Secret Gardens
Cost data not yet available
Assisted Living, Nursing Homes · Medicare certified
1301 N St Joe Dr · Park Hills, MO 63601 · Lic. #052453 (MO) · 15 certified beds
LICENSED · Verify on official state lookup (opens in a new tab)
NPI 1821179789. Look this up in the CMS NPPES registry (opens in a new tab)
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In Park Hills, Missouri, Country Meadows is listed as an assisted living community. Its reported capacity is 15 beds. The MO licensing record reads "LICENSED" for this listing. It is recorded as a for-profit operator, part of James & Judy Lincoln. Federal records list it as Medicare certified. Our copy of the inspection record holds 9 citations, the newest dated 12 November 2025. No fine or payment denial is on record against it. Staffing reports put it at 3.38 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
5.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
6
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
6
Staffing rating
5.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
6
Records from December 2022 to November 2025.
November 12, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-11-12 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-11-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2025 · D
Citation F0698Federal surveyors cited this nursing home on 2025-07-25 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2025-09-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 25, 2025 · D
Citation F0641Federal surveyors cited this nursing home on 2025-07-25 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2025-09-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 23, 2024 · D
Citation F0658Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 23, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 23, 2024 · D
Citation F0641Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 16, 2022 · D
Citation F0641Federal surveyors cited this nursing home on 2022-12-16 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2023-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 16, 2022 · F
Citation F0812Federal surveyors cited this nursing home on 2022-12-16 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 16, 2022 · D
Citation F0868Federal surveyors cited this nursing home on 2022-12-16 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2023-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $0
Latest: 3.38 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: James & Judy Lincoln
Chain ID 290 · 56 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 2, 2026Listed capacity changed
Listed capacity changed from 72 to 15 beds.
Reported by Missouri DHSS
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Listed capacity changed
Listed capacity changed from 15 to 72 beds.
Reported by CMS nursing homes (provider info)
Aug 10, 2026Listed capacity changed
Listed capacity changed from 72 to 15 beds.
Reported by Missouri DHSS
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.
Assisted Living
Median · MO$5,400/moNursing Homes
Median · MO$6,741/moOther licensed providers in Park Hills, with their own public records.
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Complete Guide to Assisted Living (2026)
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