Lebanon South Nursing & Rehab

514 West Fremont Road · Lebanon, MO · 65536 · 4175325351

116 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

Get the Safety Report

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 94
Staffing 20% 53
Federal penalties 15% 100
Trend 10% 59
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.113.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day2.89≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)none

Inspection citations (33 in the current record)

  • Potential for harm · D March 16, 2026 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected May 2, 2026 · Resident Rights

  • Potential for harm · D March 16, 2026 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected May 2, 2026 · Resident Rights

  • Potential for harm · D January 6, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 23, 2026 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected July 7, 2025 · Resident Rights

  • Potential for harm · D May 23, 2025

    Assess the resident when there is a significant change in condition

    Corrected July 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 23, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 7, 2025 · Pharmacy Service

  • Potential for harm · E May 23, 2025

    Ensure that residents are free from significant medication errors.

    Corrected July 7, 2025 · Pharmacy Service

  • Potential for harm · F May 23, 2025

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected July 7, 2025 · Nutrition and Dietary

  • Potential for harm · E May 23, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected July 7, 2025 · Nutrition and Dietary

  • Potential for harm · F May 23, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 7, 2025 · Nutrition and Dietary

  • Potential for harm · F May 23, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 7, 2025 · Infection Control

  • Potential for harm · F May 23, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected July 7, 2025 · Environmental

  • Actual harm · G February 25, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 26, 2025 · Quality of Life and Care

  • Potential for harm · E February 25, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 26, 2025 · Quality of Life and Care

  • Potential for harm · E February 25, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 26, 2025 · Infection Control

  • Potential for harm · D October 6, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected November 20, 2023 · Resident Rights

  • Potential for harm · D October 6, 2023

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected November 20, 2023 · Resident Rights

  • Potential for harm · E October 6, 2023

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected November 20, 2023 · Resident Rights

  • Potential for harm · E October 6, 2023

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected November 20, 2023 · Resident Rights

  • Potential for harm · D October 6, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 20, 2023 · Quality of Life and Care

  • Potential for harm · D October 6, 2023

    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 November 20, 2023 · Quality of Life and Care

  • Potential for harm · D October 6, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 20, 2023 · Pharmacy Service

  • Potential for harm · E October 6, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected November 20, 2023 · Pharmacy Service

  • Potential for harm · D October 6, 2023

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected November 20, 2023 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265428 · certified since May 9, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.