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Nursing home report

LINCOLN COUNTY NURSING & REHAB

TROY, MO · Medicare-certified · 90 beds

Needs attention
Special Focus FacilityAbuse citationFor-profitChain member
Data as of July 1, 2026
Not yet rated

Not rated overall. Lincoln County Nursing & Rehab has special-focus status and an attention flag, with reported staffing of 2.45 hours per resident per day versus the 4.1 federal benchmark; no fines were reported in the last 24 months.

Facility ratings

Health inspections

Staffing

2.4509 hrs/resident/day

Quality measures

Last inspection: April 16, 2026Penalties, last 24 months: $0special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.4509.

Staffing detail

Registered nurses
0.27
Licensed practical nurses
0.63
Nurse aides
1.55
Weekend nursing
2.22

Hours per resident per day.

Total staff turnover: 74%
Registered nurse turnover: 67%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

23.7%16.4%Improving

Residents with a fall causing major injury

10.5%5.6%Improving

Residents with pressure ulcers (bedsores)

14.7%7.8%Improving

Residents with a urinary tract infection

3.6%0%Improving

Residents who lost too much weight

1.9%1.5%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

22.4%11.9%Improving

Residents whose ability to walk got worse

15.1%3.7%Improving

Long-stay residents on antianxiety or sleep medication

19.2%26.5%Worsening

Short-stay residents newly given an antipsychotic

4.5%4.2%No change

Residents with a long-term catheter

3.1%0%Improving

Residents with new or worsening incontinence

19.8%8.8%Improving

Residents with depressive symptoms

11.1%3.1%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

92.8%

Long-stay residents given the pneumonia vaccine

82.5%81.9%Worsening

Short-stay residents given the seasonal flu vaccine

53.3%

Short-stay residents given the pneumonia vaccine

73.1%62.8%Worsening

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 nursing home failed to protect residents from abuse and neglect by others. Cited April 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

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

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 2 health deficiencies.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal payment denial was recorded.

  8. 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
78.4 residents on an average day (87% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 36 years

The most recent standard health inspection was more than two years ago.

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.