# Hermitage Nursing & Rehab

Hermitage Nursing & Rehab is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Hermitage, MO, CMS Certification Number 265239, with 120 certified beds and about 56 residents per day. CMS rates it 2/5 overall (health inspections 2/5, staffing 3/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 18599 First Street, Hermitage, MO 65668 (Hickory County)
- Ownership type: For profit - Limited Liability company
- State license: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation; license 053821 (facility ID 10240), active, 120 licensed beds, licensee N & R OF HERMITAGE, LLC, as of 2026-11-04

- Operator (legal business name): [N & R of Hermitage LLC](https://carefield.site/operator/op-n-and-r-of-hermitage-llc)
- CMS chain: [James & Judy Lincoln](https://carefield.site/chain/cms-chain-290) — 55 facilities

- CMS abuse icon: yes (cited for abuse in the recent window)

- Phone: 4177452111
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/265239

## Inspection record
8 inspections in the CMS window (latest 2026-05-11); 32 citations (23 health, 9 fire safety); 2 at actual harm and 1 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-03-05 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2026-05-11 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-03-05 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-03-05 — [F-0605](https://carefield.site/deficiency/cms-f0605) Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-03-05 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-03-05 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-03-05 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-03-05 — [F-0773](https://carefield.site/deficiency/cms-f0773) Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-12-12 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-12 — [K-0500](https://carefield.site/deficiency/cms-k0500) Meet other general requirements that are deficient. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-12 — [F-0645](https://carefield.site/deficiency/cms-f0645) PASARR screening for Mental disorders or Intellectual Disabilities — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-12 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-12 — [F-0695](https://carefield.site/deficiency/cms-f0695) Provide safe and appropriate respiratory care for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-12 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-02-01 — [K-0161](https://carefield.site/deficiency/cms-k0161) Use approved construction type or materials. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-02-01 — [K-0223](https://carefield.site/deficiency/cms-k0223) Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-02-01 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-02-01 — [K-0500](https://carefield.site/deficiency/cms-k0500) Meet other general requirements that are deficient. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-02-01 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-02-01 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- …and 12 more on the source page.

## Penalties
- 2026-03-05 — Denial of payment for new admissions (37 days)
- 2026-03-05 — Civil money penalty (fine): $102,470

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.16867 (state avg 3.39922, US 3.90085)
- RN: 0.42326
- Nursing staff turnover: 47.8%

## Owners and managers of record (CMS disclosures)
- James Lincoln — Direct owner, 50%, since 2014-12-01
- Judy Lincoln — Direct owner, 50%, since 2014-12-01
- [Ltc Management Services LLC](https://carefield.site/owner/org-ltc-management-services-llc) — Operational / managerial control, since 2014-12-01

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265239&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265239&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265239&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265239&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265239&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265239&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-265239 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.