Nursing homes › Missouri › Lincoln County Nursing & Rehab
1145 East Cherry Street, Troy, MO 63379 · (636) 528-5712 · 90 certified beds
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Per CMS filings, this facility is affiliated with James & Judy Lincoln, a group operating 56 facilities in 2 states. Group record: average rating 2.4/5, 8 abuse citation icons, 2 facilities on the Special Focus list, $1,782,878 in federal fines.
Total nurse staffing: 2.45 (Missouri median: 3.36). RN hours: 0.27. Weekend total: 2.22. Nursing staff turnover: 74%.
In the downloaded CMS dataset: 111 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-16 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2026-03-30 |
| 2026-04-16 | 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. | F | Health | corrected 2026-05-29 |
| 2026-04-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-05-29 |
| 2026-04-16 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Health | corrected 2026-05-29 |
| 2026-04-16 | 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. | E | complaint | corrected 2026-05-29 |
| 2026-04-16 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2026-05-29 |
| 2026-04-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2026-05-29 |
| 2026-04-16 | 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. | E | Health | corrected 2026-05-29 |
| 2026-04-16 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2026-05-29 |
| 2026-04-16 | 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. | E | Health | corrected 2026-05-29 |
| 2026-04-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-05-29 |
| 2026-04-16 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-05-29 |
| 2026-04-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2026-05-29 |
| 2026-04-16 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2026-05-29 |
| 2026-04-16 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2026-05-29 |
| 2025-11-17 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2025-11-28 |
| 2025-01-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2025-03-03 |
| 2025-01-17 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2025-03-03 |
| 2024-10-08 | 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. | E | complaint | corrected 2024-11-22 |
| 2024-10-08 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2024-11-22 |
| 2024-05-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Health | corrected 2024-07-05 |
| 2024-05-23 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2024-07-05 |
| 2024-05-23 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | Health | corrected 2024-07-05 |
| 2024-05-23 | 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. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Ensure the activities program is directed by a qualified professional. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | 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. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Health | corrected 2024-07-08 |
| 2024-05-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Health | corrected 2024-07-05 |
| Date | Type | Amount |
|---|---|---|
| 2026-04-16 | Fine | $24,195 |
| 2026-04-16 | Payment Denial | 3 days payment denial |
| 2024-05-23 | Fine | $151,801 |
| 2024-05-23 | Payment Denial | 21 days payment denial |
| 2024-03-29 | Fine | $30,641 |
| 2023-10-17 | Fine | $52,972 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LINCOLN, JAMES | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 08/01/1998 |
| LINCOLN, JUDY | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 08/01/1998 |
| N & R OF LINCOLN COUNTY, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/16/1990 |
How to cite this page: CareRecords, “Lincoln County Nursing & Rehab — compliance, penalty and ownership record” (CCN 265433), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/lincoln-county-nursing-rehab-troy-mo/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265433. Corrections: data@carerecords.org.