Nursing homes › Missouri › Strafford Care Center
505 West Evergreen, Strafford, MO 65757 · 4177369332 · 78 certified beds
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, 10 abuse citation icons, 2 facilities on the Special Focus list, $1,455,239 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.16 (Missouri median: 3.36). RN hours: 0.30. Weekend total: 2.84. Nursing staff turnover: 82%.
All-time on record: 76 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-26 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | complaint | corrected 2026-05-22 |
| 2026-03-26 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | complaint | corrected 2026-05-22 |
| 2026-03-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-05-22 |
| 2026-03-26 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2026-05-22 |
| 2026-03-26 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | complaint | corrected 2026-05-22 |
| 2026-03-26 | 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. | D | complaint | corrected 2026-05-22 |
| 2026-03-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-05-22 |
| 2026-03-26 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | complaint | corrected 2026-05-22 |
| 2026-02-25 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-04-10 |
| 2026-02-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-04-10 |
| 2026-01-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-02-13 |
| 2026-01-05 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-02-13 |
| 2025-12-12 | 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. | E | complaint | corrected 2026-01-23 |
| 2025-12-11 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-09-16 |
| 2025-12-11 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-01-23 |
| 2025-12-10 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-01-23 |
| 2025-12-10 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2026-01-23 |
| 2025-12-10 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | complaint | corrected 2026-01-23 |
| 2025-12-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-01-23 |
| 2025-05-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-06-04 |
| 2025-05-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-06-16 |
| 2025-05-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-16 |
| 2025-05-02 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-06-16 |
| 2025-04-21 | 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. | F | Health | corrected 2025-06-04 |
| 2025-04-21 | Ensure 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. | F | Health | corrected 2025-06-04 |
| 2025-04-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-06-04 |
| 2025-04-21 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2025-06-04 |
| 2025-04-21 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-07-10 |
| 2025-04-21 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2025-06-04 |
| 2025-04-21 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2025-06-04 |
| 2025-04-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Health | corrected 2025-06-04 |
| 2025-04-21 | Respond appropriately to all alleged violations. | E | Health | corrected 2025-06-04 |
| 2025-04-21 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2025-06-04 |
| 2025-04-21 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Health | corrected 2025-06-04 |
| 2025-04-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2025-06-04 |
| 2025-04-21 | 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. | E | Health | corrected 2025-06-04 |
| 2025-04-21 | Implement a program that monitors antibiotic use. | E | Health | corrected 2025-06-04 |
| 2025-04-21 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2025-06-04 |
| 2025-04-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-06-04 |
| 2025-04-21 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-06-04 |
| Date | Type | Amount |
|---|---|---|
| 2024-10-18 | Fine | $52,456 |
| 2024-10-18 | Payment Denial | 84 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LINCOLN, JAMES | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 08/01/2001 |
| LINCOLN, JUDY | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 08/01/2001 |
| BYSOR, BRANDON | Corporate Director | Individual | NOT APPLICABLE | since 04/25/2022 |
| CRANE, GARY | Corporate Director | Individual | NOT APPLICABLE | since 10/11/2011 |
| STUTTS, CHARLOTTE | Corporate Director | Individual | NOT APPLICABLE | since 10/11/2011 |
| DRAKE, TIMOTHY | Corporate Officer | Individual | NOT APPLICABLE | since 04/25/2022 |
| STUTTS, CHARLOTTE | Corporate Officer | Individual | NOT APPLICABLE | since 10/11/2011 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265656. Corrections: data@carerecords.org.