Nursing homes across Lincoln County, Missouri, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Elsberry Missouri Health Care Center runs on 3.05 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 16% below its own weekday staffing. Turnover sits at 38.6%, better than the 45.8% national figure, and the quality measure rating comes in at 5 out of 5, which makes the thin weekday-to-weekend staffing gap the thing worth watching. The inspection record shows 13 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $28,704, with the most recent inspection in July 2025. Nonprofit ownership and a 3 out of 5 on inspections suggest a home that's adequate on paper but not airtight.
Troy Manor runs on 2.57 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends dip another 11 percent below its own weekday levels. That thin coverage sits behind a one-star health inspection rating and a record of 71 deficiencies, including six at the harm or jeopardy level and ten tied to abuse. Two fines add up to $104,685. Staff turnover, at 38.3 percent, is actually better than the national 45.8 percent, and the quality measure rating is a middling three stars. But the last inspection was April 2024, and the staffing and inspection numbers are what families should weigh most.
Lincoln County Nursing & Rehab runs on 2.45 nurse hours per resident day, roughly a third below the national average, and weekends get about 10 percent less attention than weekdays. Staff turnover sits at 74.2 percent against a national 45.8 percent, so the people caring for your relative are likely to be new and soon to be gone. The record shows 115 deficiencies, nine of them serious enough to put residents in harm's way, five tied to abuse, and $235,414 in federal fines. CMS has placed the home in its Special Focus Facility program, which it reserves for the country's most persistently troubled nursing homes. The most recent inspection was May 2024.