Nursing home · Branson, MO
Shepherd of the Hills Living Center
996 State Highway 248, Branson, MO 65616 · 100 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 Jul 30, 2026, when they cited 2 problems from complaint investigations. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Feb 13, 2026) it had 10 citations, compared with an average of 7.4 for West Plains-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.38 hours per resident per day here, about the same as the Missouri average (3.43) and 12% less than the U.S. average (3.86). Registered nurses account for 0.28 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 56% over the past year, 0 points lower than Missouri (56%) and 10 points higher than the U.S. (46%).
How Shepherd of the Hills Living Center compares
This home's latest CMS figures next to the averages for West Plains-area homes (18), Missouri (487) and the U.S. (14,680).
| This home | West Plains area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.38 | 3.37 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.28 | 0.47 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.75 | 2.92 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 56% | 51% | 56% | 46% |
| Registered nurse turnover (past year) | — | 39% | 48% | 43% |
| Citations at the most recent standard inspection | 10 | 7.4 | 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 32 of 32 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jul 30, 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 · complaint | F | Deficient, Provider has plan of correction |
| Jul 30, 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 · complaint | D | Deficient, Provider has plan of correction |
| Feb 13, 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 |
| Feb 13, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Feb 13, 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 |
| Feb 13, 2026 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Feb 13, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 13, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 13, 2026 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 20, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jul 29, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service · complaint | E | Deficient, Provider has date of correction |
| Mar 21, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 21, 2024 | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental | D | Deficient, Provider has date of correction |
| Mar 21, 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 |
| Mar 21, 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 | D | Deficient, Provider has date of correction |
| Mar 21, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | D | Deficient, Provider has date of correction |
| Mar 21, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. Resident rights | D | Deficient, Provider has date of correction |
| Mar 21, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Mar 21, 2024 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident rights | D | Deficient, Provider has date of correction |
| Nov 20, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Sep 29, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jul 28, 2022 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jul 28, 2022 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Jul 28, 2022 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Jul 28, 2022 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jul 28, 2022 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | D | Deficient, Provider has date of correction |
| Jul 28, 2022 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
| Jul 28, 2022 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jul 28, 2022 | 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 |
| Jul 28, 2022 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | E | Deficient, Provider has date of correction |
| Jul 28, 2022 | 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 |
| Jul 28, 2022 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident rights | C | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
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Questions about Shepherd of the Hills Living Center
Answers computed from CMS data for this facility.
What is Shepherd of the Hills Living Center's Medicare rating?
Medicare rates Shepherd of the Hills Living Center 2 out of 5 stars overall (below average). The average for West Plains-area nursing homes is 3.1, for Missouri 2.51 and for the U.S. 2.99.
How did Shepherd of the Hills Living Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jul 30, 2026, when they cited 2 problems from complaint investigations. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Feb 13, 2026) it had 10 citations, compared with an average of 7.4 for West Plains-area homes, 11.4 in Missouri and 9.2 nationally.
Has Shepherd of the Hills Living Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Shepherd of the Hills Living Center accept Medicaid?
Shepherd of the Hills Living Center is certified for both Medicare and Medicaid. Call (417) 334-6431 to ask whether a Medicaid bed is open.
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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.