Assisted Living · Troy, MO
Nursing Homes · Medicare certified
Lincoln County Nursing & Rehab
1145 East Cherry Street · Troy, MO 63379 · 90 certified beds
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About Lincoln County Nursing & Rehab
Lincoln County Nursing & Rehab is a nursing home in Troy, Missouri. Its capacity is 90 beds, below the Missouri median of 94 for nursing homes. It is run by a for-profit operator and is part of James & Judy Lincoln. It is Medicare certified. Its public inspection record shows 115 citations, the most recent on April 16, 2026. CMS also lists 6 fines or payment denials against it. Nurse staffing averages 2.44 hours per resident per day. It is one of 2 nursing homes listed in Troy. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility
CMS has placed this nursing home in its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. CMS inspects homes in the program more often. About the program.
Certification
Medicare-certified.
Ratings
CMS has not published a star rating for this nursing home. That usually follows a recent certification or a change of owner.
Inspection history (115)
Records from June 2019 to April 2026.
April 16, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected March 30, 2026.
April 16, 2026
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
November 17, 2025
Tag F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 28, 2025.
January 17, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 3, 2025.
January 17, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 3, 2025.
October 8, 2024
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
October 8, 2024
Tag F0761Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
May 23, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity H: pattern, actual harm. Corrected July 5, 2024.
May 23, 2024
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0637Assess the resident when there is a significant change in condition.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity G: isolated, actual harm. Corrected July 5, 2024.
May 23, 2024
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0625Notify 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.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
Penalties (6)
Total fines: $235,414
April 16, 2026 · Fine
CMS recorded a civil money penalty of $24,195 against this nursing home on April 16, 2026.
April 16, 2026 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting May 26, 2026, lasting 3 days (triggered by inspection on April 16, 2026).
May 23, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting July 24, 2024, lasting 21 days (triggered by inspection on May 23, 2024).
May 23, 2024 · Fine
CMS recorded a civil money penalty of $151,801 against this nursing home on May 23, 2024.
March 29, 2024 · Fine
CMS recorded a civil money penalty of $30,641 against this nursing home on March 29, 2024.
October 17, 2023 · Fine
CMS recorded a civil money penalty of $52,972 against this nursing home on October 17, 2023.
Staffing
2.44 nurse hours per resident per day in Q2 2026, down from 2.65 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit - Limited Liability company
Part of James & Judy Lincoln, a chain of 55 nursing homes.
Average CMS star ratings across the chain: 2.6 overall, 2.7 for health inspections, 2.3 for staffing, 2.7 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
Nearby alternatives
Other licensed providers in Troy.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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