Shepherd of the Hills Living Center
996 State Highway 248 · Branson, MO · 65616 · 4173346431
100 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- 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.
Red flags
RN staffing in the bottom 10% nationally
0.14 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
2.86 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.14 | 0.55–0.75 |
| Weekend hours / resident-day | 2.54 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · E February 13, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 30, 2026 · Quality of Life and Care
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Potential for harm · F February 13, 2026
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 March 30, 2026 · Nursing and Physician Services
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Potential for harm · E February 13, 2026
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 March 30, 2026 · Pharmacy Service
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Potential for harm · E February 13, 2026
Provide and implement an infection prevention and control program.
Corrected March 30, 2026 · Infection Control
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Potential for harm · D November 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · E July 29, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 25, 2025 · Pharmacy Service
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Potential for harm · D March 21, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 6, 2024 · Resident Rights
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Potential for harm · D March 21, 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 May 6, 2024 · Resident Rights
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Potential for harm · D March 21, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 6, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 6, 2024 · Quality of Life and Care
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Potential for harm · D March 21, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 6, 2024 · Pharmacy Service
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Potential for harm · D March 21, 2024
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 May 6, 2024 · Pharmacy Service
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Potential for harm · D March 21, 2024
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected May 6, 2024 · Environmental
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Potential for harm · E March 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 6, 2024 · Quality of Life and Care
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Actual harm · G November 20, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 21, 2023 · Quality of Life and Care
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Potential for harm · D September 29, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 28, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 11, 2022 · Resident Rights
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Potential for harm · E July 28, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 11, 2022 · Resident Rights
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Potential for harm · E July 28, 2022
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 September 11, 2022 · Resident Rights
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Potential for harm · D July 28, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · E July 28, 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 September 11, 2022 · Quality of Life and Care
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Potential for harm · D July 28, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected September 11, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265393 · certified since August 24, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.