Nursing HomeInspections

McDonald County Living Center

Nursing home in Anderson, MO

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
1000 Patterson Street, Anderson, MO 64831
Phone
(417) 845-3351
Listed under
For-profit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
265447
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
96
Average residents per day
59
Ownership
For-profit, corporation
Legal business name
N & R of Anderson LLC
Chain
James & Judy Lincoln (55 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 1, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 265447. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Dec 12, 2024. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 28, 2023 to Jul 30, 2025): 3 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 30, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 30, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 12, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 12, 2024Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Dec 12, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Aug 8, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · complaint inspection		G
Actual harm, isolated
Apr 28, 2023Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Apr 28, 2023Honor 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 28, 2023Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 28, 2023Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 28, 2023Notify 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 28, 2023Ensure 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

Showing the 12 most recent of 15. 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 Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

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

Staffing

Total nurse staffing per resident per day
3.01 hours
Registered nurse (RN) time per resident per day
0.55 hours
Nurse aide time per resident per day
1.75 hours
Total nurse staffing on weekends
2.67 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
29%
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.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error