Mcdonald County Living Center — nursing home in Anderson, MO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 96 CMS-certified beds (not state-licensed beds)
Licensed beds: 96 state-licensed beds · Missouri Department of Health and Senior Services
State license: 053415 active · licensee N & R OF ANDERSON, LLC
Average residents per day: 59.0 CMS, MDS-derived
CMS Certification Number: 265447
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 1, 1991
Ownership type: For profit - Corporation
Operator (legal business name): N & R of Anderson LLC
CMS chain: James & Judy Lincoln 55 facilities
Phone: (417) 845-3351
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jul 30, 2025

Citations

28

15 health · 13 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	E9	F10
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: 265447
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 96
First approved: Feb 1, 1991
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: 053415
State facility ID: 05183
License type: Skilled nursing facility
License status: active
Licensed beds: 96
Link to CMS record: Linked by exact CCN Verified
Licensee: N & R OF ANDERSON, LLC · Limited Liability Company
Current license: Mar 1, 2026 → Feb 28, 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 30, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Dec 12, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Dec 12, 2024	Health	Health Standard	3	Potential harm	—	Open →
Aug 8, 2024	Health	Health Complaint	1	Actual harm	—	Open →
Apr 28, 2023	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Apr 28, 2023	Health	Health Standard	9	Potential harm	—	Open →
Nov 15, 2019	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Nov 15, 2019	Health	Health Standard	0	No citations	—	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	G1	H·	I·
Potential harm	D7	E9	F10
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 30, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 12, 2025	Complaint
Jul 30, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Past non-compliance	Complaint
Dec 12, 2024	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 25, 2025
Dec 12, 2024	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 Jan 25, 2025
Dec 12, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 25, 2025
Dec 12, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 25, 2025
Dec 12, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 25, 2025
Dec 12, 2024	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 Jan 25, 2025
Dec 12, 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 Jan 25, 2025
Dec 12, 2024	F-0849	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jan 25, 2025
Aug 8, 2024	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Past non-compliance Jun 25, 2024	Complaint
Apr 28, 2023	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2023
Apr 28, 2023	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 Jun 12, 2023
Apr 28, 2023	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	F · Potential harm Widespread	Corrected Jun 12, 2023
Apr 28, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2023
Apr 28, 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 Jun 12, 2023
Apr 28, 2023	K-0912	Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2023
Apr 28, 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 Jun 12, 2023
Apr 28, 2023	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 Jun 12, 2023
Apr 28, 2023	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	D · Potential harm Isolated	Corrected Jun 12, 2023
Apr 28, 2023	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 12, 2023
Apr 28, 2023	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	E · Potential harm Pattern	Corrected Jun 12, 2023
Apr 28, 2023	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 12, 2023
Apr 28, 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	E · Potential harm Pattern	Corrected Jun 12, 2023
Apr 28, 2023	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	E · Potential harm Pattern	Corrected Jun 12, 2023
Apr 28, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jun 12, 2023
Apr 28, 2023	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2023
Apr 28, 2023	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Jun 12, 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 staffing3.01

State avg 3.40US avg 3.90

Registered nurse (RN)0.55

State avg 0.46US avg 0.69

Licensed practical nurse0.70

State avg 0.68US avg 0.86

Nurse aide1.75

State avg 2.26US avg 2.35

Weekend total nurse2.67

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.07 (case-mix index 1.37).

Staff turnover

Total nursing staff turnover38.3%

State avg 56.9%US avg 45.3%

Registered nurse turnover28.6%

State avg 50.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 12, 2024
Cycle 1 health score: 24
Total weighted score: 38

Operating entity

N & R of Anderson 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	Oct 5, 2016
Timothy Drake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 17, 2021

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: 1000 Patterson Street, Anderson, MO 64831
ZIP: 64831
County: McDonald County FIPS 29119
Assigned by point in polygon Inferred
State: Missouri
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265447	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265447	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
CMS Provider Information US-CMS	265447	county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list).	Inferred	Oct 1, 2026	Nov 7, 2026
Missouri DHSS Long-Term Care Directory MO	05183	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 265447

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