Senior CareScorecard

Nursing home · Strafford, MO

Strafford Rehabilitation & Health Care Center

505 West Evergreen, Strafford, MO 65757 · 78 certified beds · for profit ownership · part of James & Judy Lincoln

Medicare & MedicaidFined $52,456 in 3 years
Medicare overall rating1 / 5Much below averageSpringfield area 3.0 · Missouri 2.51 · U.S. 2.99
1/5Health inspections Much below average
1/5Staffing Much below average
1/5Quality measures Much below average
–Short-stay (rehab) quality Not rated
1/5Long-stay quality Much below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Mar 26, 2026, when they cited 8 problems from complaint investigations. The most common area was resident rights (5 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 8 are marked corrected in the CMS data. At its most recent standard inspection (Apr 21, 2025) it had 39 citations, compared with an average of 12.2 for Springfield-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.16 hours per resident per day here, 8% less than the Missouri average (3.43) and 18% less than the U.S. average (3.86). Registered nurses account for 0.30 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 82% over the past year, 26 points higher than Missouri (56%) and 36 points higher than the U.S. (46%).

How Strafford Rehabilitation & Health Care Center compares

This home's latest CMS figures next to the averages for Springfield-area homes (24), Missouri (487) and the U.S. (14,680).

This homeSpringfield areaMissouriU.S.
Total nurse hours per resident per day3.163.653.433.86
Registered nurse hours per resident per day0.300.840.460.68
Weekend nurse hours per resident per day2.843.173.013.42
Nursing staff turnover (past year)82%56%56%46%
Registered nurse turnover (past year)83%43%48%43%
Citations at the most recent standard inspection3912.211.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Mar 26, 20268complaint
Feb 25, 20262complaint
Jan 5, 20262complaint
Dec 12, 20251complaint
Dec 11, 20252complaint
Dec 10, 20254complaint
May 20, 20251complaint
May 2, 20253complaint
Apr 21, 202520standard
Feb 6, 20253complaint
Dec 11, 20241complaint
Oct 31, 20242complaint · 1 harm-level citation
Oct 18, 20247complaint
Jun 4, 20243complaint
Apr 7, 20244complaint
Jun 29, 20236standard
Feb 13, 20203standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 72 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Mar 26, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary · complaint
FDeficient, Provider has date of correction
Mar 26, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights · complaint
DDeficient, Provider has date of correction
Mar 26, 2026Reasonably accommodate the needs and preferences of each resident.
Resident rights · complaint
DDeficient, Provider has date of correction
Mar 26, 2026Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident rights · complaint
DDeficient, Provider has date of correction
Mar 26, 2026Honor 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
DDeficient, Provider has date of correction
Mar 26, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Mar 26, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint
DDeficient, Provider has date of correction
Mar 26, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident rights · complaint
EDeficient, Provider has date of correction
Feb 25, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Feb 25, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights · complaint
DDeficient, Provider has date of correction
Jan 5, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Jan 5, 2026Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Dec 12, 2025Provide 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 · complaint
EDeficient, Provider has date of correction
Dec 11, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DPast Non-Compliance
Dec 11, 2025Ensure that residents are free from significant medication errors.
Pharmacy service · complaint
DDeficient, Provider has date of correction
Dec 10, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and dietary · complaint
DDeficient, Provider has date of correction
Dec 10, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Dec 10, 2025Keep residents' personal and medical records private and confidential.
Resident rights · complaint
DDeficient, Provider has date of correction
Dec 10, 2025Provide 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 · complaint
DDeficient, Provider has date of correction
May 20, 2025Protect 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
DDeficient, Provider has date of correction
May 2, 2025Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
May 2, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
May 2, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
EDeficient, Provider has date of correction
Apr 21, 2025Post nurse staffing information every day.
Nursing and physician services
CDeficient, Provider has date of correction
Apr 21, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of life and care
DDeficient, Provider has date of correction
Apr 21, 2025Try 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
EDeficient, Provider has date of correction
Apr 21, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 21, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident assessment and care planning
DDeficient, Provider has date of correction
Apr 21, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
EDeficient, Provider has date of correction
Apr 21, 2025Implement a program that monitors antibiotic use.
Infection control
EDeficient, Provider has date of correction
Apr 21, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Apr 21, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Apr 21, 2025Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection control
FDeficient, Provider has date of correction
Apr 21, 2025Ensure 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
FDeficient, Provider has date of correction
Apr 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Apr 21, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Administration
FDeficient, Provider has date of correction
Apr 21, 2025Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Apr 21, 2025Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and dietary
FDeficient, Provider has date of correction
Apr 21, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Apr 21, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Oct 18, 2024Fine$52,456
Oct 18, 2024Payment Denial84 days

Location

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Questions about Strafford Rehabilitation & Health Care Center

Answers computed from CMS data for this facility.

What is Strafford Rehabilitation & Health Care Center's Medicare rating?

Medicare rates Strafford Rehabilitation & Health Care Center 1 out of 5 stars overall (much below average). The average for Springfield-area nursing homes is 3.0, for Missouri 2.51 and for the U.S. 2.99.

How did Strafford Rehabilitation & Health Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Mar 26, 2026, when they cited 8 problems from complaint investigations. The most common area was resident rights (5 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 8 are marked corrected in the CMS data. At its most recent standard inspection (Apr 21, 2025) it had 39 citations, compared with an average of 12.2 for Springfield-area homes, 11.4 in Missouri and 9.2 nationally.

Has Strafford Rehabilitation & Health Care Center been fined?

Yes. CMS reports 1 fine totaling $52,456 in the past three years.

Does Strafford Rehabilitation & Health Care Center accept Medicaid?

Strafford Rehabilitation & Health Care Center is certified for both Medicare and Medicaid. Call (417) 736-9332 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.