Nursing HomeInspections

Strafford Rehabilitation & Health Care Center

Nursing home in Strafford, MO

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
505 West Evergreen, Strafford, MO 65757
Phone
(417) 736-9332
Listed under
For-profit
Medicare CCN
265656
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
78
Average residents per day
66
Ownership
For-profit, limited Liability company
Legal business name
N & R of Strafford, INC.
Chain
James & Judy Lincoln (56 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 21, 1996
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 265656. 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 21, 2025. CMS lists 72 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 13, 2020 to Mar 26, 2026): 43 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 26, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 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		D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 26, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread
Feb 25, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 25, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 5, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 5, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 72. 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 1 fine totalling $52,456 and 1 denial of Medicare payment for new admissions in the last three years.

Oct 18, 2024Fine: $52,456
Oct 18, 2024Payment denial for 84 days from Dec 12, 2024

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
3.16 hours
Registered nurse (RN) time per resident per day
0.30 hours
Nurse aide time per resident per day
2.25 hours
Total nurse staffing on weekends
2.84 hours
Nursing staff turnover (yearly)
82%
RN turnover (yearly)
83%
Administrators who left in the past year
3

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.