Lincoln County Nursing & Rehab, Troy, Missouri

111
Citations from health inspectionsMissouri average: 36 a home: 9
Residents harmed or put in dangerMissouri average: 1.7 a home: $259,609
Fines from the federal governmentMissouri average: $37,425 a home: No rating given
Overall rating in starsMissouri average: 2.5

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Nine inspection visits produced 111 citations. Residents were in immediate danger in one finding. Residents were found hurt in eight cases. Federal fines came to $259,609 (four fines). Two times, Medicare stopped paying for new admissions.

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: No rating is given while the home stays on the Special Focus list
Rating for health inspections: No rating is given while the home stays on the Special Focus list
Rating for staffing: No rating is given while the home stays on the Special Focus list
Rating for quality of care: No rating is given while the home stays on the Special Focus list
Nurse time for each resident: 2.45 hours each dayThe Missouri average is 3.43 hours
Time from registered nurses: 0.27 hours each dayThe Missouri average is 0.46 hours
Nursing staff who left during one year: 74.2%against the Missouri average of 56%
Beds that are certified: 90
Ownership: Limited Liability company (for profit)
Chain: James & Judy Lincoln, with 56 homes
Street address: 1145 East Cherry Street, Troy, Missouri 63379
County: Lincoln

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

15 citations dated April 16, 2026

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, a pattern, several residents.
F728 Trained and Competent Nurse Aides: risk of harm, no one found hurt, a pattern, several residents.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
F576 Private Access to Communication Methods: risk of harm, no one found hurt, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

One citation dated Nov. 17, 2025

F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Jan. 17, 2025

F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Two citations dated Oct. 8, 2024

F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

54 citations dated May 23, 2024

F949 Behavioral Health Training for Staff: risk of harm, no one found hurt, widespread.
F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread.
F945 Infection Control Training for Staff: risk of harm, no one found hurt, widespread.
F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, widespread.
F909 Regular Safety Checks of Beds and Rails: risk of harm, no one found hurt, a pattern, several residents.
F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, widespread.
F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
F847 Right to Refuse Binding Arbitration: minimal risk to residents, widespread.
F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
F742 Mental Health and Trauma Treatment: residents were harmed, one or a few residents.
F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, a pattern, several residents.
F728 Trained and Competent Nurse Aides: risk of harm, no one found hurt, a pattern, several residents.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
F700 Safe Use of Bed Rails: risk of harm, no one found hurt, a pattern, several residents.
F697 Pain Management: residents were harmed, one or a few residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: residents were harmed, a pattern, several residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, a pattern, several residents.
F687 Proper Foot Care: risk of harm, no one found hurt, a pattern, several residents.
F680 Qualified Activities Director: risk of harm, no one found hurt, widespread.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
F678 CPR and Basic Life Support: risk of harm, no one found hurt, widespread.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, a pattern, several residents.
F625 Written Notice of Bed Hold Policy: minimal risk to residents, widespread.
F623 Notice Before Transfer or Discharge: minimal risk to residents, widespread.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, widespread.
F582 Notice of Medicare and Medicaid Coverage and Costs: minimal risk to residents, widespread.
F569 Return Resident Funds After Discharge or Death: risk of harm, no one found hurt, one or a few residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Six citations dated March 29, 2024

F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

Two citations dated Jan. 3, 2024

F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Three citations dated Oct. 17, 2023

F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread, found on a complaint visit.
F825 Specialized Rehabilitation Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, one or a few residents, found on a complaint visit.

26 citations dated Oct. 27, 2022

F924 Secure Handrails in Hallways: risk of harm, no one found hurt, a pattern, several residents.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, widespread.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: residents were harmed, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F638 Update Assessments Every Three Months: risk of harm, no one found hurt, a pattern, several residents.
F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, a pattern, several residents.
F625 Written Notice of Bed Hold Policy: minimal risk to residents, widespread.
F623 Notice Before Transfer or Discharge: minimal risk to residents, widespread.
F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

Payment Denials and Fines

Date	Penalty	Amount
April 16, 2026	Fine	$24,195
April 16, 2026	Payment denial for new admissions	three days
May 23, 2024	Fine	$151,801
May 23, 2024	Payment denial for new admissions	21 days
March 29, 2024	Fine	$30,641
Oct. 17, 2023	Fine	$52,972

Ownership and Management of the Home

The home is run by N & R of Lincoln County, Inc. (operational or managerial control).

Two people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265433. Other homes in Missouri.