nursing home in Hermitage, MO
Hermitage Nursing & Rehab
18599 First Street, Hermitage, MO 65668 · (417) 745-2111
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★5
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hermitage Nursing & Rehab at a glance
Hermitage Nursing & Rehab is a 120-bed for-profit nursing home in Hermitage, Missouri (Hickory County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Missouri average of 2.5.
Residents receive about 2.8 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (December 12, 2025) found 12 health citations. The Missouri average is 11.4.
Federal regulators fined it 1 time in the past three years, totaling $102,470.
Nursing staff turnover is 53.8% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- James & Judy Lincoln
- Medicare-certified since
- July 2, 1984
- Resident/family council
- Resident
- County
- Hickory County
- CMS Certification Number
- 265239
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.8 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.84 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.10 hrs | 2.29 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.29 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.8% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 42.9% | 47.8% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 132.3 | 111.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $102,470 | $37,425 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 103 | 107 | |
| Average residents per day | 64 | 73 | 86 | |
| Occupancy | 53.6% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.3% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.4% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 33.6% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.3% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.3% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 11.7% | 18.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 16.5% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.7% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.6% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 36.3% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 8.2% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.4% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.1% | 84.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 5.6% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 96% | 63.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.7% | 65.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 11, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected June 1, 2026 |
| March 5, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected April 20, 2026 |
| March 5, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected June 1, 2026 |
| March 5, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 20, 2026 |
| March 5, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 20, 2026 |
| March 5, 2026 Complaint | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0773 | D Potential harm, isolated | Corrected April 20, 2026 |
| March 5, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 20, 2026 |
| March 5, 2026 Complaint | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 1, 2026 |
| December 12, 2025 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | E Potential harm, pattern | Corrected January 26, 2026 |
| December 12, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected January 26, 2026 |
| December 12, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected January 26, 2026 |
| December 12, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected January 26, 2026 |
| December 12, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 26, 2026 |
| December 12, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected January 26, 2026 |
| February 1, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected March 12, 2024 |
| February 1, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 12, 2024 |
| February 1, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 12, 2024 |
| February 1, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected March 12, 2024 |
| February 1, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected March 12, 2024 |
| February 1, 2024 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | E Potential harm, pattern | Corrected March 12, 2024 |
| February 1, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 17, 2024 |
| February 1, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 17, 2024 |
| February 1, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected March 17, 2024 |
| February 1, 2024 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Corrected March 17, 2024 |
| February 1, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected March 17, 2024 |
| January 13, 2022 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected February 27, 2022 |
| January 13, 2022 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected February 27, 2022 |
| January 13, 2022 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected February 27, 2022 |
| January 13, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 27, 2022 |
| January 13, 2022 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected February 27, 2022 |
| January 13, 2022 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 27, 2022 |
| January 13, 2022 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected February 27, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $102,470 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 5, 2026 | Payment Denial | 37 days from April 25, 2026 |
| March 5, 2026 | Fine | $102,470 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LINCOLN, JAMES Individual | 5% or greater direct ownership interest | 50% | 12/01/2014 |
| LINCOLN, JUDY Individual | 5% or greater direct ownership interest | 50% | 12/01/2014 |
| LTC MANAGEMENT SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2014 |
| SPENCE, JAQUELYNE Individual | w-2 managing employee | NOT APPLICABLE | 04/25/2022 |
Other nursing homes near Hermitage Nursing & Rehab
Northwood Hills Care Center
800 N Arthur St, Humansville, MO 65674 · 17.4 mi
For-profit · 120 beds · Part of Life Care Centers of America
★★★★★2Below averageBig Spring Care Center for Rehab and Healthcare
202 East Mill Street, Humansville, MO 65674 · 17.7 mi
For-profit · 60 beds
★★★★★1Much below averageCamdenton Windsor Estates
2042 N Business Route 5, Camdenton, MO 65020 · 19 mi
For-profit · 82 beds · Part of James & Judy Lincoln
★★★★★1Much below averageAspire Senior Living Warsaw
1609 Sunchase Drive, Warsaw, MO 65355 · 21.8 mi
For-profit · 90 beds · Part of Aspire Senior Living
- Abuse citation
★★★★★2Below averageParkview Health Care Facility
119 West Forest, Bolivar, MO 65613 · 22.7 mi
Non-profit · 78 beds · Part of Citizens Memorial Health Care
★★★★★4Above averageCitizens Memorial Healthcare Facility
1218 West Locust, Bolivar, MO 65613 · 23.4 mi
Non-profit · 111 beds · Part of Citizens Memorial Health Care
★★★★★2Below average
Frequently asked questions
What is Hermitage Nursing & Rehab's rating?
Hermitage Nursing & Rehab has 3 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Hermitage Nursing & Rehab receive?
Its most recent standard health inspection found 12 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Hermitage Nursing & Rehab accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Hermitage Nursing & Rehab?
It is for profit - limited liability company and part of James & Judy Lincoln. The ownership section on this page lists the owners and managers reported to CMS.
Where is Hermitage Nursing & Rehab and how do I contact it?
Hermitage Nursing & Rehab is at 18599 First Street, Hermitage, MO 65668. Phone: (417) 745-2111.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.