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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D13 | E9 | F7 |
| 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 11, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 5, 2026 | Health | Health Complaint | 7 | Immediate jeopardy | — | Open → |
| Dec 12, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 12, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Feb 1, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Feb 1, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jan 13, 2022 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 13, 2022 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 5, 2026 | Denial of payment for new admissions | — | Apr 25, 2026 · 37 days | 265239|Payment Denial|2026-04-25 |
| Mar 5, 2026 | Civil money penalty (fine) | $102,470 | — | 265239|Fine|139568 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D13 | E9 | F7 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 11, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 1, 2026 | Complaint |
| Mar 5, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Apr 20, 2026 | Complaint |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
55 facilities in 2 states. CMS chain ID 290.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 1, 2014 |
| Judy Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 1, 2014 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 1, 2014 |
| Judy Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 1, 2014 |
| Ltc Management Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2014 |
| Jaquelyne Spence | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Apr 25, 2022 |
| Facility | Beds | CMS overall | 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 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265239 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265239 | 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 | 10240 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Mar 5, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 1, 2026 | Complaint |
| Mar 5, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2026 | Complaint |
| Mar 5, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Mar 5, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Mar 5, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Mar 5, 2026 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Dec 12, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 26, 2026 |
| Dec 12, 2025 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 26, 2026 |
| Dec 12, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 26, 2026 |
| Dec 12, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 26, 2026 |
| Dec 12, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 26, 2026 |
| Dec 12, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 26, 2026 |
| Feb 1, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 1, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 1, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 1, 2024 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 1, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 1, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 1, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 17, 2024 |
| Feb 1, 2024 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 17, 2024 |
| Feb 1, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 17, 2024 |
| Feb 1, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 17, 2024 |
| Feb 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 17, 2024 |
| Jan 13, 2022 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 27, 2022 |
| Jan 13, 2022 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 27, 2022 |
| Jan 13, 2022 | F-0700 | Try 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 27, 2022 |
| Jan 13, 2022 | F-0727 | Have 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Feb 27, 2022 |
| Jan 13, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 27, 2022 |
| Jan 13, 2022 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 27, 2022 |
| Jan 13, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 27, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.19 (case-mix index 1.06).
| 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 | — |
| New Madrid Living Center 1050 Dawson Road, New Madrid, MO 63869 CCN 265209 | 112 | Sep 18, 2025 | 171 harm | $8,824 |
| St James Living Center 415 Sidney Street, Saint James, MO 65559 CCN 265225 | 90 | Nov 17, 2025 | 651 IJ | $14k |
| 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 | — |