Westgate at Wildwood Ranch in Joplin, MO has an overall rating of 2 out of 5 stars, with 2-star health inspections and quality measures and 3-star staffing. It has a recent federal penalty, $100,284 in fines over the last 24 months, and reported nurse staffing of 3.74 hours per resident per day, below the 4.1-hour federal benchmark.
Last inspection: June 4, 2026Penalties, last 24 months: $100,284recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7388.
Staffing detail
Registered nurses
0.51
Licensed practical nurses
0.82
Nurse aides
2.41
Weekend nursing
3.17
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 27%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
7.9%17.6%Worsening
Residents with a fall causing major injury
12.5%3%Improving
Residents with pressure ulcers (bedsores)
3.2%5%Worsening
Residents with a urinary tract infection
1.1%6.4%Worsening
Residents who lost too much weight
3.8%7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.4%16.7%Improving
Residents whose ability to walk got worse
22.8%20.7%Improving
Long-stay residents on antianxiety or sleep medication
43.9%45.5%Worsening
Short-stay residents newly given an antipsychotic
3.4%5.7%Worsening
Residents with a long-term catheter
3.2%1.6%Improving
Residents with new or worsening incontinence
14.4%20.5%Worsening
Residents with depressive symptoms
7.7%20.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—99.1%—
Long-stay residents given the pneumonia vaccine
86.5%92%Improving
Short-stay residents given the seasonal flu vaccine
—60%—
Short-stay residents given the pneumonia vaccine
35.7%56.7%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to support and respect residents’ choices and self-determination. Cited July 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: E
Recent history
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $100,284 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $70,134 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $100,284 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jun 4, 2026
4 days
Federal fine
Jun 4, 2026
$100,284
Operator & ownership
Ownership
For profit - Individual
Chain
Part of CIRCLE B ENTERPRISES · 36 homes · 2.5 stars avg
Occupancy
105.2 residents on an average day (88% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 7 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.