Lincoln County Nursing & Rehab
1145 East Cherry Street, Troy, MO, 63379
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Facility
CMS has designated this facility a Special Focus Facility — one of a small group nationwide with a persistent pattern of substandard care requiring more frequent federal oversight. SFFs are inspected roughly every six months. Ask for the most recent inspection summary and corrective-action plan before deciding.
Source: CMS Care Compare.
Facility & Staffing
- Ownership
- For profit - Individual · Chain: James & Judy Lincoln
- Certified beds
- 90 · avg 78 residents/day
- Total nursing staff turnover
- 65.6% — higher than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 83.3% — higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $235,414 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 265433
- Certified beds
- 90 beds · avg 78 residents/day
- Ownership type
- For profit - Individual
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- N & R Of Lincoln County, Inc.
- Chain affiliation
- James & Judy Lincoln
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the James & Judy Lincoln chain — 56 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (4 on record)
- Julie Brick
W-2 Managing Employee · 100% · since 2017
- James c Lincoln
5% or Greater Direct Ownership Interest · 50% · since 1998
- Judy l Lincoln
5% or Greater Direct Ownership Interest · 50% · since 1998
- n & r of Lincoln County, Inc.
Operational/managerial Control · 100% · since 1990
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 115)
- G0600·Apr 16, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0584·Apr 16, 2026Complaint
Resident Rights Deficiencies
Honor 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.
- D0744·Nov 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E0725·Jan 17, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E0677·Jan 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0804·Oct 8, 2024Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0761·Oct 8, 2024Complaint
Pharmacy Service Deficiencies
Ensure 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.
- F0949·May 23, 2024
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Federal penalties
By year
- 20242 fines · $182K · 1 payment denial
- 20231 fine · $53K
Most recent events
- May 23, 2024Payment denial · 21 days · starting Jul 24, 2024
- May 23, 2024Fine · $152K
- Mar 29, 2024Fine · $31K
- Oct 17, 2023Fine · $53K
Largest single fine on record: $152K.
Fire-safety citations
50 Life-Safety-Code citations on file. Most recent: May 23, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Lincoln County Nursing & Rehabinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.