Republic Nursing & Rehab

901 East Hwy 174 · Republic, MO · 65738 · 4177321822

127 certified beds For profit - Corporation Chain: James & Judy Lincoln

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Total nurse staffing below 3.0 hours per resident-day

2.87 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 68
Serious harm & abuse 20% 100
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 87
Context 5% 100

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

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.873.48 min · 4.1 strong
RN hours / resident-day0.420.55–0.75
Weekend hours / resident-day2.56≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (18 in the current record)

  • Potential for harm · F September 18, 2025

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

    Corrected November 2, 2025 · Nutrition and Dietary

  • Potential for harm · D July 24, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected September 7, 2024 · Resident Rights

  • Potential for harm · D July 24, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 7, 2024 · Infection Control

  • Potential for harm · D March 14, 2024

    Ensure each resident receives an accurate assessment.

    Corrected April 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 14, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 14, 2024

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

    Corrected April 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E March 14, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 28, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

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

    Corrected April 28, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected April 28, 2024 · Quality of Life and Care

  • Potential for harm · F March 14, 2024

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

    Corrected April 28, 2024 · Nutrition and Dietary

  • Potential for harm · E March 14, 2024

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

    Corrected April 28, 2024 · Environmental

  • Potential for harm · D July 29, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 12, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 25, 2022

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected April 11, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 25, 2022

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected April 11, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 25, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 11, 2022 · Quality of Life and Care

  • Potential for harm · E February 25, 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 April 11, 2022 · Quality of Life and Care

  • Potential for harm · E February 25, 2022

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected April 11, 2022 · Quality of Life and Care

  • Potential for harm · E February 25, 2022

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

    Corrected April 11, 2022 · Environmental

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 265326 · certified since May 15, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.