JAMES & JUDY LINCOLN

Nurse hours

2.84 /day

Staff turnover

27%

Serious cites

0

Wilson's Creek runs a 172-bed for-profit operation in Springfield, and the numbers tell a mixed story. Nurse staffing sits at 2.84 hours per resident per day, roughly 27% under the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 26.9% against a national 45.8%, meaning aides and nurses tend to stick around. Inspections look good on paper, but 18 deficiencies are on the current record, including one at the harm level and four tied to abuse. Ask about those four before you decide anything.

Nurse hours

3.38 /day

Staff turnover

44%

Serious cites

0

Country Meadows runs lean on nurse staffing, 3.38 hours per resident day against a national average of 3.86, and weekends dip another 8% below its own weekday schedule. Turnover sits at 43.6%, slightly better than the 45.8% national figure, and the health inspection record is clean where it counts: nine deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in July 2025. The quality measure side is the softer spot. What you're looking at is a for-profit corporate home that inspectors have found little to fault, but where the daily nurse hours your family member actually sees will land below what most homes provide.

Nurse hours

2.95 /day

Staff turnover

63%

Serious cites

0

St Francois Manor runs 2.95 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 11% below its own weekday staffing. Annual turnover sits at 62.8% against a national 45.8%, meaning a large share of the people caring for residents weren't there a year ago. The inspection record is cleaner than that suggests: 21 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. The for-profit limited liability company that owns it has kept the building out of serious trouble. What families should weigh is whether staffing and turnover hold up on a Saturday night, not just on paper.

Nurse hours

3.60 /day

Staff turnover

51%

Serious cites

0

New Madrid Living Center just passed a September 2025 inspection with a strong health inspection record, 5 out of 5 stars there, and its quality measures hold up well too. The softer spots are in the day-to-day numbers. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 13% leaner than weekdays, which is when families tend to notice. Staff turnover at 50.9% is higher than the 45.8% national figure, meaning many of the people caring for residents are still learning the building. Eleven deficiencies are on record, two serious enough to involve harm or jeopardy, though none abuse-related, and one fine of $8,824 has been paid.

Nurse hours

3.14 /day

Staff turnover

46%

Serious cites

0

Sunset Home runs on 3.14 nurse hours per resident per day, about 19% under the national average of 3.86, and weekends slip roughly 3% below its own weekday level. That thin margin is the whole story behind its one-star federal staffing rating, even though turnover (46.2%) sits close to the national figure and inspections and quality measures both land at three stars. What stands out on the record itself is 34 deficiencies, including one at the harm or jeopardy level and one tied to abuse, worth asking about directly, especially given the for-profit LLC ownership. The most recent inspection was July 2025, so the findings are current rather than stale.

Nurse hours

4.00 /day

Staff turnover

41%

Serious cites

0

Clearview Nursing Center runs 90 certified beds in Sikeston under corporate ownership, and the staffing picture is genuinely better than most: 4.00 nurse hours per resident day, roughly 4% above the national average, with turnover at 41% against a national 45.8%. Weekend coverage does dip about 13% below weekday levels, so ask how that plays out on a Sunday. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey completed March 5, 2026, recent enough to trust. Where this home separates from itself is quality measures, which sit at 2 out of 5 stars even as staffing and inspections hold at 4. Ask what specifically is driving that gap.

Nurse hours

3.02 /day

Staff turnover

51%

Serious cites

0

Republic Nursing & Rehab runs about 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 10% below its own weekday staffing. That matters more than the strong inspection and quality scores suggest, since 51% annual turnover means the aides and nurses around your relative are frequently new, and three abuse-related deficiencies sit on a record that otherwise shows no harm-level findings. Greene County families weighing this 127-bed corporate-owned home should ask how the weekend shift is actually covered before assuming the recent September 2025 inspection tells the whole story.

Nurse hours

3.73 /day

Staff turnover

63%

Serious cites

0

Brookhaven runs 90 beds under corporate ownership, and its staffing is the part that stands out, 3.73 nurse hours per resident day sits a little under the national average, and weekends drop roughly 15% below its own weekday coverage. That thin weekend margin matters more when turnover is 62.5% against a national 45.8%, because replacements are constantly learning the building. The inspection record shows 37 deficiencies, none flagged at harm or jeopardy level, though four are abuse-related and the last survey was December 2024. None of this reads as dangerous, exactly; it reads as a building running lean on people while staying in reasonable regulatory standing. The quality and inspection ratings land mid-range, and the staffing rating is where the strain shows.

Nurse hours

3.15 /day

Staff turnover

26%

Serious cites

0

McDonald County Living Center runs lean on nursing hours, 3.15 per resident day, roughly 18% under the national average, and weekends dip about 11% below its own weekday coverage. That's the weak spot. What partly offsets it: turnover here is 25.6%, well below the national 45.8%, so the staff who are present tend to stay, which matters for consistency of care. The current record shows 15 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Inspectors last visited in December 2024, and the home scores 4 out of 5 on both health inspections and quality measures, with staffing at 3. It's a for-profit corporate operation, and the numbers say decent care with thinner coverage than most.

Nurse hours

2.73 /day

Staff turnover

65%

Serious cites

0

Maries Manor runs on 2.73 nurse hours per resident day, roughly a quarter below the national average, and the gap widens on weekends when staffing drops about 17 percent from its own weekday level. Annual turnover sits at 64.7 percent against a national 45.8, so nearly two of every three caregivers left last year, that churn matters more than any single inspection result. The record itself is fairly clean: 18 deficiencies, none causing harm or involving abuse, and the state was last in on August 14, 2025. This is a for-profit LLC running a 98-bed home that stays in compliance, but the day-to-day coverage is thin and the workforce doesn't stay.

Nurse hours

3.07 /day

Staff turnover

45%

Serious cites

0

California Care Center runs about 3.07 nurse hours per resident per day, roughly 20 percent under the national average of 3.86, and weekends drop another 14 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 44.8 percent, essentially at the national rate. The five-star health inspection rating and a recent August 2024 inspection look strong on paper, but six deficiencies are on record, two of them at the harm or jeopardy level. A for-profit corporation owns the 60-bed home, and the staffing number is what pulls the overall picture down.

Nurse hours

3.05 /day

Staff turnover

37%

Serious cites

0

Hartville Care Center runs lean on nursing hours, 3.05 per resident per day against a national average of 3.86, roughly a fifth below it, and weekends drop another 12% under its own weekday level. Turnover sits at 36.7%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The current record shows nine deficiencies, none at the harm or jeopardy level, though two are abuse-related, and the last inspection was in June 2025. A four-star inspection history and four-star quality measures carry real weight here; the staffing number is the piece worth asking about directly.

Nurse hours

3.38 /day

Staff turnover

56%

Serious cites

0

Shepherd Of The Hills Living Center runs 100 certified beds in Branson under for-profit LLC ownership, and its staffing is the weak point: 3.38 nurse hours per resident day against a national average of 3.86, with weekends about 19% thinner than its own weekdays. Annual turnover of 55.6% sits well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record backs that up, 30 deficiencies, including one at harm level and two related to abuse, with the most recent inspection in February 2026. Quality measures score well, but that staffing shortfall is the thing to ask about directly.

Nurse hours

2.93 /day

Staff turnover

31%

Serious cites

0

Cuba Manor runs 90 certified beds as a for-profit corporation, and the numbers telling the clearest story here are about who's on the floor. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below the home's own weekday levels. The tradeoff is stability: turnover is 31.4%, well under the 45.8% national figure, so the aides and nurses you'd meet are likelier to stick around. The health inspection side is genuinely strong, a 4-out-of-5 CMS rating, with the most recent inspection in December 2024 and 20 deficiencies on record, none tied to harm or abuse.

Nurse hours

3.30 /day

Staff turnover

46%

Serious cites

0

Hillcrest Care Center runs 120 certified beds in De Soto under corporate for-profit ownership. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Its inspection history is the strongest part of the picture: the last survey was in January 2026 and the health inspection rating is 4 out of 5, though the record still carries 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $10,845 fine. Staff turnover matches the national average at 45.8%.

Nurse hours

3.07 /day

Staff turnover

43%

Serious cites

0

Warrenton Manor runs 120 beds in Wright City under corporate ownership, and its nurse staffing sits at 3.07 hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 43.2%, slightly better than the 45.8% national figure, which matters less than the raw hours. The inspection record shows 47 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. State inspectors last visited in March 2025. Quality measure scores rank lowest; staffing scores mid-range.

Nurse hours

3.36 /day

Staff turnover

45%

Serious cites

0

Nixa Nursing & Rehab runs 82 certified beds under corporate ownership, and its last full inspection came back clean at the harm level, nine deficiencies total, none causing injury or jeopardy, though two were abuse-related. Staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average, and weekends dip about 11% below the home's own weekday coverage. Turnover of 45.1% lands right at the national norm, so retention isn't the problem here; raw hours are. The five-star inspection history and four-star staffing rating carry real weight, but a two-star quality measure score and thin weekend coverage are the tradeoffs worth asking about before you decide.

Nurse hours

2.52 /day

Staff turnover

44%

Serious cites

0

Glasgow Gardens runs on thin staffing: 2.52 nurse hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels. That shortfall is what drags its CMS staffing rating down to 1 out of 5, even though turnover at 44% is basically in line with the national figure. The good news sits elsewhere. Its last inspection was in April 2025 and produced a 4-star health inspection rating, with 16 deficiencies on record but none at the harm level and none related to abuse. Quality measures also score 4 stars. For a 59-bed for-profit home, the care record looks solid; the question is whether there are enough hands on duty each day.

Nurse hours

3.59 /day

Staff turnover

53%

Serious cites

0

Crowley Ridge Care Center runs 90 certified beds in Dexter under individual for-profit ownership, and the staffing picture is the weak spot. At 3.59 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends drop roughly 8% below its own weekday levels. Annual turnover of 52.6% tops the national 45.8%, so aides and nurses cycle through faster than average. The inspection record looks stronger at first glance, a recent March 2025 survey, 11 deficiencies with none at harm or jeopardy level, but two are abuse-related, which families should ask about directly.

Nurse hours

3.02 /day

Staff turnover

63%

Serious cites

0

Tipton Oak Manor runs lean on nurses. At 3.02 hours per resident day, its staffing sits about 22% under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage. That thin schedule shows up in the numbers: 62.7% of staff left over the past year, well above the 45.8% national rate, and CMS gives staffing 2 out of 5 stars. Inspections tell a better story, 4 stars, 17 deficiencies on record with none at the harm or jeopardy level, though one is abuse-related. The most recent visit was August 2024. Quality measures land at 3 stars. A for-profit corporation owns the 66-bed home.

Nurse hours

3.15 /day

Staff turnover

56%

Serious cites

0

Lebanon South runs on thinner nursing coverage than most homes nationally, 3.15 nurse hours per resident day against a 3.86 average, and weekends drop roughly 11% below what the building staffs Monday through Friday. Annual turnover of 56.1% sits well above the 45.8% national figure, meaning the aides and nurses at the bedside keep changing. The current inspection record carries 33 deficiencies, including one at the harm level and one tied to abuse, with the most recent survey from May 2025. Ownership is a for-profit limited liability company. Families should ask directly how the weekend shift is covered and what changed after the harm-level finding.

Nurse hours

3.44 /day

Staff turnover

52%

Serious cites

0

Windsor Healthcare & Rehab Center runs on thinner staffing than most homes, about 3.44 nurse hours per resident each day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday levels. That's when families tend to notice. Annual turnover sits at 51.5%, well above the 45.8% national figure, so the people caring for your relative are likely to change. The current record shows 23 deficiencies, none at harm or jeopardy level, though one is abuse-related. A June 2025 inspection is recent, and the 3/5 health inspection rating isn't alarming on its own. The 1/5 quality measure rating is the number worth asking about directly.

Nurse hours

3.15 /day

Staff turnover

57%

Serious cites

0

Glendale Gardens runs lean on nursing hours, 3.15 per resident day against a national average of 3.86, and weekends drop about 22% below what the building staffs on weekdays. That gap matters more than the headline number, because weekends are when families often visit and when problems surface. Turnover sits at 57.3%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record shows 34 deficiencies, six of them abuse-related, though none at the harm or jeopardy level, and the last survey was recent, in December 2025. Quality measures score well at 4 out of 5, but staffing sits at 2, which is the number to weigh when you're deciding whether this place can reliably cover a 120-bed building.

Nurse hours

2.90 /day

Staff turnover

37%

Serious cites

0

Forsyth Care Center runs 2.90 nurse hours per resident per day against a national average of 3.86, so the people on staff are covering a lot more ground per person than is typical. Weekends get thinner still, about 16% below weekday coverage, which matters most when families visit and notice who's available. The good news sitting next to that: turnover of 36.5% is well below the national 45.8%, meaning the staff who remain tend to stick around. Twenty-five deficiencies appear on the current record, none at the harm level but two tied to abuse, and the last inspection closed in November 2025. A for-profit corporate owner, 120 certified beds.

Nurse hours

3.36 /day

Staff turnover

79%

Serious cites

0

Claru Deville runs 90 beds in Fredericktown under corporate ownership, and its staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average, with weekends about 9% thinner than weekdays. The bigger number is turnover: 79.1% of staff left over the past year, against a national rate near 46%, which means the people caring for residents are, more often than not, new. Its inspection record shows 26 deficiencies, four of them serious enough to involve harm or jeopardy and three tied to abuse, plus one fine of $81,964, and the most recent inspection was in January 2025.

Nurse hours

3.79 /day

Staff turnover

71%

Serious cites

0

Ashley Rehabilitation in Rogers runs 100 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you tour. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average, but weekends drop about 19% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Staff turnover is 71% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 33 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus a $65,473 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems.

Nurse hours

3.48 /day

Staff turnover

53%

Serious cites

0

Lewis & Clark Gardens runs 142 certified beds under for-profit LLC ownership, and its staffing sits around 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends about 13% thinner than weekdays. Turnover is 53.4% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 63 deficiencies, four at harm or jeopardy level, nine abuse-related, and $139,916 in fines across three events, with the last inspection in August 2024. A 1-out-of-5 health inspection rating alongside a 4-out-of-5 staffing rating tells you the hours exist on paper, but the survey history shows what happens in practice.

Nurse hours

3.00 /day

Staff turnover

57%

Serious cites

0

Parkside Manor runs about 3.00 nurse staffing hours per resident day, roughly 22% below the national average, and weekend coverage dips another 11% below its own weekday levels. Annual turnover sits at 57.1% against a national 45.8%, so the people around your family member change often. The inspection record shows 51 deficiencies, including one at the harm level and two tied to abuse, with the last visit in December 2024. Columbia has other options, and it's worth comparing them on staffing hours and turnover before deciding.

Nurse hours

3.29 /day

Staff turnover

n/a

Serious cites

0

Woodland Hills Healthcare and Rehabilitation runs 120 certified beds in Jacksonville under for-profit limited liability ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average of 3.86. Weekends drop about another 10 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current record shows 34 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and the last inspection was December 2024. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1, 2, and 2 respectively, which tells you the federal surveyors and the payroll numbers are pointing the same direction.

Nurse hours

3.11 /day

Staff turnover

49%

Serious cites

0

Glenwood Healthcare runs 60 certified beds in Seymour under corporate for-profit ownership, and its inspection record is genuinely decent, a 4-out-of-5 health inspection rating, last surveyed in April 2024, with 17 deficiencies on file but none at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 3.11 hours per resident day, roughly 19% under the national average, and weekends dip about 15% below the home's own weekday coverage. Staff turnover hits 49%, a few points above the 45.8% national figure, and two of those deficiencies are abuse-related. Quality measures land mid-pack. The inspection side looks steady; the everyday staffing math is where families should focus their questions.