ElderGrade
F

17.5/100

Poor

Lincoln County Nursing & Rehab

1145 East Cherry Street, Troy, MO 63379

#3 of 3 in Lincoln County (636) 528-5712
Certified beds
90
Occupancy
87%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 9 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $235,414 in federal fines

    CMS has fined this facility across 3 penalty action(s).

  • Nursing staff turnover of 74%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 7 actual-harm citation(s) in the last 3 years
  • -10 for 72 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.1 total nurse hours per resident per day (national median 3.77)
  • 0.27 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 74% of nursing staff left in the last year

Resident outcomes

7.5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • No quality-measure rating published — scored neutral

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $235,414 in federal fines across 3 action(s)
  • -0 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.45 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.27 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.22 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 74.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 115 citations

Last standard health inspection: May 23, 2024 (2 years ago).

G Apr 16, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

E Apr 16, 2026 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Nov 17, 2025 F0744 From a complaint

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

No actual harm, potential for more than minimal harm

E Jan 17, 2025 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

E Jan 17, 2025 F0725 From a complaint

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

No actual harm, potential for more than minimal harm

E Oct 8, 2024 F0761 From a complaint

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Oct 8, 2024 F0804 From a complaint

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

H May 23, 2024 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

Who owns this home

Full record

Part of JAMES & JUDY LINCOLN, which operates 56 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BRICK, JULIE Individual W-2 MANAGING EMPLOYEE
N & R OF LINCOLN COUNTY, INC. Organization OPERATIONAL/MANAGERIAL CONTROL
LINCOLN, JAMES Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
LINCOLN, JUDY Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Lincoln County Nursing & Rehab

What is the ElderGrade for Lincoln County Nursing & Rehab? +

Lincoln County Nursing & Rehab holds an ElderGrade of F (17.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Lincoln County Nursing & Rehab? +

Residents receive an average of 2.45 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Lincoln County Nursing & Rehab been cited for harming residents? +

Yes. 9 of the 115 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Lincoln County Nursing & Rehab accept Medicaid? +

Yes, Lincoln County Nursing & Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.