Nursing HomeInspections

Lincoln County Nursing & Rehab

Nursing home in Troy, MO

Medicare & Medicaid certifiedSpecial Focus Facility (CMS)CMS abuse icon

Call (636) 528-5712Send a messageMap ↗

Public-record details

Address
1145 East Cherry Street, Troy, MO 63379
Phone
(636) 528-5712
Listed under
For-profit
Medicare CCN
265433
Overall star rating
Not rated by CMS
Certified beds
90
Average residents per day
78
Ownership
For-profit, limited Liability company
Legal business name
N & R of Lincoln County, INC.
Chain
James & Judy Lincoln (56 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 26, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265433. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 16, 2026. CMS lists 111 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 27, 2022 to Apr 16, 2026): 18 from complaint inspections, 9 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS has placed this facility in its Special Focus Facility program for nursing homes with a persistent record of serious inspection problems; it gets more frequent inspections.

InspectionCitationSeverity
Apr 16, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 16, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 16, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 16, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 16, 2026Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 16, 2026Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 16, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Apr 16, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Apr 16, 2026Ensure 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.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Apr 16, 2026Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Apr 16, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Apr 16, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 111. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $259,609 and 2 denials of Medicare payment for new admissions in the last three years.

Apr 16, 2026Fine: $24,195
Apr 16, 2026Payment denial for 3 days from May 26, 2026
May 23, 2024Fine: $151,801
May 23, 2024Payment denial for 21 days from Jul 24, 2024
Mar 29, 2024Fine: $30,641
Oct 17, 2023Fine: $52,972

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.45 hours
Registered nurse (RN) time per resident per day
0.27 hours
Nurse aide time per resident per day
1.55 hours
Total nurse staffing on weekends
2.22 hours
Nursing staff turnover (yearly)
74%
RN turnover (yearly)
67%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Troy

Troy Manor200 Thompson Drive · Troy, MO 63379 · (636) 528-8446 · For-profit71 health citations in 3 inspection cycles · last standard inspection Apr 9, 2024 · $104,685 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Troy →