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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E12 | F14 |
| 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.
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 15, 2026 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| May 15, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Dec 11, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 11, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Sep 21, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 21, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E12 | F14 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 15, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 25, 2026 | |
| May 15, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 25, 2026 | |
| May 15, 2026 | K-0353 |
“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% | Apr 1, 2002 |
| Judy Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Oct 24, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Apr 1, 2002 |
| Judy Lincoln | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Oct 24, 2016 |
| James Lincoln | Individual | Partner | GENERAL PARTNERSHIP INTEREST | not provided | May 21, 2002 |
| Cuba Manor, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 24, 2016 |
| Brandon Bysor | 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.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Steelville Care & Rehab Center 311 N Spring Street, Steelville, MO 65565 CCN 265866 | 11.8 km | 72 | Apr 23, 2026 | 441 IJ | $88k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265652 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265652 | 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 | 21149 | 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
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jun 25, 2026 |
| May 15, 2026 | 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 25, 2026 |
| May 15, 2026 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 25, 2026 |
| May 15, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 25, 2026 |
| May 15, 2026 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| May 15, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 25, 2026 |
| May 15, 2026 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 25, 2026 |
| May 15, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| May 15, 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 | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| May 15, 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 25, 2026 |
| May 15, 2026 | 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 25, 2026 |
| May 15, 2026 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| May 15, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Dec 11, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 20, 2025 |
| Dec 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted |
| Dec 11, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 20, 2025 |
| Dec 11, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 20, 2025 |
| Dec 11, 2024 | 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 | D · Potential harm Isolated | Corrected Jan 20, 2025 |
| Sep 21, 2023 | 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 Nov 4, 2023 |
| Sep 21, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 4, 2023 |
| Sep 21, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 4, 2023 |
| Sep 21, 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 Nov 4, 2023 |
| Sep 21, 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 Nov 4, 2023 |
| Sep 21, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 4, 2023 |
| Sep 21, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 4, 2023 |
| Sep 21, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 4, 2023 |
| Sep 21, 2023 | 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 Nov 4, 2023 |
| Sep 21, 2023 | 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 Nov 4, 2023 |
| Sep 21, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 4, 2023 |
| Sep 21, 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 Nov 4, 2023 |
| Sep 21, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 4, 2023 |
| Sep 21, 2023 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | C · Minimal Widespread | Corrected Nov 4, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.57 (case-mix index 1.15).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Mar 21, 2022 |
| Timothy Drake | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 21, 2022 |
| Charlotte Stutts | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 11, 2011 |
| Mary Leija | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Mar 21, 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 | — |