LINCOLN COUNTY NURSING & REHAB

Special Focus Facility · CMS abuse icon · Lincoln · MO · For profit - Limited Liability company · JAMES & JUDY LINCOLN chain · 90 certified beds · CCN 265433 · N & R OF LINCOLN COUNTY, INC.


LINCOLN COUNTY NURSING & REHAB operates 90 certified beds in TROY, Missouri. Its Medicare and Medicaid certification dates to 1990-06-26. It averages 78.4 residents a day.

What harm was found in the violations cited at LINCOLN COUNTY NURSING & REHAB?

CMS lists 111 health-inspection deficiencies for LINCOLN COUNTY NURSING & REHAB since 2022-10-27, 85 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-16.

Survey dateTagDeficiencySeverity
2026-04-16F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2026-04-16F0727, F0812Have 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-04-16F0576, F0584, F0658, F0677, F0728, F0730, F0761, F0880Ensure residents have reasonable access to and privacy in their use of communication methods. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Observe each nurse aide's job performance and give regular training. / 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. / Provide and implement an infection prevention and control program.E
2026-04-16F0550, F0580, F0692, F0699Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide enough food/fluids to maintain a resident's health. / Provide care or services that was trauma informed and/or culturally competent.D
2025-11-17F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D
2025-01-17F0677, F0725Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2024-10-08F0761, F0804Ensure 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-05-23F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H
2024-05-23F0697, F0742Provide safe, appropriate pain management for a resident who requires such services. / 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
2024-05-23F0584, F0678, F0680, F0725, F0726, F0727, F0801, F0812, F0835, F0865, F0867, F0868, F0880, F0882, F0944, F0945, F0947, F0949Honor 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. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Ensure the activities program is directed by a qualified professional. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have a plan that describes the process for conducting QAPI and QAA activities. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.F
2024-05-23F0565, F0585, F0637, F0656, F0657, F0658, F0677, F0679, F0687, F0688, F0700, F0728, F0730, F0756, F0758, F0804, F0881, F0909Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Assess the resident when there is a significant change in condition / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate foot care. / 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. / 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. / 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. / Observe each nurse aide's job performance and give regular training. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Implement a program that monitors antibiotic use. / Regularly 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.E
2024-05-23F0550, F0569, F0610, F0641, F0644, F0690, F0695, F0757, F0760, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / 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.D
2024-05-23F0582, F0623, F0625, F0732, F0847Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Post nurse staffing information every day. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.C
2024-03-29F0600, F0684, F0686Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-03-29F0725, F0755Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-03-29F0610Respond appropriately to all alleged violations.D
2024-01-03F0727Have 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
2024-01-03F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2023-10-17F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J
2023-10-17F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2023-10-17F0825Provide or get specialized rehabilitative services as required for a resident.D
2022-10-27F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2022-10-27F0727, F0802, F0812, F0865, F0867Have 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2022-10-27F0550, F0565, F0584, F0607, F0636, F0638, F0656, F0677, F0686, F0804, F0805, F0880, F0883, F0924Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Put firmly secured handrails on each side of hallways.E
2022-10-27F0637, F0657, F0692, F0698Assess the resident when there is a significant change in condition / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2022-10-27F0623, F0625Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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.C

Why was LINCOLN COUNTY NURSING & REHAB fined 4 times?

DateTypeAmount
2026-04-16Fine$24,195
2024-05-23Fine$151,801
2024-03-29Fine$30,641
2023-10-17Fine$52,972

Has LINCOLN COUNTY NURSING & REHAB had payment denied by Medicare more than once?

Payment denial startLength in days
2026-05-263
2024-07-2421

How is LINCOLN COUNTY NURSING & REHAB staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day2.450863.43324
Total nursing staff turnover (%)74.256.0
Average number of residents per day78.473.0

Who owns LINCOLN COUNTY NURSING & REHAB, and what chain is it in?

LINCOLN COUNTY NURSING & REHAB is registered with CMS as For profit - Limited Liability company, operates under the legal business name N & R OF LINCOLN COUNTY, INC. and belongs to the JAMES & JUDY LINCOLN chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLINCOLN, JAMES, LINCOLN, JUDYsince 08/01/1998
W-2 MANAGING EMPLOYEEBRICK, JULIEsince 06/29/2017
OPERATIONAL/MANAGERIAL CONTROLN & R OF LINCOLN COUNTY, INC.since 06/16/1990

Were you or a family member harmed at LINCOLN COUNTY NURSING & REHAB?