Lincoln County Nursing & Rehab has received an F grade based on CMS data, with a score of 0/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Troy facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Lincoln County Nursing & Rehab, with 2.75 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 113 deficiencies at Lincoln County Nursing & Rehab, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.75 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.13 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.63 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.99 | 2.4 | Below Average |
| Weekend Total Nursing | 2.50 | 3.8 | Below Average |
| Weekend RN Hours | 0.10 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0744 Severity DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Nov 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Jan 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0725 Severity EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Jan 16, 2025 · Nursing and Physician Services Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiOct 7, 2024 · Pharmacy Service Deficiencies
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Oct 7, 2024 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 9.6% | 4.5% | Worse |
| Falls with major injury | 8.8% | 3.0% | Worse |
| On antipsychotic medication | 22.7% | 14.5% | Worse |
| Urinary tract infections | 3.2% | 2.5% | Worse |
| ADL decline (daily activities) | 18.6% | 14.0% | Worse |
| Excessive weight loss | 4.1% | 7.5% | Better |
| New/worsened incontinence | 20.5% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $235,414
How This Grade Was Calculated
This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 0★ → 0 pts (max 40)
- Health Inspection Rating: 0★ → 0 pts (max 25)
- Staffing Rating: 0★ → 0 pts (max 20)
- Quality Measures Rating: 0★ → 0 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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