Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Woodmont Health Campus during CMS and state inspections, most recent first.
Surveyors found that pharmaceutical services were not sufficient to ensure physician-ordered routine medications were available and administered as prescribed for two residents. One resident with multiple conditions, including HF, CKD, type II DM, anemia, SIRS, and an acute URI, had several missed doses of artificial tears, ferrous sulfate, sliding-scale insulin, ipratropium-albuterol nebs, and methylprednisolone documented on the MAR as unavailable. Another resident with type II DM, HF, and CKD missed a dose of cyanocobalamin and an evening dose of Novolog insulin because the medications were not available. These missed doses occurred despite a facility policy stating that medications would be administered in accordance with prescriber orders and supported by a sufficient medication distribution system.
A resident with multiple chronic conditions, including type II DM, heart failure, and kidney failure, experienced significant medication errors when two nurses administered Novolog 10 units twice due to failure to document on the MAR, and on another occasion an LPN gave the resident a full set of medications intended for the roommate, resulting in wrong-resident and wrong-medication administration. Staff interviews confirmed the errors, and facility policy and a QMA’s statements indicated that proper resident identification and adherence to the five rights of medication administration were required but not followed.
The facility failed to adhere to proper hand hygiene practices during care activities for two residents. A CNA performed insufficient handwashing during urostomy and incontinence care, while an RN improperly handled gloves and a glucometer during glucose monitoring. These actions did not comply with the facility's hand hygiene policy.
The facility failed to store food safely and maintain proper sanitation in the kitchen. Observations revealed unlabeled and open food items in the freezer, and the dishwasher did not reach the required rinse temperature. Temperature logs were incomplete, and staff failed to report or address the dishwasher's malfunction. Facility policies on temperature checks and documentation were not followed.
The facility failed to conduct quarterly care plan conferences for four residents, as required by their policy. A resident with dementia and hypertension, another with anxiety and depression, a third with hypertension and anxiety, and a fourth with fibromyalgia and depression all missed scheduled care conferences. The Social Service Director acknowledged the oversight, and the facility's policy mandates quarterly meetings to ensure communication and participation in the residents' care plans.
The facility failed to ensure a sanitary and homelike environment, with observations of soiled toilets, uncovered bedpans, and dirty equipment across resident halls and a shower room. Staff interviews revealed unclear cleaning protocols and responsibilities, contributing to the deficiencies.
The facility failed to ensure proper hand hygiene during incontinence care for two residents. CNAs did not change gloves or perform adequate handwashing between tasks, and a clean incontinence pad was placed on the bathroom floor before use. The DON confirmed that staff should lather hands for 20-30 seconds and change gloves when touching different items.
The facility did not ensure daily posting of accurate nurse staffing information, as observed on one occasion when the staffing sheet was outdated. The ADON indicated that the Scheduler and weekend nurse were responsible for posting the information, according to the facility's policy.
Failure to Provide Prescribed Medications Due to Unavailable Pharmacy Stock
Penalty
Summary
The deficiency involves the facility’s failure to ensure pharmaceutical services were available so that physician-prescribed routine medications were administered as ordered for two residents. For one resident with diagnoses including heart failure, kidney failure, type II diabetes, anemia, SIRS, and acute upper respiratory infection, the MAR for February 2026 showed multiple missed doses of ordered medications because they were unavailable at the facility. These included artificial tears not given for an evening and night time period, ferrous sulfate not given on one day, sliding-scale insulin lispro not given before breakfast on one day, ipratropium-albuterol nebulizer solution not given for a scheduled morning dose, and methylprednisolone not given for a morning time block. The resident reported that staff had informed her on more than one occasion that they were out of her routine medications. A second resident, with diagnoses including type II diabetes, heart failure, and kidney failure, also did not receive prescribed medications due to unavailability. Record review showed that this resident’s daily cyanocobalamin (vitamin B-12) was not administered on one day in January 2026 because it was unavailable, and a scheduled evening dose of Novolog insulin was not given on another day for the same reason. The facility’s written policy stated that the facility would have sufficient personnel and a medication distribution system to ensure safe administration of medications and that medications are administered in accordance with written prescriber orders, but the documented missed doses due to unavailability demonstrate that this did not occur for these two residents.
Failure to Prevent Significant Medication Errors and Wrong-Resident Administration
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident was free from significant medication errors, including a double insulin dose and administration of another resident’s medications. Record review showed that the resident had diagnoses including type II diabetes, heart failure, kidney failure, anxiety, and depression, and was receiving insulin, antidepressant, diuretic, anticoagulant, hypoglycemic, and anticonvulsant medications. Nursing progress notes documented that on one occasion the resident was given Novolog 10 units twice by two different nurses because the first administration was not documented as given on the MAR, leading the second nurse to be unaware that the insulin had already been administered. On another occasion, an event report documented that the resident received a full set of medications intended for the roommate, including Xanax 0.5 mg, atorvastatin 40 mg, Aricept 10 mg, metoprolol 25 mg, Remeron 7.5 mg, Singulair 10 mg, ranolazine 500 mg, and ropinirole 1 mg. The error was described as involving the wrong resident and wrong medications, with the reason identified as wrong resident. During interview, an LPN stated she mistakenly administered the roommate’s medications to the resident. Another staff member (a QMA) indicated that nursing staff are expected to use the five rights of medication administration, and the facility’s policy required resident identification before medication administration by checking a photograph, calling the resident by name, having the resident verify their last name, or verifying identification with other personnel.
Inadequate Hand Hygiene Practices Observed
Penalty
Summary
The facility failed to maintain proper infection control practices, specifically in hand hygiene, during care activities for two residents. In the first observation, a CNA provided urostomy and incontinence care for a resident requiring Enhanced Barrier Precautions. The CNA performed handwashing for only 10 to 12 seconds, which is below the facility's policy requirement of at least 20 seconds. After removing gloves, the CNA touched the resident's privacy curtain with bare hands before completing hand hygiene in the bathroom. In the second observation, an RN conducted glucose monitoring for another resident. After pricking the resident's finger and checking the blood sugar level, the RN removed one glove and carried the glucometer out of the room. The RN placed a used glove on a medication cart in the hallway, removed the other glove, and disposed of both gloves in the trash on the cart before completing hand hygiene. These actions were contrary to the facility's hand hygiene policy, which requires handwashing after removing gloves and before having direct physical contact with residents.
Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure the safe and sanitary storage of food and proper sanitation procedures in the kitchen. During observations, food items such as beef patties and chicken breasts were found open to air and unlabeled in the walk-in freezer. Additionally, the high-temperature dishwasher did not reach the required rinse temperature of 180 degrees Fahrenheit, with recorded temperatures of 168, 170, and 172 degrees during various observations. Temperature logs for food, dish machine, refrigerator, and freezer were incomplete or missing for several days, indicating a lack of proper documentation and monitoring. Interviews with staff revealed that there was a lack of communication and action when the dishwasher failed to reach the required temperature. A staff member admitted to not notifying the Dietary Manager or Maintenance Director when the rinse temperature was below the required level, as they were not present. The Administrator was only informed of the issue after the surveyor's observation, and it was noted that the facility had not used disposable dishes despite the dishwasher's malfunction. The facility's policies required specific temperature checks and documentation, which were not adhered to, contributing to the deficiency.
Failure to Conduct Quarterly Care Plan Conferences
Penalty
Summary
The facility failed to ensure that care plan conferences were completed quarterly for four out of five residents reviewed for unnecessary medications. Resident 28, diagnosed with dementia with behaviors and hypertension, did not have a care conference between January 2, 2024, and June 3, 2024. Resident 8, with anxiety disorder and depression, lacked a care conference between December 12, 2023, and May 8, 2024. Resident 19, diagnosed with hypertension and anxiety disorder, missed care conferences between August 27, 2023, and January 3, 2024, as well as on May 30, 2024. Resident 29, with fibromyalgia and depression, did not have care conferences between August 27, 2023, and December 12, 2023, and on June 11, 2024. During an interview, the Social Service Director confirmed that these residents should have had care plan conferences every three months. The facility's policy, as provided by Regional Support 2, indicated that subsequent meetings for residents should be conducted at a minimum of quarterly, emphasizing communication and participation regarding the resident's plan of care, medical condition, and care needs.
Facility Fails to Maintain Sanitary and Homelike Environment
Penalty
Summary
The facility failed to maintain a sanitary and homelike environment across multiple areas, including resident halls and a shower room. Observations revealed that resident toilets were visibly soiled, and fracture pans and urine hats were left uncovered and improperly stored. Equipment such as vitals machines and lift equipment were also found to be visibly soiled. Additionally, the carpet in the 200 Hall was stained, and the shower room had soiled grout, chipped tiles, and a broken tile by the bathroom wall. Specific observations included a brown substance on the back of a toilet, uncovered bedpans on handrails, and dusty vent fans and handrails in resident bathrooms. Rooms were found with dusty surfaces, unpainted plaster, and scuff marks on walls. In one instance, a sit-to-stand lift was observed with food and debris on the footplate. The shower room had multiple cleanliness issues, including a strong urine smell, stained upholstery, and a black substance smeared on the floor. Interviews with staff revealed a lack of clarity and adherence to cleaning protocols. The Environmental Services Director indicated that daily cleaning tasks should be completed and signed off by staff, but there was no checklist for cleaning the shower room. The Maintenance Director relied on staff notifications for maintenance needs, but staff were not adequately trained to enter work orders. Additionally, there was no clear policy for cleaning resident equipment, and confusion existed among staff regarding responsibilities for maintaining cleanliness.
Inadequate Hand Hygiene During Incontinence Care
Penalty
Summary
The facility failed to maintain a safe and sanitary environment to prevent the transmission of infections during incontinence care for two residents. In the first instance, two CNAs were observed providing care to a resident without adhering to proper hand hygiene protocols. CNA 48 washed her hands with a 5-second lather and CNA 56 with a 10-second lather before donning gloves. During the care process, CNA 48 laid a clean incontinence pad on the bathroom floor, which was then placed on the resident. Additionally, CNA 48 did not perform hand hygiene after removing gloves and before handling the resident's wheelchair and other items. When questioned, CNA 48 acknowledged the lapse in hand hygiene and washed her hands with a 6-second lather. In the second instance, CNA 23 and a CNA in training provided incontinence care to another resident. CNA 23 used the same pair of gloves to handle various items, including the bedside table, trash bag, and bed remote, without changing gloves or performing hand hygiene. CNA in training 21 also failed to change gloves and perform hand hygiene before placing a clean brief on the resident. After completing the care, CNA 23 did not perform hand hygiene before handling the resident's blankets and other items. The Director of Nursing indicated that staff should lather their hands for 20-30 seconds and change gloves when touching different items during care.
Failure to Post Accurate Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the nurse staffing sheets were posted and contained the correct information daily, as required. On July 21, the Posted Nurse Staffing form was observed at the nurse's station with a date of July 19, indicating that the staffing information was not updated for that day. During an interview, the Assistant Director of Nursing (ADON) stated that the Scheduler was responsible for posting the staffing form daily in the morning at the beginning of the shift, and on weekends, the 300 Hall nurse was responsible for posting it at the change of shift. The facility's policy, revised on May 11, 2016, requires that the number and hours of licensed nurses and unlicensed nursing personnel providing direct care to residents be posted at the beginning of each day.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Boonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Transcendent Healthcare Of Boonville | 3.1 mi | — | 10 | 0 |
| Transcendent Healthcare Of Boonville - North | 3.6 mi | — | 20 | 2 |
| Cypress Grove Rehabilitation Center | 9.2 mi | — | 7 | 0 |
| Brickyard Healthcare - Woodlands Care Center | 10.1 mi | — | 0 | 0 |
| Hamilton Pointe Health And Rehab | 11.8 mi | — | 3 | 0 |
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