Willow Care Nursing Home

Name: Willow Care Nursing Home
Address: 2646 STATE ROUTE 76, Willow Springs, MO, 65793, US
Telephone: 4174693152

2646 State Route 76, Willow Springs, MO 65793 · Howell County · 105 certified beds · avg 68 residents/day · certified since Oct 21, 1988

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.03

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 8, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 8, 2026	E · Potential for harm, repeated	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Jan 8, 2026	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 26, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Feb 10, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 10, 2023	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Feb 10, 2023	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Feb 10, 2023	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 4).

Year	Citations	Worst severity that year
2023	4	F
2024	8	D
2026	4	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.03	3.66	3.95	top 32% in Missouri; top 38% in the U.S.
Registered Nurse hours	0.50	0.49	0.69	top 36% in Missouri; bottom 37% in the U.S.
Weekend total nurse staffing	3.34	3.22	3.50	top 41% in Missouri; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.33	0.48	bottom 47% in Missouri; bottom 24% in the U.S.
Total nursing staff turnover (%)	58.6	56.0	45.8	bottom 44% in Missouri; bottom 18% in the U.S.
RN turnover (%)	20.0	47.8	42.9	top 12% in Missouri; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.67, RN 0.45, weekend 3.04. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Willow Health Care INC	Organization	5% or Greater Direct Ownership Interest	100%	12/02/2009
Alter, Shirley	Individual	W-2 Managing Employee	NOT APPLICABLE	12/02/2009
Clark, Sheila	Individual	W-2 Managing Employee	NOT APPLICABLE	12/02/2009
Head, Barbara	Individual	W-2 Managing Employee	NOT APPLICABLE	05/01/2017
Miller, Sherry	Individual	W-2 Managing Employee	NOT APPLICABLE	12/02/2009
Miller, Sherry	Individual	Corporate Director	NOT APPLICABLE	10/16/1994
Ogden, James	Individual	Corporate Director	NOT APPLICABLE	07/20/1987
Williamson, Jackie	Individual	W-2 Managing Employee	NOT APPLICABLE	12/02/2009

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Kabul Nursing Homes INC	11.4 mi	Cabool, MO	★★★★★	5/5
Mountain View Healthcare	16.0 mi	Mountain View, MO	★★★★★	5/5
Brooke Haven Healthcare	17.8 mi	West Plains, MO	★★★★☆	4/5
Autumn Oaks Caring Center	18.2 mi	Mountain Grove, MO	★☆☆☆☆	2/5
NHC Healthcare, West Plains	18.7 mi	West Plains, MO	★★★★★	5/5
West Vue Nursing and Rehabilitation Center	18.7 mi	West Plains, MO	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Willow Springs →

Facility data as of CMS processing date 2026-08-01. CCN 265335.

The Care File

Visit checklist — Willow Care Nursing Home

2646 State Route 76, Willow Springs, MO 65793 · 4174693152

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265335 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)