1106 South Oak, California, MO 65018 · Moniteau County · (573) 796-3127
60 certified beds, about 35 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265396 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 7, 2026, inspectors cited 2 health deficiencies (the Missouri average is 11.4, the national average 9.2).
Of 5 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.07 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
44.8% of nursing staff left within the year CMS measured (Missouri average 56.0%).
CMS links it to James & Judy Lincoln, an affiliated group of 56 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
Inspectors wroteBased on observation, interview, and record review, facility staff failed to review and revise the plan of care for three residents (Resident #3, #13, and #21) out of 14 sampled residents. The facility census was 32. 1. Review of the facility's Care Plan Comprehensive policy, undated, showed an assessment of each resident is an ongoing process and the care plan's revised as changes occur in the resident's condition. The interdisciplinary care plan team is responsible to review and update care plans when a significant change in the resident's condition occurs. 2. [...]
Inspectors wroteBased on interviews and record review, facility staff failed to maintain professional standards of practice when staff failed to transcribe a treatment order for daily weights for one resident (Resident #13) with congestive heart failure (CHF). The facility census was 32.1. Review of the facility's Physician Orders policy, undated, showed current orders are maintained in each resident record to avoid confusion and errors. 2. Review of Resident #13's admission Minimum Data Set (MDS), a federally mandated assessment tool, 04/16/26, showed staff assessed the resident as:-Cognitively intact;-Debility, related to cardiorespiratory conditions; heart failure, anemia, coronary artery disease. Review of the resident's Cardiology visit note, dated 03/26/26, showed an order to report a weight gain of two to three pounds in 24 hours and five pounds in a week. [...]
Inspectors wroteBased on interview and record review, facility staff failed to notify one resident's (Resident #1's) out of one sampled residents' physician when the resident was given another residents medication which resulted in a hospital stay. The facility census was 29. 1. Review of the facility Medications, Errors and Drug Reactions policy, undated, showed the facility shall report all medication errors and adverse drug reactions immediately to the attending physician, Director of Nursing (DON), and the Administrator. 2. Review of Resident #1's significant change Minimum Data Set (MDS), a federally mandated assessment tool, dated 02/15/24, showed staff assessed the resident: -Cognitively intact; -Active diagnoses of Cancer (abnormal cell growth with the potential to invade or spread to other parts of the body) and renal failure. [...]
Inspectors wroteBased on interview and record review, facility staff failed to ensure residents remained free of significant medication errors when staff administered Resident #2's medication to Resident #1 which resulted in Resident #1 being transported to the hospital after an adverse reaction. The facility census was 29. 1. Review of the facility Medications, Administration guidelines, undated, showed it is the purpose of this facility residents receive their medicationson timely and in accordance with established policies. Drug administration shall be defined as an act in which an authorized person, in accordance with all laws and regulations governing such acts, gives a single dose of a prescribed drug or biological to a resident. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide a comfortable and homelike environment, when staff failed to ensure resident areas were in good repair. The facility census was 28. 1. Review of the facility's policy titled, Deep Cleaning a Resident Room, undated, showed staff were directed to do the following: -Deep cleaning is the segment of housekeeping that ensures total cleanliness of the resident room. The deep cleaning guarantees that all areas of the resident room and bathroom are cleaned and disinfected. Deep cleaning includes polishing, scrubbing, scrapping, dusting, and disinfecting everything in the resident room; -Spot wipe all walls using approved disinfectant; -Clean all corners, edges, and baseboards. Be sure to remove any buildup around closets, behind beds, furniture, and door jams. Use a scrapper to dig dirt out of corners. [...]
8 fire safety citations on file: 3 on May 7, 2026, 5 on June 14, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.07 | 3.43 | 3.86 |
| Registered nurses | 0.29 | 0.46 | 0.69 |
| All nursing staff on weekends | 2.65 | 3.01 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 44.8% | 56.0% | 45.8% |
| Registered nurse turnover | not reported | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.24 on weekdays and 2.65 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 46.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.74 in April to June 2025 to 3.07 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.07 | 0.29 | 3.24 | 2.65 | 46.1% | 0 of 90 | 35 |
| Oct to Dec 2025 | 2.99 | 0.28 | 3.15 | 2.60 | 50.2% | 1 of 92 | 36 |
| Jul to Sep 2025 | 3.03 | 0.38 | 3.11 | 2.82 | 50.7% | 0 of 92 | 34 |
| Apr to Jun 2025 | 2.74 | 0.50 | 2.86 | 2.44 | 31.6% | 0 of 91 | 31 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Missouri | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.7 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.2 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.8 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.0 | 13.7 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for California Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
45.6% this home
No different from the national rate
US median of homes 51.5% · Missouri: 41 better, 31 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 30 eligible stays.
9.4% this home
No different from the national rate
US median of homes 10.7% · Missouri: 0 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 32 eligible stays.
8.1% this home
No different from the national rate
US median of homes 7.1% · Missouri: 1 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 32 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 15 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 18 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 18 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: N & R OF CALIFORNIA INC. CMS links this home to James & Judy Lincoln, a group of 56 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lincoln, James | 5% or greater direct ownership interest | Individual | 50% | 10/01/1999 |
| Lincoln, Judy | 5% or greater direct ownership interest | Individual | 50% | 10/01/1999 |
| Drake, Jason | W-2 managing employee | Individual | 07/15/2016 | |
| Bysor, Brandon | Corporate director | Individual | 01/01/2022 | |
| Drake, Timothy | Corporate officer | Individual | 01/19/2022 | |
| Stutts, Charlotte | Corporate officer | Individual | 10/01/1999 | |
| N & R of California Inc | Operational/managerial control | Organization | 10/01/1999 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.