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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E12 | F10 |
| Minimal | A· | B1 | 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 | |
|---|---|---|---|---|---|---|
| Apr 30, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 30, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jul 31, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 25, 2024 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Apr 25, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jun 3, 2022 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 3, 2022 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E12 | F10 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 30, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2026 | |
| Apr 30, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2026 | |
| Apr 30, 2026 | K-0712 |
“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% | Aug 1, 1998 |
| Judy Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Aug 1, 1998 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Aug 1, 1998 |
| Judy Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Aug 1, 1998 |
| Brandon Bysor | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 25, 2022 |
| Timothy Drake | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 25, 2022 |
| Charlotte Stutts | 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 | 265608 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265608 | 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 | 16944 | 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
| Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jun 12, 2026 |
| Apr 30, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| Apr 30, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Apr 30, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| Apr 30, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| Apr 30, 2026 | 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 Jun 12, 2026 |
| Apr 30, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Jul 31, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 23, 2025 | Complaint |
| Apr 25, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 9, 2024 |
| Apr 25, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2024 |
| Apr 25, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2024 |
| Apr 25, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2024 |
| Apr 25, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2024 |
| Apr 25, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 9, 2024 |
| Apr 25, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2024 |
| Apr 25, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 9, 2024 |
| Apr 25, 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 Jun 9, 2024 |
| Apr 25, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 9, 2024 |
| Apr 25, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 9, 2024 |
| Apr 25, 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 Jun 9, 2024 |
| Apr 25, 2024 | 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 Jun 9, 2024 |
| Apr 25, 2024 | 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 | D · Potential harm Isolated | Corrected Jun 9, 2024 |
| Apr 25, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 9, 2024 |
| Apr 25, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jun 9, 2024 |
| Jun 3, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2022 |
| Jun 3, 2022 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 17, 2022 |
| Jun 3, 2022 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 17, 2022 |
| Jun 3, 2022 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 17, 2022 |
| Jun 3, 2022 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 17, 2022 |
| Jun 3, 2022 | 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 Jul 17, 2022 |
| Jun 3, 2022 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 17, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.86 (case-mix index 1.48).
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Aug 1, 1998 |
| Allison Lawson | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Apr 25, 2022 |
| 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 | — |