LINCOLN COUNTY NURSING & REHAB
1145 EAST CHERRY STREET, TROY, MO 63379 · CCN 265433
SFF
Ratings
- Overall
- — —
- Health inspection
- — —
- Quality measures
- — —
- Staffing
- — —
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 90
- Avg residents/day
- 79.9
- Phone
- 6365285712
Inspection history vs Missouri & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-05-23 | 55 | 11.9 | 9.5 | +43.1 worse |
| 2 | 2022-10-27 | 36 | 13.0 | 9.8 | +23.0 worse |
| 3 | 2019-06-20 | 22 | 11.0 | 9.3 | +11.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 13 |
| Resident assessment and care planning | 6 |
| Nursing and physician services | 7 |
| Resident rights | 8 |
| Nutrition and dietary | 3 |
| Pharmacy service | 5 |
| Environmental | 1 |
| Administration | 7 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.75 | 75.3% |
| RN staffing (reported) | 0.13 | 83.3% |
| Total nurse staffing (adjusted) | 3.47 | — |
Fines & penalties
- Total fines
- $235,414
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Chain
- Chain
- JAMES & JUDY LINCOLN
- Facilities in chain
- 58
- Chain avg overall
- 2.50 / 5
Inspection citations (113)1 immediate jeopardy7 actual harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-11-17 · Health · corrected 2025-11-28
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-17 · Health · corrected 2025-03-03
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-17 · Health · corrected 2025-03-03
Potential for more than minimal harm
- EF0761Ensure 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.2024-10-08 · Health · corrected 2024-11-22
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-08 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- CF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-23 · Health · corrected 2024-07-05
Potential for minimal harm
- FF0584Honor 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.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0585Honor 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.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-23 · Health · corrected 2024-07-05
Potential for minimal harm
- CF0625Notify 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.2024-05-23 · Health · corrected 2024-07-05
Potential for minimal harm
- EF0637Assess the resident when there is a significant change in condition2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0680Ensure the activities program is directed by a qualified professional.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0687Provide appropriate foot care.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0688Provide 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.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-23 · Health · corrected 2024-07-05
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-05-23 · Health · corrected 2024-07-05
Actual harm
- EF0700Try 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.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0727Have 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.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0728Ensure 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.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-05-23 · Health · corrected 2024-07-05
Potential for minimal harm
- GF0742Provide 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.2024-05-23 · Health · corrected 2024-07-05
Actual harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0761Ensure 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.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-05-23 · Health · corrected 2024-07-08
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- CF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-05-23 · Health · corrected 2024-07-05
Potential for minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2024-05-23 · Health · corrected 2024-08-14
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- EF0909Regularly 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.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-29 · Health · corrected 2024-04-29
Actual harm
- DF0610Respond appropriately to all alleged violations.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-29 · Health · corrected 2024-04-29
Actual harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-29 · Health · corrected 2024-04-29
Actual harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-29 · Health · corrected 2024-04-29
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-03 · Health · corrected 2024-02-12
Potential for more than minimal harm
- FF0727Have 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.2024-01-03 · Health · corrected 2024-02-12
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-17 · Health · corrected 2023-11-12
Immediate jeopardy
- DF0825Provide or get specialized rehabilitative services as required for a resident.2023-10-17 · Health · corrected 2023-11-12
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-10-17 · Health · corrected 2023-11-12
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0584Honor 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.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-10-27 · Health · corrected 2022-12-10
Potential for minimal harm
- CF0625Notify 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.2022-10-27 · Health · corrected 2022-12-10
Potential for minimal harm
- EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-27 · Health · corrected 2022-12-10
Actual harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- FF0727Have 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.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- EF0924Put firmly secured handrails on each side of hallways.2022-10-27 · Health · corrected 2022-12-10
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0584Honor 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.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0761Ensure 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.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0803Ensure 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.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2019-06-20 · Health · corrected 2019-08-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LINCOLN, JAMES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 1998-08-01 |
| LINCOLN, JUDY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 1998-08-01 |
| N & R OF LINCOLN COUNTY, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1990-06-16 |
| BRICK, JULIE | Individual | W-2 MANAGING EMPLOYEE | — | 2017-06-29 |
Other facilities in TROY
| Name | Overall | Beds |
|---|---|---|
| TROY MANOR | ★☆☆☆☆ | 130 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.