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.
May 23, 2024
Tag F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0680Ensure the activities program is directed by a qualified professional.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 8, 2024.
May 23, 2024
Tag F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 5, 2024.
May 23, 2024
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 July 5, 2024.
May 23, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Severity G: isolated, actual harm. Corrected July 5, 2024.
May 23, 2024
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0881Implement a program that monitors antibiotic use.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 14, 2024.
May 23, 2024
Tag F0687Provide appropriate foot care.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 5, 2024.
May 23, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, 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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