The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
SHEPHERD OF THE HILLS LIVING CENTER
BRANSON, MO · Medicare-certified · 100 beds
In good standing
For-profitChain member
3 of 5 overall
3/5 stars overall. Health inspection is 3/5, staffing is very low at 1/5 with reported nurse staffing of 2.86 hours per resident per day versus the 4.1 federal benchmark, quality measures are 5/5, and there were $0 fines in the last 24 months; recent inspection citations included accident hazards/supervision, food handling, and pharmaceutical services.
Facility ratings
Health inspections
Staffing
2.8602 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8602.
Staffing detail
- Registered nurses
- 0.14
- Licensed practical nurses
- 0.74
- Nurse aides
- 1.99
- Weekend nursing
- 2.54
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 83%
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
6.2%5.6%Improving
Residents with a fall causing major injury
3.5%8.3%Worsening
Residents with pressure ulcers (bedsores)
2.1%2.3%No change
Residents with a urinary tract infection
12.5%3.4%Improving
Residents who lost too much weight
0%10.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
34.9%30.4%Improving
Residents whose ability to walk got worse
—39.7%—
Long-stay residents on antianxiety or sleep medication
15.9%10.4%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.3%29.2%Worsening
Residents with depressive symptoms
0%1.8%Worsening
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
—68.3%—
Long-stay residents given the pneumonia vaccine
22.8%45%Improving
Short-stay residents given the seasonal flu vaccine
—43%—
Short-stay residents given the pneumonia vaccine
47%52.6%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited July 2025 — limited pattern, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited July 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: E
The home failed to tell residents or their representatives in writing how long their bed would be held after a hospital transfer or therapeutic leave. Cited July 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 625 — 42 CFR §483.15 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of JAMES & JUDY LINCOLN · 56 homes · 2.4 stars avg
- Occupancy
- 77.5 residents on an average day (78% of 100 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.