Strafford Care Center
505 West Evergreen · Strafford, MO · 65757 · 4177369332
78 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).
- Federal penalties on record: $52,456 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
$52,456 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
86% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 86% | median 45% |
| Fines (3-yr window) | 1 · $52,456 |
Inspection citations (76 in the current record)
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Potential for harm · D March 26, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 22, 2026 · Resident Rights
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Potential for harm · D March 26, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected May 22, 2026 · Resident Rights
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Potential for harm · D March 26, 2026 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected May 22, 2026 · Resident Rights
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Potential for harm · E March 26, 2026 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 22, 2026 · Resident Rights
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Potential for harm · D March 26, 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 22, 2026 · Resident Rights
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Potential for harm · D March 26, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 22, 2026 · Quality of Life and Care
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Potential for harm · F March 26, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 22, 2026 · Nutrition and Dietary
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Potential for harm · D March 26, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 22, 2026 · Environmental
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Potential for harm · D February 25, 2026 · 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 April 10, 2026 · Resident Rights
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Potential for harm · D February 25, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D January 5, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 5, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 12, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · D December 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 23, 2026 · Pharmacy Service
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Potential for harm · D December 10, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · D December 10, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · D December 10, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected January 23, 2026 · Nutrition and Dietary
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Potential for harm · D December 10, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D May 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 2, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 2, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 16, 2025 · Quality of Life and Care
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Potential for harm · E April 21, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 21, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 18, 2024 | Fine | $52,456 |
| October 18, 2024 | Payment Denial | 84 days |
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 265656 · certified since August 21, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.