nursing home in Troy, MO

Lincoln County Nursing & Rehab

1145 East Cherry Street, Troy, MO 63379 · (636) 528-5712

Not rated
Not rated
CMS overall star rating
  • Health inspectionsNot rated
  • StaffingNot rated
  • Quality measuresNot rated
  • Special Focus Facility
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Lincoln County Nursing & Rehab at a glance

Lincoln County Nursing & Rehab is a 90-bed for-profit nursing home in Troy, Missouri (Lincoln County).

CMS has not published a overall star rating for this nursing home, usually because it has too little recent data.

Residents receive about 2.5 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (April 16, 2026) found 16 health citations. The Missouri average is 11.4.

Federal regulators fined it 4 times in the past three years, totaling $259,609.

Nursing staff turnover is 74.2% per year (state average 56%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
90
Certified for
Medicare and Medicaid
Chain / affiliated entity
James & Judy Lincoln
Medicare-certified since
June 26, 1990
Resident/family council
Resident
County
Lincoln County
CMS Certification Number
265433

Staffing

This facility2.45 hrsMissouri average3.43 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)2.45 hrs3.43 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.27 hrs0.46 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.55 hrs2.29 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.22 hrs3.01 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)74.2%56%45.8%Worse
Registered nurse turnover (yearly) (lower is better)66.7%47.8%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility16Missouri average11U.S. average9
Health citations in the most recent inspection: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)16119Worse
Citations from complaint investigations (latest cycle) (lower is better)333Worse
Weighted health inspection score ⓘ (lower is better)400.3111.880.6Worse

Penalties

This facility4Missouri average1U.S. average1
Fines in the past 3 years: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)411Worse
Total fines in the past 3 years (lower is better)$259,609$37,425$30,972Worse
All federal penalties in the past 3 years (lower is better)611Worse

Size

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Certified beds90103107
Average residents per day787386
Occupancy87.1%72.4%80.9%

Long-stay residents

This facility7.1%Missouri average4.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)7.1%4.1%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)9.9%4.5%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)19.8%23.5%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)2.3%2.3%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)1.7%1.1%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)19.8%18.1%13.9%Worse
Long-stay residents whose walking worsened (lower is better)8.3%17.4%14.1%Better
Long-stay residents who lose too much weight (lower is better)1.6%5.3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)4.1%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)27.5%25.6%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)14.3%17.8%19%Better
Long-stay residents given a flu vaccine (higher is better)92.8%90.9%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)78.1%84.1%93.6%Worse

Short-stay residents

This facility3.8%Missouri average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.8%2.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)53.3%63.5%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)62%65.7%82%Worse

Inspection citations

State inspectors cited this home for 111 health deficiencies and 49 fire safety deficiencies in the inspection records CMS currently publishes. 9 citations involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
April 16, 2026
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
F
Potential harm, widespread
Corrected May 29, 2026
April 16, 2026
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected May 29, 2026
April 16, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected May 29, 2026
April 16, 2026
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Fire safety
Install proper backup exit lighting.
Egress Deficiencies · Tag K0281
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 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
G
Actual harm, isolated
Corrected March 30, 2026
April 16, 2026
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 May 29, 2026
April 16, 2026
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 May 29, 2026
April 16, 2026
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Standard
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Tag F0576
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Standard
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies · Tag F0728
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected May 29, 2026
April 16, 2026
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
D
Potential harm, isolated
Corrected May 29, 2026
April 16, 2026
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected May 29, 2026
April 16, 2026
Standard
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected May 29, 2026
April 16, 2026
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected May 29, 2026
November 17, 2025
Complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Tag F0744
D
Potential harm, isolated
Corrected November 28, 2025
January 17, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected March 3, 2025
January 17, 2025
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected March 3, 2025
October 8, 2024
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected November 22, 2024
October 8, 2024
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected November 22, 2024
May 23, 2024
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 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 July 5, 2024
May 23, 2024
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Fire safety
Meet other general requirements.
Construction Deficiencies · Tag K0100
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 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 July 5, 2024
May 23, 2024
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Fire safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
H
Actual harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
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.
Quality of Life and Care Deficiencies · Tag F0742
G
Actual harm, isolated
Corrected July 5, 2024
May 23, 2024
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
G
Actual harm, isolated
Corrected July 5, 2024
May 23, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Tag F0801
F
Potential harm, widespread
Corrected July 8, 2024
May 23, 2024
Standard
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Tag F0882
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 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 July 5, 2024
May 23, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
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 July 5, 2024
May 23, 2024
Standard
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 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
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Tag F0680
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · Tag F0945
F
Potential harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
E
Potential harm, pattern
Corrected August 14, 2024
May 23, 2024
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0585
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Tag F0637
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Tag F0687
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
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.
Quality of Life and Care Deficiencies · Tag F0688
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
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 July 5, 2024
May 23, 2024
Standard
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies · Tag F0728
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental Deficiencies · Tag F0909
E
Potential harm, pattern
Corrected July 5, 2024
May 23, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected July 5, 2024
May 23, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected July 5, 2024
May 23, 2024
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 July 5, 2024
May 23, 2024
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected July 5, 2024
May 23, 2024
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected July 5, 2024
May 23, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected July 5, 2024
May 23, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected July 5, 2024
May 23, 2024
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected July 5, 2024
May 23, 2024
Standard
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · Tag F0569
D
Potential harm, isolated
Corrected July 5, 2024
May 23, 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
D
Potential harm, isolated
Corrected July 5, 2024
May 23, 2024
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
C
No harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
C
No harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Tag F0847
C
No harm, widespread
Corrected July 5, 2024
May 23, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0625
C
No harm, widespread
Corrected July 5, 2024
March 29, 2024
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
G
Actual harm, isolated
Corrected April 29, 2024
March 29, 2024
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 April 29, 2024
March 29, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected April 29, 2024
March 29, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected April 29, 2024
March 29, 2024
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected April 29, 2024
March 29, 2024
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected April 29, 2024
January 3, 2024
Complaint
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 12, 2024
January 3, 2024
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected February 12, 2024
October 17, 2023
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
J
Immediate jeopardy, isolated
Corrected November 12, 2023
October 17, 2023
Complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Tag F0882
F
Potential harm, widespread
Corrected November 12, 2023
October 17, 2023
Complaint
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Tag F0825
D
Potential harm, isolated
Corrected November 12, 2023
October 27, 2022
Fire safety
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies · Tag E0007
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
Fire safety
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies · Tag E0020
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
Fire safety
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies · Tag E0024
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
Fire safety
Provide a means of sharing information on occupancy/needs.
Emergency Preparedness Deficiencies · Tag E0034
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
Fire safety
Meet other general requirements.
Construction Deficiencies · Tag K0100
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected December 10, 2022
October 27, 2022
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 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 December 10, 2022
October 27, 2022
Standard
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Tag F0802
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
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 December 10, 2022
October 27, 2022
Standard
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
F
Potential harm, widespread
Corrected December 10, 2022
October 27, 2022
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Tag F0638
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected December 10, 2022
October 27, 2022
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected December 10, 2022

Showing the 150 most recent of 160 citations.

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 6 federal penalties in the past three years, including $259,609 in fines.

DatePenaltyAmount / length
April 16, 2026Payment Denial3 days from May 26, 2026
April 16, 2026Fine$24,195
May 23, 2024Payment Denial21 days from July 24, 2024
May 23, 2024Fine$151,801
March 29, 2024Fine$30,641
October 17, 2023Fine$52,972

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
LINCOLN, JAMES
Individual
5% or greater direct ownership interest50%08/01/1998
LINCOLN, JUDY
Individual
5% or greater direct ownership interest50%08/01/1998
N & R OF LINCOLN COUNTY, INC.
Organization
operational/managerial controlNOT APPLICABLE06/16/1990
BRICK, JULIE
Individual
w-2 managing employeeNOT APPLICABLE06/29/2017

Other nursing homes near Lincoln County Nursing & Rehab

  1. Troy Manor

    200 Thompson Drive, Troy, MO 63379 · under 1 mi

    For-profit · 130 beds · Part of James & Judy Lincoln

    ★★★★★2Below average
  2. Elsberry Missouri Health Care Center

    1827 Hwy B, Elsberry, MO 63343 · 12.9 mi

    Non-profit · 56 beds

    ★★★★★4Above average
  3. Warrenton Manor

    65 State Hwy Aa, Wright City, MO 63390 · 14.3 mi

    For-profit · 120 beds · Part of James & Judy Lincoln

    ★★★★★1Much below average
  4. Cottages of Lake St Louis

    2885 Technology Drive, Lake Saint Louis, MO 63367 · 17.5 mi

    For-profit · 60 beds

    ★★★★★4Above average
  5. Abbey Senior Health

    206 North Main Street, O Fallon, MO 63366 · 18.3 mi

    For-profit · 55 beds

    • Abuse citation
    ★★★★★3Average
  6. Sunterra Springs Dardenne Prairie

    7275 State Highway N, Dardenne Prairie, MO 63368 · 18.7 mi

    For-profit · 38 beds · Part of Sunterra Springs

    ★★★★★2Below average

All nursing homes in Troy, MO · Compare side by side

Frequently asked questions

What is Lincoln County Nursing & Rehab's rating?

CMS has not published a star rating for Lincoln County Nursing & Rehab. This usually means there is not enough recent data.

How many inspection citations did Lincoln County Nursing & Rehab receive?

Its most recent standard health inspection found 16 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.

Does Lincoln County 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 Lincoln County 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 Lincoln County Nursing & Rehab and how do I contact it?

Lincoln County Nursing & Rehab is at 1145 East Cherry Street, Troy, MO 63379. Phone: (636) 528-5712.

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.