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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D1 | E2 | F8 |
| 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 7, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 7, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Aug 14, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 14, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| May 3, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jun 14, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jun 14, 2023 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D1 | E2 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 7, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 17, 2026 | |
| May 7, 2026 | 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 Jun 17, 2026 | |
| May 7, 2026 | K-0500 |
“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% | Oct 1, 1999 |
| Judy Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Oct 1, 1999 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Oct 1, 1999 |
| Judy Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Oct 1, 1999 |
| N & R of California Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 1999 |
| Brandon Bysor | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Timothy Drake | Individual |
| 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 | 265396 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265396 | 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 | 10437 | 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
| Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jun 17, 2026 |
| May 7, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 17, 2026 |
| May 7, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| May 3, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jun 11, 2024 | Complaint |
| May 3, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Jun 11, 2024 | Complaint |
| Jun 14, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 26, 2023 |
| Jun 14, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 26, 2023 |
| Jun 14, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 26, 2023 |
| Jun 14, 2023 | K-0917 | Ensure electrical receptacles or cover plates have distinctive color or marking. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 26, 2023 |
| Jun 14, 2023 | 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 Jul 26, 2023 |
| Jun 14, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 26, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.88 (case-mix index 1.19).
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 19, 2022 |
| Charlotte Stutts | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 1999 |
| Jason Drake | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 15, 2016 |
| 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 | — |