Hermitage Nursing & Rehab
18599 First Street · Hermitage, MO · 65668 · 4177452111
120 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.92 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.24 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
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Immediate jeopardy · J March 5, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 5, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected April 20, 2026 · Administration
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Potential for harm · D December 12, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 26, 2026 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 26, 2026 · Quality of Life and Care
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Potential for harm · F December 12, 2025
Provide and implement an infection prevention and control program.
Corrected January 26, 2026 · Infection Control
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Potential for harm · E February 1, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 17, 2024 · Resident Rights
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Potential for harm · D February 1, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected March 17, 2024 · Quality of Life and Care
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Potential for harm · D February 1, 2024
Ensure that residents are free from significant medication errors.
Corrected March 17, 2024 · Pharmacy Service
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Potential for harm · F February 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 17, 2024 · Nutrition and Dietary
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Potential for harm · E February 1, 2024
Provide and implement an infection prevention and control program.
Corrected March 17, 2024 · Infection Control
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Potential for harm · D January 13, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected February 27, 2022 · Quality of Life and Care
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Potential for harm · E January 13, 2022
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected February 27, 2022 · Quality of Life and Care
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Potential for harm · F January 13, 2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 27, 2022 · Nursing and Physician Services
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Potential for harm · D January 13, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected February 27, 2022 · Pharmacy Service
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Potential for harm · D January 13, 2022
Ensure that residents are free from significant medication errors.
Corrected February 27, 2022 · Pharmacy Service
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Potential for harm · E January 13, 2022
Provide and implement an infection prevention and control program.
Corrected February 27, 2022 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265239 · certified since July 2, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.