Lincoln County Nursing & Rehab
1145 East Cherry Street · Troy, MO · 63379 · 6365285712
90 certified beds For profit - Individual Chain: James & Judy Lincoln
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.12 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.65 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 2.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.12 | 0.55–0.75 |
| Weekend hours / resident-day | 2.36 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 3 · $235,414 |
Inspection citations (115 in the current record)
-
Actual harm · G April 16, 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 March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 16, 2026 · found via complaint
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 May 28, 2026 · Resident Rights
-
Potential for harm · D November 17, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected November 28, 2025 · Quality of Life and Care
-
Potential for harm · E January 17, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 3, 2025 · Quality of Life and Care
-
Potential for harm · E January 17, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 3, 2025 · Nursing and Physician Services
-
Potential for harm · E October 8, 2024 · found via complaint
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 22, 2024 · Pharmacy Service
-
Potential for harm · E October 8, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 22, 2024 · Nutrition and Dietary
-
Actual harm · H May 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 5, 2024 · Quality of Life and Care
-
Actual harm · G May 23, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 5, 2024 · Quality of Life and Care
-
Actual harm · G May 23, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected July 5, 2024 · Quality of Life and Care
-
Potential for harm · D May 23, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 5, 2024 · Resident Rights
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Potential for harm · E May 23, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 5, 2024 · Resident Rights
-
Potential for harm · D May 23, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected July 5, 2024 · Resident Rights
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Potential for harm · F May 23, 2024
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 5, 2024 · Resident Rights
-
Potential for harm · E May 23, 2024
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 July 5, 2024 · Resident Rights
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Potential for harm · D May 23, 2024
Respond appropriately to all alleged violations.
Corrected July 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 23, 2024
Assess the resident when there is a significant change in condition
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2024
Ensure each resident receives an accurate assessment.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 23, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 23, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 23, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 23, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · F May 23, 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 July 5, 2024 · Quality of Life and Care
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Potential for harm · E May 23, 2024
Provide activities to meet all resident's needs.
Corrected July 5, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 23, 2024 | Fine | $151,801 |
| May 23, 2024 | Payment Denial | 21 days |
| March 29, 2024 | Fine | $30,641 |
| October 17, 2023 | Fine | $52,972 |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265433 · certified since June 26, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.