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Data / Nursing homes / Missouri / Lincoln County Nursing & Rehab

Lincoln County Nursing & Rehab, Troy, MO: not rated, fined $259,609 across 4 fines and had 2 payment denials

Lincoln County Nursing & Rehab in Troy, MO is owned by 2 individuals whom CMS lists (names not shown), has no overall star rating from Medicare, and was fined $259,609 across 4 fines and had 2 payment denials in the three years to October 1, 2026. CMS lists 85 health citations from inspections in that time, the latest survey on April 16, 2026, and 8 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet nursing homes in Missouri
Address
1145 East Cherry Street, Troy, MO 63379
Overall rating
Not rated
Certified beds
90
Residents per day
81 on average
Ownership type
For profit, limited liability company
Legal business name
N & R of Lincoln County, Inc.
Chain
James & Judy Lincoln, 55 facilities
Special focus
Special focus facility
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$259,609 across 4 fines, three years to October 1, 2026
Payment denials
2
Health citations
85, of which 8 with actual harm or immediate jeopardy
Latest survey
April 16, 2026
CMS Certification Number
265433
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 16, 2026Fine$24,195Not listeddata.cms.gov
April 16, 2026Payment denialNot listedMay 26, 20263data.cms.gov
May 23, 2024Fine$151,801Not listeddata.cms.gov
May 23, 2024Payment denialNot listedJuly 24, 202421data.cms.gov
March 29, 2024Fine$30,641Not listeddata.cms.gov
October 17, 2023Fine$52,972Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 16, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncomplianceMarch 30, 2026data.cms.gov
April 16, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F576Ensure residents have reasonable access to and privacy in their use of communication methods.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
April 16, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
November 17, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2025data.cms.gov
January 17, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
January 17, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 3, 2025data.cms.gov
October 8, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
October 8, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
May 23, 2024F742Provide 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.G: isolated, actual harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H: pattern, actual harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F909Regularly 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F881Implement a program that monitors antibiotic use.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2024data.cms.gov
May 23, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.C: widespread, minimal harm potentialCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 8, 2024data.cms.gov
May 23, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F758Implement 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 limited.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F730Observe each nurse aide's job performance and give regular training.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F688Provide 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F687Provide appropriate foot care.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F680Ensure the activities program is directed by a qualified professional.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F637Assess the resident when there is a significant change in conditionE: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F625Notify 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.C: widespread, minimal harm potentialCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C: widespread, minimal harm potentialCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F584Honor 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.C: widespread, minimal harm potentialCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 23, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
March 29, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedApril 29, 2024data.cms.gov
March 29, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedApril 29, 2024data.cms.gov
March 29, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedApril 29, 2024data.cms.gov
March 29, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 29, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 29, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
January 3, 2024F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2024data.cms.gov
January 3, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2024data.cms.gov
October 17, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J: isolated, immediate jeopardyCorrectedNovember 12, 2023data.cms.gov
October 17, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 12, 2023data.cms.gov
October 17, 2023F825Provide or get specialized rehabilitative services as required for a resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 12, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (2 owners, 1 managers). Their names are not shown on this page.

OrganizationRoleShareSinceSource
N & R of Lincoln County, Inc.Operational or managerial controlNot listedJune 16, 1990data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.