Nixa Nursing & Rehab — nursing home in Nixa, MO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 82 CMS-certified beds (not state-licensed beds)
Licensed beds: 82 state-licensed beds · Missouri Department of Health and Senior Services
State license: 053301 active · licensee N & R OF NIXA, LLC
Average residents per day: 76.1 CMS, MDS-derived
CMS Certification Number: 265322
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 8, 1988
Ownership type: For profit - Corporation
Operator (legal business name): N & R of Nixa LLC
CMS chain: James & Judy Lincoln 55 facilities
Phone: (417) 725-1777
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jul 23, 2024

Citations

24

9 health · 15 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D5	E11	F7
Minimal	A·	B·	C1

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

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 265322
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 82
First approved: Apr 8, 1988
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: 053301
State facility ID: 13840
License type: Skilled nursing facility
License status: active
Licensed beds: 82
Link to CMS record: Linked by exact CCN Verified
Licensee: N & R OF NIXA, LLC · Limited Liability Company
Current license: Jan 13, 2026 → Jan 12, 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
Jul 23, 2024	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Jul 23, 2024	Health	Health Standard	3	Potential harm	—	Open →
Sep 16, 2022	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Sep 16, 2022	Health	Health Standard	3	Potential harm	—	Open →
Sep 26, 2019	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Sep 26, 2019	Health	Health Standard	3	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.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D5	E11	F7
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jul 23, 2024	E-0023	Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 3, 2024
Jul 23, 2024	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 3, 2024
Jul 23, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 3, 2024
Jul 23, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 3, 2024
Jul 23, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 3, 2024
Jul 23, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 3, 2024
Jul 23, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 3, 2024
Jul 23, 2024	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 Sep 3, 2024
Jul 23, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 3, 2024
Jul 23, 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	E · Potential harm Pattern	Corrected Sep 3, 2024
Sep 16, 2022	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	E · Potential harm Pattern	Corrected Sep 19, 2022
Sep 16, 2022	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 19, 2022
Sep 16, 2022	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 19, 2022
Sep 16, 2022	K-0912	Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 19, 2022
Sep 16, 2022	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 Sep 21, 2022
Sep 16, 2022	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 Oct 11, 2022
Sep 16, 2022	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 8, 2022
Sep 16, 2022	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 8, 2022
Sep 16, 2022	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Nov 8, 2022
Sep 26, 2019	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 31, 2019
Sep 26, 2019	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 31, 2019
Sep 26, 2019	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 31, 2019
Sep 26, 2019	F-0625	Notify 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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 31, 2019
Sep 26, 2019	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Oct 31, 2019

“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 staffing3.14

State avg 3.40US avg 3.90

Registered nurse (RN)0.33

State avg 0.46US avg 0.69

Licensed practical nurse0.69

State avg 0.68US avg 0.86

Nurse aide2.12

State avg 2.26US avg 2.35

Weekend total nurse2.64

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.80 (case-mix index 1.15).

Staff turnover

Total nursing staff turnover45.8%

State avg 56.9%US avg 45.3%

Registered nurse turnover0.0%

State avg 50.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 23, 2024
Cycle 1 health score: 16
Total weighted score: 16

Operating entity

N & R of Nixa 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%	Dec 1, 2014
Judy Lincoln	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Dec 1, 2014

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%	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
James Lincoln	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Apr 25, 2022

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	—
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
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	—

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: 1104 North Main Street, Nixa, MO 65714
ZIP: 65714
County: Christian County FIPS 29043
State: Missouri
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Sunterra Springs Springfield 4935 S National Ave, Springfield, MO 65810 CCN 265871	7.3 km	38	Jun 2, 2025	31	—
Ozark Riverview Manor 1200 West Hall,, Ozark, MO 65721 CCN 265464	8.1 km	90	Jun 25, 2026	38	—
The Neighborhoods at Quail Creek 1514 West Lark, Springfield, MO 65810 CCN 265799	8.6 km	120	Jun 26, 2026	42	—
Ozark Care & Rehab Center 1486 North Riverside Rd, Ozark, MO 65721 CCN 265753Abuse icon	8.8 km	93	Jul 16, 2026	543 IJ1 harm	$74k
Birch Pointe Health and Rehabilitation 3705 S Jefferson Ave, Springfield, MO 65807 CCN 265865Abuse icon	9.7 km	120	Aug 5, 2026	351 IJ1 harm	$138k
Cox Medical Centers Meyer Orthopedic and Surgical 3535 S National Ave, Springfield, MO 65807 CCN 265289	10.3 km	28	Apr 23, 2026	11	—
Springfield Villa 1100 East Montclair, Springfield, MO 65807 CCN 265814	10.9 km	146	Apr 17, 2026	531 IJ1 harm4 open	$45k
Spring Valley Health & Rehabilitation Center 2915 South Fremont Ave, Springfield, MO 65804 CCN 265188	11.4 km	194	May 15, 2026	912 IJ	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265322	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265322	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	13840	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 265322

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