Elder Care Record

Missouri › Lincoln County › Troy

Lincoln County Nursing & Rehab

1145 East Cherry Street, Troy, MO 63379

CCN 265433 · For-profit, limited liability company · 90 certified beds

CMS abuse iconSpecial Focus Facility
Overallnot rated
Health inspectionnot rated
Staffingnot rated
Quality measuresnot rated

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 90 beds, Lincoln County Nursing & Rehab serves Troy in Lincoln County, Missouri and has taken Medicare and Medicaid residents since 1990.

CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.

Inspectors recorded 111 health deficiencies across the three most recent survey cycles (16, 58, 37 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 123.3 per 100 beds, more than the state median of 32.1.

CMS lists 6 penalties in the period covered: fines totalling $260K and 2 payment denials.

Reported nurse staffing is 2.5 hours per resident per day (0.3 RN), below the Missouri median of 3.4; nursing staff turnover is 74.2%.

CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility.

111health deficiencies, 3 survey cycles9 at actual harm or worse
$260Kfines listed by CMS6 penalties in period
2.5nurse hours per resident per daystate median 3.4
87%occupancy (residents ÷ beds)78 residents a day

Compared with county, state and nation

MeasureThis facilityLincoln Co. medianMissouri medianUS average
Overall star rating—423.0
Health citations, 3 cycles111713128.7
Citations per 100 beds123.354.632.126.8
Total nurse hours per resident day2.52.63.43.9
RN hours per resident day0.30.30.40.7
Nursing staff turnover74.2%38.6%56.1%45.8%
Fines listed$259,609$104,685$0—

County and state figures are medians across facilities (3 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)16
Cycle 258
Cycle 337

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Apr 2026, 23 May 2024.

Severity mix: J ×1 G ×7 H ×1 D ×21 E ×47 F ×27 C ×7

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
16 Apr 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation30 Mar 2026
16 Apr 2026F0727Have 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.FStandard survey29 May 2026
16 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey29 May 2026
16 Apr 2026F0576Ensure residents have reasonable access to and privacy in their use of communication methods.EStandard survey29 May 2026
16 Apr 2026F0584Honor 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.EComplaint investigation29 May 2026
16 Apr 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey29 May 2026
16 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey29 May 2026
16 Apr 2026F0728Ensure 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.EStandard survey29 May 2026
16 Apr 2026F0730Observe each nurse aide's job performance and give regular training.EStandard survey29 May 2026
16 Apr 2026F0761Ensure 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.EStandard survey29 May 2026
16 Apr 2026F0880Provide and implement an infection prevention and control program.EStandard survey29 May 2026
16 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey29 May 2026
16 Apr 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey29 May 2026
16 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey29 May 2026
16 Apr 2026F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey29 May 2026
17 Nov 2025F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint investigation28 Nov 2025
17 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation3 Mar 2025
17 Jan 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation3 Mar 2025
8 Oct 2024F0761Ensure 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.EComplaint investigation22 Nov 2024
8 Oct 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation22 Nov 2024
23 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HStandard survey5 Jul 2024
23 May 2024F0697Provide safe, appropriate pain management for a resident who requires such services.GStandard survey5 Jul 2024
23 May 2024F0742Provide 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.GStandard survey5 Jul 2024
23 May 2024F0584Honor 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.FStandard survey5 Jul 2024
23 May 2024F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.FStandard survey5 Jul 2024
23 May 2024F0680Ensure the activities program is directed by a qualified professional.FStandard survey5 Jul 2024
23 May 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey5 Jul 2024
23 May 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard survey5 Jul 2024
23 May 2024F0727Have 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.FStandard survey5 Jul 2024
23 May 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey8 Jul 2024
23 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Jul 2024
23 May 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey5 Jul 2024
23 May 2024F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey5 Jul 2024
23 May 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey5 Jul 2024
23 May 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey5 Jul 2024
23 May 2024F0880Provide and implement an infection prevention and control program.FStandard survey5 Jul 2024
23 May 2024F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey5 Jul 2024
23 May 2024F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard survey5 Jul 2024
23 May 2024F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.FStandard survey5 Jul 2024
23 May 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey5 Jul 2024
23 May 2024F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.FStandard survey5 Jul 2024
23 May 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey5 Jul 2024
23 May 2024F0585Honor 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.EStandard survey5 Jul 2024
23 May 2024F0637Assess the resident when there is a significant change in conditionEStandard survey5 Jul 2024
23 May 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey5 Jul 2024
23 May 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey5 Jul 2024
23 May 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey5 Jul 2024
23 May 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey5 Jul 2024
23 May 2024F0679Provide activities to meet all resident's needs.EStandard survey5 Jul 2024
23 May 2024F0687Provide appropriate foot care.EStandard survey5 Jul 2024
23 May 2024F0688Provide 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.EStandard survey5 Jul 2024
23 May 2024F0700Try 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.EStandard survey5 Jul 2024
23 May 2024F0728Ensure 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.EStandard survey5 Jul 2024
23 May 2024F0730Observe each nurse aide's job performance and give regular training.EStandard survey5 Jul 2024
23 May 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey5 Jul 2024
23 May 2024F0758Implement 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.EStandard survey5 Jul 2024
23 May 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey5 Jul 2024
23 May 2024F0881Implement a program that monitors antibiotic use.EStandard survey14 Aug 2024
23 May 2024F0909Regularly 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.EStandard survey5 Jul 2024
23 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey5 Jul 2024
23 May 2024F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard survey5 Jul 2024
23 May 2024F0610Respond appropriately to all alleged violations.DStandard survey5 Jul 2024
23 May 2024F0641Ensure each resident receives an accurate assessment.DStandard survey5 Jul 2024
23 May 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey5 Jul 2024
23 May 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey5 Jul 2024
23 May 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey5 Jul 2024
23 May 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey5 Jul 2024
23 May 2024F0760Ensure that residents are free from significant medication errors.DStandard survey5 Jul 2024
23 May 2024F0761Ensure 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.DStandard survey5 Jul 2024
23 May 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.CStandard survey5 Jul 2024
23 May 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey5 Jul 2024
23 May 2024F0625Notify 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.CStandard survey5 Jul 2024
23 May 2024F0732Post nurse staffing information every day.CStandard survey5 Jul 2024
23 May 2024F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.CStandard survey5 Jul 2024
29 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation29 Apr 2024
29 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation29 Apr 2024
29 Mar 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation29 Apr 2024
29 Mar 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation29 Apr 2024
29 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation29 Apr 2024
29 Mar 2024F0610Respond appropriately to all alleged violations.DComplaint investigation29 Apr 2024
3 Jan 2024F0727Have 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.FComplaint investigation12 Feb 2024
3 Jan 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation12 Feb 2024
17 Oct 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation12 Nov 2023
17 Oct 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint investigation12 Nov 2023
17 Oct 2023F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation12 Nov 2023
27 Oct 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey10 Dec 2022
27 Oct 2022F0727Have 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.FStandard survey10 Dec 2022
27 Oct 2022F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FStandard survey10 Dec 2022
27 Oct 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Dec 2022
27 Oct 2022F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey10 Dec 2022
27 Oct 2022F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey10 Dec 2022
27 Oct 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey10 Dec 2022
27 Oct 2022F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey10 Dec 2022
27 Oct 2022F0584Honor 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.EStandard survey10 Dec 2022
27 Oct 2022F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey10 Dec 2022
27 Oct 2022F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard survey10 Dec 2022
27 Oct 2022F0638Assure that each resident’s assessment is updated at least once every 3 months.EStandard survey10 Dec 2022
27 Oct 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey10 Dec 2022
27 Oct 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey10 Dec 2022
27 Oct 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey10 Dec 2022
27 Oct 2022F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey10 Dec 2022
27 Oct 2022F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey10 Dec 2022
27 Oct 2022F0880Provide and implement an infection prevention and control program.EStandard survey10 Dec 2022
27 Oct 2022F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey10 Dec 2022
27 Oct 2022F0924Put firmly secured handrails on each side of hallways.EStandard survey10 Dec 2022
27 Oct 2022F0637Assess the resident when there is a significant change in conditionDStandard survey10 Dec 2022
27 Oct 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Dec 2022
27 Oct 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey10 Dec 2022
27 Oct 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey10 Dec 2022
27 Oct 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey10 Dec 2022
27 Oct 2022F0625Notify 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.CStandard survey10 Dec 2022

Penalties

DateTypeAmountDetail
16 Apr 2026Payment denial—3 days
16 Apr 2026Fine$24,195
23 May 2024Payment denial—21 days
23 May 2024Fine$151,801
29 Mar 2024Fine$30,641
17 Oct 2023Fine$52,972

Staffing

Total nursing2.45 h
Nurse aides1.55 h
LPN0.63 h
RN0.27 h
Weekend total2.22 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 74.2%, RNs 66.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.8%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.3%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay7.1%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.8%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.3%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay9.9%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.8%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Lincoln County, Inc..

OrganisationRole in the CMS recordInterestSince
N & R of Lincoln County, Inc.Operational/managerial controlNOT APPLICABLE06/16/1990

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Lincoln County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Elsberry Missouri Health Care CenterElsberry564331323.2$29K31 Jul 2025
Troy ManorTroy1301127154.6$105K14 May 2025

All 3 facilities in Lincoln County

Questions and answers

How many deficiencies has Lincoln County Nursing & Rehab been cited for?

111 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Lincoln County Nursing & Rehab been fined?

Yes. CMS lists fines totalling $260K in the period covered, plus 2 payment denials.

How does staffing at Lincoln County Nursing & Rehab compare?

Reported total nurse staffing is 2.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Lincoln County Nursing & Rehab?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include N & R of Lincoln County, Inc.. Individual owners and managers are not listed on this site.

When was Lincoln County Nursing & Rehab last inspected?

The most recent survey or investigation in the CMS record is dated 16 Apr 2026; the most recent standard health survey was 16 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.