Nursing home · Troy, MO
Lincoln County Nursing & Rehab
1145 East Cherry Street, Troy, MO 63379 · 90 certified beds · for profit ownership · part of James & Judy Lincoln
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Apr 16, 2026, when they cited 15 problems, 2 of them from complaint investigations. The most common area was resident rights (4 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 1 of 15 are marked corrected in the CMS data. At its most recent standard inspection (Apr 16, 2026) it had 16 citations, compared with an average of 12.6 for Fulton-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.45 hours per resident per day here, 28% less than the Missouri average (3.43) and 37% less than the U.S. average (3.86). Registered nurses account for 0.27 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 74% over the past year, 18 points higher than Missouri (56%) and 28 points higher than the U.S. (46%).
How Lincoln County Nursing & Rehab compares
This home's latest CMS figures next to the averages for Fulton-area homes (13), Missouri (487) and the U.S. (14,680).
| This home | Fulton area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.45 | 2.86 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.27 | 0.37 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.22 | 2.50 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 74% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 67% | 43% | 48% | 43% |
| Citations at the most recent standard inspection | 16 | 12.6 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 111 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Apr 16, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | G actual harm | Past Non-Compliance |
| Apr 16, 2026 | 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 drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 16, 2026 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 16, 2026 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 16, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights | D | Deficient, Provider has date of correction |
| Apr 16, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | D | Deficient, Provider has date of correction |
| Apr 16, 2026 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Apr 16, 2026 | Observe each nurse aide's job performance and give regular training. Nursing and physician services | E | Deficient, Provider has date of correction |
| Apr 16, 2026 | Ensure 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. Nursing and physician services | E | Deficient, Provider has date of correction |
| Apr 16, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 16, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Apr 16, 2026 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Apr 16, 2026 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident rights | E | Deficient, Provider has date of correction |
| Apr 16, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Apr 16, 2026 | Have 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. Nursing and physician services | F | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jan 17, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and physician services · complaint | E | Deficient, Provider has date of correction |
| Jan 17, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Oct 8, 2024 | 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 drugs. Pharmacy service · complaint | E | Deficient, Provider has date of correction |
| Oct 8, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| May 23, 2024 | Provide appropriate foot care. Quality of life and care | E | Deficient, Provider has date of correction |
| May 23, 2024 | Provide 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. Quality of life and care | E | Deficient, Provider has date of correction |
| May 23, 2024 | Try 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. Quality of life and care | E | Deficient, Provider has date of correction |
| May 23, 2024 | Ensure 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. Nursing and physician services | E | Deficient, Provider has date of correction |
| May 23, 2024 | Observe each nurse aide's job performance and give regular training. Nursing and physician services | E | Deficient, Provider has date of correction |
| May 23, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | E | Deficient, Provider has date of correction |
| May 23, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| May 23, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| May 23, 2024 | Implement a program that monitors antibiotic use. Infection control | E | Deficient, Provider has date of correction |
| May 23, 2024 | Regularly 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. Environmental | E | Deficient, Provider has date of correction |
| May 23, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | D | Deficient, Provider has date of correction |
| May 23, 2024 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | D | Deficient, Provider has date of correction |
| May 23, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | C | Deficient, Provider has date of correction |
| May 23, 2024 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| May 23, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| May 23, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| May 23, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| May 23, 2024 | Ensure each residentâs drug regimen must be free from unnecessary drugs. Pharmacy service | D | Deficient, Provider has date of correction |
| May 23, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| May 23, 2024 | 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 drugs. Pharmacy service | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Apr 16, 2026 | Fine | $24,195 |
| Apr 16, 2026 | Payment Denial | 3 days |
| May 23, 2024 | Fine | $151,801 |
| May 23, 2024 | Payment Denial | 21 days |
| Mar 29, 2024 | Fine | $30,641 |
| Oct 17, 2023 | Fine | $52,972 |
Location
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Questions about Lincoln County Nursing & Rehab
Answers computed from CMS data for this facility.
What is Lincoln County Nursing & Rehab's Medicare rating?
Medicare has not assigned Lincoln County Nursing & Rehab an overall rating. The average for Fulton-area nursing homes is 2.2, for Missouri 2.51 and for the U.S. 2.99.
How did Lincoln County Nursing & Rehab do on its last inspection?
Inspectors' most recent visit in the CMS data was on Apr 16, 2026, when they cited 15 problems, 2 of them from complaint investigations. The most common area was resident rights (4 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 1 of 15 are marked corrected in the CMS data. At its most recent standard inspection (Apr 16, 2026) it had 16 citations, compared with an average of 12.6 for Fulton-area homes, 11.4 in Missouri and 9.2 nationally.
Has Lincoln County Nursing & Rehab been fined?
Yes. CMS reports 4 fines totaling $259,609 in the past three years.
Does Lincoln County Nursing & Rehab accept Medicaid?
Lincoln County Nursing & Rehab is certified for both Medicare and Medicaid. Call (636) 528-5712 to ask whether a Medicaid bed is open.
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.