New Madrid Living Center — nursing home in New Madrid, MO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 112 CMS-certified beds (not state-licensed beds)
Licensed beds: 112 state-licensed beds · Missouri Department of Health and Senior Services
State license: 053843 active · licensee N & R OF NEW MADRID, LLC
Average residents per day: 52.5 CMS, MDS-derived
CMS Certification Number: 265209
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 25, 1983
Ownership type: For profit - Corporation
Operator (legal business name): N & R of New Madrid LLC
CMS chain: James & Judy Lincoln 55 facilities
Phone: (573) 748-5622
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Sep 18, 2025

Citations

17

8 health · 9 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D7	E·	F9
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,824

Payment denials

0

Latest

Apr 8, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 265209
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 112
First approved: Nov 25, 1983
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 4, 2026
Evidence: Verified

State license

Authority: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
License number: 053843
State facility ID: 04952
License type: Skilled nursing facility
License status: active
Licensed beds: 112
Link to CMS record: Linked by exact CCN Verified
Licensee: N & R OF NEW MADRID, LLC · Limited Liability Company
Current license: Aug 1, 2026 → Jul 31, 2028
Certification (per state): Medicare/Medicaid
As of: Nov 4, 2026
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 18, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Sep 18, 2025	Health	Health Standard	3	Potential harm	—	Open →
Oct 10, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Oct 10, 2024	Health	Health Standard	2	Potential harm	—	Open →
Apr 8, 2024	Health	Health Complaint	1	Actual harm	—	Open →
Jun 29, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jun 29, 2023	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Apr 8, 2024	Civil money penalty (fine)	$8,824	—	265209\|Fine\|90557

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D7	E·	F9
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Sep 18, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 18, 2025
Sep 18, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 18, 2025
Sep 18, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 18, 2025
Sep 18, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 18, 2025
Sep 18, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 18, 2025
Sep 18, 2025	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 30, 2025
Sep 18, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 30, 2025
Sep 18, 2025	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 30, 2025
Oct 10, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 24, 2024
Oct 10, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 24, 2024
Oct 10, 2024	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 24, 2024
Oct 10, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 24, 2024
Oct 10, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 24, 2024
Apr 8, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected May 6, 2024	Complaint
Jun 29, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 10, 2023
Jun 29, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 22, 2023
Jun 29, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 22, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.8

Staffingstate 2.2

Quality measuresstate 2.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.52

State avg 3.40US avg 3.90

Registered nurse (RN)0.34

State avg 0.46US avg 0.69

Licensed practical nurse0.64

State avg 0.68US avg 0.86

Nurse aide2.54

State avg 2.26US avg 2.35

Weekend total nurse3.12

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.62 (case-mix index 1.07).

Staff turnover

Total nursing staff turnover50.0%

State avg 56.9%US avg 45.3%

Registered nurse turnover62.5%

State avg 50.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 18, 2025
Cycle 1 health score: 12
Total weighted score: 16

Operating entity

N & R of New Madrid LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

James & Judy Lincoln

55 facilities in 2 states. CMS chain ID 290.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.6

Ownership disclosures

Disclosures

4

Organizations

1

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Lincoln	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Sep 1, 2016
Judy Lincoln	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Sep 1, 2016

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
James Lincoln	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Sep 1, 2016
Judy Lincoln	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Sep 1, 2016
Ltc Management Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2016
Kimberly Ivie	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 1996

Same chain in Missouri

All 54 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Lebanon North Nursing & Rehab 596 Morton Road, Lebanon, MO 65536 CCN 265123	180	Jul 15, 2026	7711 harm1 open	$264k
Lewis & Clark Gardens 1221 Boones Lick Road, Saint Charles, MO 63301 CCN 265160	142	Apr 1, 2026	953 IJ1 harm	$140k
Wilson's Creek Nursing & Rehab 3403 West Mt Vernon, Springfield, MO 65802 CCN 265161	172	Aug 14, 2025	311 IJ1 harm	—
Warrenton Manor 65 State Hwy Aa, Wright City, MO 63390 CCN 265181	120	May 7, 2026	60	—
St James Living Center 415 Sidney Street, Saint James, MO 65559 CCN 265225	90	Nov 17, 2025	651 IJ	$14k
Hermitage Nursing & Rehab 18599 First Street, Hermitage, MO 65668 CCN 265239Abuse icon	120	May 11, 2026	321 IJ2 harm	$102k
Maries Manor 174 Ballpark Road, Vienna, MO 65582 CCN 265249	98	Dec 9, 2025	36	—
The Villa at Blue Ridge 701 Blue Ridge Road, Columbia, MO 65201 CCN 265251Abuse icon	97	May 5, 2026	651 harm	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1050 Dawson Road, New Madrid, MO 63869
ZIP: 63869
County: New Madrid County FIPS 29143
State: Missouri
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Portageville Health Care Center 290 West State Hwy 162, Portageville, MO 63873 CCN 265549	22.7 km	60		May 1, 2025	30	$241k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265209	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265209	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Missouri DHSS Long-Term Care Directory MO	04952	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Nov 4, 2026	Nov 7, 2026

Record-level source links for CCN 265209

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction