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Nursing home report

LINCOLN COUNTY NURSING & REHAB

TROY, MO · Medicare-certified · 90 beds

Needs attention
Special Focus FacilityFor-profitChain member
Not yet rated

Overall rating: not rated. Lincoln County Nursing & Rehab is a special focus facility (SFF) with reported nurse staffing of 2.65 hours per resident per day versus the 4.1 federal benchmark, and it had $151,801 in fines in the last 24 months. Recent inspection issues included pressure ulcer care, accident hazards/supervision, and pain management.

Facility ratings

Health inspections

Staffing

2.6525 hrs/resident/day

Quality measures

Last inspection: November 17, 2025Penalties, last 24 months: $151,801special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6525.

Staffing detail

Registered nurses
0.12
Licensed practical nurses
0.68
Nurse aides
1.86
Weekend nursing
2.36

Hours per resident per day.

Total staff turnover: 66%
Registered nurse turnover: 83%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

20.1%Worsening

Residents with a fall causing major injury

7.6%Improving

Residents with pressure ulcers (bedsores)

10.1%Worsening

Residents with a urinary tract infection

3.9%Improving

Residents who lost too much weight

3.8%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

23.2%Steady

Residents whose ability to walk got worse

10.1%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

26.8%Worsening

Short-stay residents newly given an antipsychotic

3.8%Steady

Residents with a long-term catheter

3.2%Improving

Residents with new or worsening incontinence

18.1%Improving

Residents with depressive symptoms

4%Improving

Long-stay residents given the seasonal flu vaccine

92.8%Steady

Long-stay residents given the pneumonia vaccine

80.2%Worsening

Short-stay residents given the seasonal flu vaccine

53.3%Steady

Short-stay residents given the pneumonia vaccine

58.9%Steady

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — limited pattern, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: H

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited May 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 742 — 42 CFR §483.40 — S/S: G

The nursing home failed to protect residents from abuse and neglect by others. Cited March 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $151,801 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $235,414 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    May 23, 2024

    21 days
  • Federal fine

    May 23, 2024

    $151,801
  • Federal fine

    Mar 29, 2024

    $30,641
  • Federal fine

    Oct 17, 2023

    $52,972

Operator & ownership

Ownership
For profit - Individual
Chain
Part of JAMES & JUDY LINCOLN · 56 homes · 2.4 stars avg
Occupancy
77.7 residents on an average day (86% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 35 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.