from a maintenance role in early October, said residents had been reporting mice to him. He had not seen any himself. Multiple aides said residents had complained about mice in their rooms.
The inspection was conducted in response to a complaint. CMS rated the violation at the level of minimal harm or potential for actual harm, with some residents affected. The pest control technician, when interviewed, said he was scheduled to return to the facility on a future date.
The droppings in the activity cabinet were still there when the surveyor found them.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cassville Health Care Center from 2025-09-10 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
CASSVILLE HEALTH CARE CENTER in CASSVILLE, MO was cited for violations during a health inspection on September 10, 2025.
Two certified nurse assistants, both working the 6:00 P.M.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.