1015 North Grand Avenue, Doniphan, MO 63935 · Ripley County · (573) 996-4239
120 certified beds, about 47 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265504 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 29, 2025, inspectors cited 7 health deficiencies (the Missouri average is 11.4, the national average 9.2).
Of 44 health citations since February 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 3.27 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
73.5% 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 44 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure staff immediately reported allegations of abuse to facility administration for two residents (Residents #1, #2 and #3) and failed to ensure staff immediately reported an injury of unknown origin for one resident (Resident #4), affecting four of four sampled residents reviewed for abuse. These failures delayed implementation of the facility's abuse prevention and investigation process, including resident assessment, protective interventions, and timely collection of investigative information. The facility census was 46. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two residents (Resident #1 and Resident #2) out of three sampled residents remained free from abuse when staff failed to immediately report and respond after observing resident-to-resident sexual abuse/inappropriate sexual contact by one resident (Resident #3). Resident #3 inappropriately touched Resident #1's breasts while Resident #1 was asleep and approximately 30 minutes later reached underneath Resident #2's blanket in an attempt to touch Resident #2 inappropriately. Although both incidents were witnessed by Certified Nursing Assistant (CNA) B, the incidents were not immediately reported to nursing management. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This had the potential to affect all residents. The facility census was 42. Review of the facility's policy titled, Cleaning Schedule, undated, showed: - Equipment and utensils will be cleaned according to the following guidelines, or manufacturer's instructions: Items cleaned after each use include can opener, small food preparation equipment (e.g. blender, food processor), slicer, kettles, utensils, mixers, cutting boards, worktables, counters, beverage table, coffee urns, pots and pans, dishes, dining room tables and chairs; [...]
Inspectors wroteBased on interview and record review, the facility failed to maintain quarterly Quality Assessment and Assurance/Quality Assurance Performance Improvement (QAA/QAPI) committee meetings with the required members. The facility's census was 41. Review of the facility's policy titled, QAPI Policy, dated January 2024, showed:-The QAPI Program consists of monthly/quarterly meetings, daily quality assurance activities, QAPI tasks, and performance improvement plans;- Did not address the required members of the QAA Committee. Review of QAA Committee Minutes, dated 01/16/25, showed:- The Administrator, the Infection Preventionist, Human Resources, a Certified Nurse Assistant (CNA), and Registered Nurse (RN) attended the meeting;- No documentation the DON or the Medical Director attended the meeting. Review of QAA Committee Minutes, dated 08/06/25, showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain infection control practices to prevent the development and transmission of infection during peri care for one resident (Resident #14) out of two sampled residents and wound care for one sampled resident (Resident #33) out of one sampled resident. The failed to provide a safe and sanitary environment by failing to disinfect the multi-use glucometer (a device used to measure blood sugar) per the manufacturer's instructions for two residents (Residents #13 and #21) out of two sampled residents and when obtaining FSBS. The facility failed to correctly screen three residents (Residents #5, #31, and #33) for tuberculosis (TB - an infectious disease characterized by the growth of nodules in the tissues, especially the lungs) out of five sampled residents required by state regulation 19 CSR 20-20.100. [...]
Inspectors wroteBased on interview and record review, the facility failed to maintain an Infection Prevention and Control Program (IPCP) that included an antibiotic stewardship program to include an infection surveillance and antibiotic use protocols. This deficient practice had the potential to affect all residents in the facility. The facility census was 41. Review of the facility's policy titled, Infection Prevention and Control Manual Antibiotic Stewardship and Multidrug Resistant Organisms (MDROs) - Antibiotic Stewardship, dated 2019, showed:- Stewardship involves identifying the microbe (microorganisms) responsible for disease, utilizing evidence-based definitions when indicated; selecting the appropriate antibiotic along with documentation indicating the rationale for use, appropriate dosing, route, and duration of antibiotic therapy; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure at least one person with specialized training in infection prevention and control for the Infection Preventionist (IP - a professional who assures healthcare workers and residents are doing everything possible to prevent infection) was responsible for the duties of the position. This had the potential to affect all residents in the facility. The facility census was 41. Review of the facility's policy titled, Infection Prevention and Control Program, dated 2019, showed:-The facility will designate one or more individual(s) as the infection preventionist(s) who is responsible for the facility's Infection Prevention and Control Program (IPCP); -The IP will have primary professional training in nursing, medical technology, microbiology, epidemiology, or another related field; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility's census was 41. Review of the facility's policy titled, Infection Prevention and Control Manual, dated 2019, showed: - Environmental Services will develop protocols, including schedules for cleaning and decontamination of the work site;- Environmental Services personnel are responsible for routine cleaning of resident rooms, floors, surfaces, emptying and inspecting waste containers, and routine cleaning of resident areas. Review of the facility's 400 Hall deep cleaning schedule, dated August 2025, showed:- room [ROOM NUMBER] scheduled on 08/25/25, 8/27/25, and 8/29/25. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to identify, assess, and provide supportive interventions for one resident (Resident #6) out of one sampled resident with a diagnosis of post traumatic stress disorder (PTSD - a mental health condition triggered by a terrifying event - either experiencing it or witnessing it; symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event). The facility's census was 41. The facility failed to provide a policy regarding PTSD. 1. Review of Resident #6's medical record showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders for three residents (Residents #5, #34, and #40) out of 12 sampled residents. The facility census was 40. Review of the facility's policy titled, Physician's Orders, undated, showed: - Current lists of orders must be maintained in the clinical record of each resident to avoid conflict and errors; - Orders must be written and maintained in chronological order; - Physician orders must be reviewed and renewed. Review of the facility's policy titled, Skin Assessments, undated, showed residents at risk will have preventative measures implemented to include: weekly documented skin audits by a licensed nurse and treatments as ordered by the physician if skin breakdown occurs. 1. Review of Resident #5's medical record showed: [...]
Inspectors wroteBased on interview and record review, the facility failed to provide a safe transfer for one resident (Resident #23) in a manner to prevent accidents, when staff did not utilize two staff for transfers as directed on the resident's care plan and the resident sustained a hip fracture. Also, the facility failed to safely transfer one additional resident (Resident #8) outside of the sample. The facility census was 40. Review of the facility's policy titled, Gait Belt (a device used for assistance with transfers and walking) Transfers, undated, showed: - Assist resident to a sitting position; - Apply belt to the resident's waist and tighten to fit snugly with the buckle at the side; - Face the resident; - Bend your knees and place your hands around the gait belt on each side of the resident's waist; - Bring the resident to a standing position while straightening your knees; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure a Registered Nurse (RN) was scheduled for at least eight consecutive hours per day, seven days a week. The facility also failed to have a Director of Nursing (DON). This deficiency had the potential to affect all residents. The census was 40. The facility did not provide a policy regarding RN and DON coverage. Review of the Facility Assessment, dated 03/07/24, showed: - DON should work five days a week for eight hours; - Licensed Nurses should include a RN eight hours per day when the DON is not available and on weekends. 1. Review of the Facility's Daily Nursing Staffing Sheets, dated 04/06/24 through 07/15/24, showed: - No RN scheduled for 04/11/24 through 04/14/24; - No RN scheduled for 04/18/24, 04/20/24, 04/22/24, 04/25/24, and 04/30/24; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure written transfer agreements with hospitals were in effect to assure residents of a timely hospital admission when medically appropriate and the necessary information would be exchanged between the providers. This failure had the potential to affect all residents. The facility census was 40. The facility did not provide a policy on transfer agreements. The facility did not provide transfer agreements with any hospitals. During an interview on 07/15/24 at 5:00 P.M., the Administrator and the Assistant Director of Nursing (ADON) said the corporate Quality Assurance Registered Nurse could not find transfer agreements for any hospitals. The Administrator said she had no knowledge of transfer agreements with any hospitals.
Inspectors wroteBased on interview and record review, the facility failed to provide written notice to the State agency responsible for licensing the facility when their Director of Nursing (DON) was no longer employed. This had the potential to affect all resident. The facility census was 40. Review of the Facility Assessment, dated 03/07/24, showed: - DON should work five days a week for eight hours; - Licensed Nurses should include a Registered Nurse (RN) eight hours per day when the Director of Nursing (DON) is not available and on weekends. Review of RN I's employee record showed: - RN I hired as the DON on 06/29/22, and a termination date of 05/18/23. Review of RN J's employee record showed: - RN J hired as the DON on 11/08/23, and a termination date of 12/11/23. Review of the last state agency Change of DON Form, dated 07/07/22, showed RN I started employment as the DON on 06/29/22. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide a written copy of the notice of transfer or discharge to the resident and/or the the resident's responsible party and to the representative of the Office of Long-Term Care (LTC) Ombudsman for six residents (Resident #3, #8, #12, #23, #34 and #36) out of six sampled residents. The facility census was 40. The facility did not provide a transfer or discharge policy. 1. Review of Resident #3's medical record showed: - The resident transferred to the hospital on [DATE]; - No documentation of the written notification with the reason for the hospital transfer provided to the resident and/or the responsible party; - No documentation of the written transfer/discharge notification provided to the representative or the Office of the LTC Ombudsman. 2. Review of Resident #8's medical record showed: [...]
Inspectors wroteBased on interview and record review, the facility failed to provide written notification of the bed-hold policy to the resident and/or their representatives at the time of transfer for six residents (Resident #3, #8, #12, #23, #34 and #36) out of six sampled residents. The facility census was 40. The facility did not provide a bed hold policy. 1. Review of Resident 3's medical record showed: - The resident transferred to the hospital on [DATE]; - No documentation of the written notification for the bed-hold policy provided to the resident and/or the resident's responsible party for the transfer. 2. Review of Resident 8's medical record showed: - The resident transferred to the hospital on [DATE]; - No documentation of the written notification for the bed-hold policy provided to the resident and/or the resident's responsible party for the transfer. 3. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure staff reconciled narcotics (a process that allows one staff to reconcile the exact narcotic inventory on hand with another staff) at each shift change for three out of three medication carts. This practice had the potential to affect all residents. The facility census was 40. Review of the facility's policy titled, Schedule II-V Medications, undated, showed: - All schedule II, III, IV, and V medications must be counted (comparing number of pills to disposition record) at every change of shift by two Certified Medication Technicians (CMT) or one CMT and one licensed nursing staff. Both personnel must sign verification of the correct count; - If at any time, the count is incorrect, the CMT must notify licensed nursing staff, who will call the Director of Nursing (DON) or designee for instructions. 1. [...]
Inspectors wroteThe facility failed to provide appropriate documentation of tuberculosis (TB-an infectious bacterial disease that affects the lungs) testing for four residents (Resident #1, #24, #30 and #42) out of five sampled residents. The facility failed to perform hand hygiene and glove changes during wound care for one (Resident #34) out of two residents and incontinent care for one (Resident #245) out of four residents. The facility failed to develop and implement a risk management process specific to Legionella disease (a serious type of pneumonia caused by Legionella bacteria) which had the potential to affect all residents, staff, and the public. [...]
Inspectors wroteBased on interview and record review, the facility failed to consistently document a code status for one resident (Resident #12) out of 12 sampled residents. The facility census was 40. The facility did not provide a policy regarding a resident's code status. 1. Review of Resident #12's medical record showed: - An admission date of [DATE]; - The revised care plan, dated [DATE], showed a Do Not Resuscitate (A DNR instructs providers not to do CPR (cardiopulmonary resuscitation) if a patient's breathing stops or if the patient's heart stops beating). - The face sheet, undated, showed a DNR status; - The Physician's Order Sheet (POS), dated [DATE], showed a full code (if a person's heart stopped beating and/or they stopped breathing, CPR procedures would be provided) status; - A DNR form signed by the resident on [DATE], and signed by the physician on [DATE]; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe, clean, comfortable, homelike environment, and failed to clean and/or repair/replace wheelchairs for one sampled resident (Resident #22) and three residents (Resident #6, #9, and #20) outside the sample. The facility's census was 40. Review of the facility's policy titled, Orientation Manual Guidelines, dated May 2006, showed the maintenance manager responsibilities will be: - Supervise the day-to-day activities of the maintenance department in accordance with current federal, state, and local standards, guidelines and regulations governing the facility, and as may be directed by the environmental manager or the Administrator; - Assure the facility will be maintained in a safe and comfortable manner; - To repair and install drywall including mudding, taping and sanding; - Paint walls; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to assess the use of a bed and chair alarm (devices that contain sensors that trigger an alarm when they detect a change in pressure) to determine if utilized as restraints and to complete on-going evaluations for the continued need for one resident (Residents #24) out of three sampled residents. The facility census was 40. Review of the facility's policy titled, Nursing Guidelines Manual, undated, showed bed and chair alarm documentation should include: Date and time bed and chair alarm ordered and name and title of person ordering the restraint; Type of restraint; Reason or reasons for the use of the bed and chair alarm and the resident's response; All pertinent observations; Signature and title of person recording the data. 1. Review of Resident #24's medical record showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to update and revise care plans with specific interventions tailored to meet individual needs for one resident (Resident #22) out of 12 sampled residents. The facility census was 40. Review of the facility's policy titled, Care Plan, Comprehensive, undated, showed: - Assessment of each resident is an ongoing process and the care plan will be revised as changes occur in the resident's condition; - A well developed care plan will be oriented to managing risk factors to the extent possible or indicating the limits of such interventions; - Addressing ways to try and preserve and build upon resident strengths; - Evaluating treatment of measurable goals, timetables and outcomes of care; - Use appropriate interdisciplinary approach to care plan development to improve the residents functional abilities; [...]
Inspectors wroteBased on interview and record review, the facility failed to obtain timely urine specimens when a resident had symptoms of a urinary tract infection and failed to notify the physician the urine specimen was not collected, which resulted in an emergency room visit for one resident (Resident #22) out of 12 sampled residents. The facility census was 40. Review of the facility's policy titled, Lab Reporting Guidelines, undated, showed it did not address what to do when lab orders were not completed. 1. Review of Resident #22's medical record showed: - An admission date of 10/16/23; - Diagnoses of dementia (a disorder marked by memory loss, personality changes, and impaired reasoning that interferes with daily functioning), dysuria (discomfort when urinating), muscle weakness, repeated falls, and urinary tract infection (UTI); [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a physician's order for oxygen was followed for three residents (Resident #6, #36, and #245) and failed to ensure oxygen tubing was dated when changed for two residents (Resident #195, and #245) out of five sampled residents. The facility census was 40. Review of the facility's policy titled, Oxygen Administration, undated showed: - The purpose is to administer oxygen to the resident when insufficient oxygen is being carried by the blood to the tissues; - Prefilled disposable humidifiers may be changed when empty; - Set the flow meter to the rate ordered by the physician; - Label humidifier with date and time opened; - Change humidifier and tubing per cleaning guidelines; - At regular intervals, check and clean the oxygen equipment, masks, tubing and cannulas; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure two Certified Nurse Assistants (CNAs) (CNA G and CNA H) out of two sampled CNAs, received nurse aide performance reviews annually. The facility census was 40. The facility failed to provide a policy regarding annual training. Review of the facility assessment, dated 03/07/24, showed staff competencies and annual training requirements per regulatory authority and/or facility policy to include: Abuse, Neglect, Exploitation and Misappropriation, Care/ Management for persons with dementia, Infection Control, Culture change, Person centered care, Disaster planning, Communication, and Resident rights. 1. Review of CNA G's employee file from 11/08/22 to 11/08/23, showed: - A hire date of 11/08/22; - No documentation of annual performance review. 2. Review of CNA H's employee file from, 09/05/2022 to 09/05/23, showed: [...]
Inspectors wroteBased on interview and record review, the facility failed to limit the use of an as needed (PRN) order for psychotropic (medications that affect how the brain works and causes changes in mood, awareness, thoughts, feelings, or behaviors) medication to 14 days for two residents (Resident #3 and #33) and the facility also failed to ensure an appropriate diagnosis for the use of a psychotropic medication and to attempt a gradual dose reduction (GDR) for three residents (Resident #5, #31 and #33) out of five sampled residents. The facility census was 40. The facility did not provide a policy on PRN, appropriate diagnoses, and GDR's of psychotropic medications. 1. Review of Resident #3's July 2024 Physicians Order Sheet (POS) showed: [...]
Inspectors wroteBased on interview and record review, the facility failed to properly monitor the refrigerator temperatures for stored medications, including insulin (medication used to treat diabetes). This had the potential to affect all residents. The facility census was 40. Review of the facility's policy titled, Refrigerator Temperature, undated, showed: - All refrigerators being used for resident medication must be checked daily for temperature; - Task should be completed every night by night shift nurse; - Temperatures will be logged in the temperature log binder located at the nurses station; - This is mandatory and regulation; - Temperature should range between 36 - 42 degrees. If it is not correct, please adjust the temperature and recheck it within your shift. [...]
Inspectors wroteBased on interview and record review, the facility failed to establish a written agreement with hospice (health care that focuses on the quality of life of a terminally ill person) for two Residents (Resident #3 and #33) out of eight sampled residents. The facility census was 40. The facility did not provide a policy on hospice services. 1. Review of Resident #3's medical record showed the resident admitted to hospice services on 04/05/24. Review of the resident's hospice care plan, dated 04/05/24, showed the resident admitted to hospice services on 04/05/24. The facility did not provide a hospice agreement with the resident's hospice service provider. 2. Review of Resident #33's medical record showed the resident admitted to hospice services on 03/19/23. Review of the resident's hospice care plan, dated 03/19/23, showed the resident admitted to hospice services on 03/19/23. [...]
Inspectors wroteBased on interview and record review, the facility failed to have a Quality Assurance and Performance Improvement (QAPI - a program to improve the processes for the delivery of health care and quality of life for the residents) program in place with policies and protocols describing how the facility will identify and correct its own quality deficiencies. This deficient practice had the potential to affect all residents in the facility. The facility census was 40. The facility's policy titled, QAPI Plan, dated, September 2022 showed: - The purpose of our facility's QAPI plan is to take a proactive approach to promote excellence in quality of care, quality of life, resident directed care and resident choice incorporating staff, care partners, and family; - The QAPI program will be developed with governance and leadership; - The governing body ensures staff accountability; [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure the Quality Assurance/Quality Assurance Performance Improvement (QAA/QAPI - a program to improve the processes for the delivery of health care and quality of life for the residents) committee developed and implemented an appropriate plan of action to correct identified quality deficiencies using a Performance Improvement Project (PIP). This had the potential to affect all residents in the facility. The facility census was 40. Review of the facility's policy titled, QAPI Plan, dated September 2022, showed: -The QAPI committee annually prioritizes activities, endorses or re-endorses policies and procedures, and continually monitors for improvement through the use of a QAPI self-assessment; - The QAPI Steering Committee will implement any PIP topics indicated by data analysis; [...]
Inspectors wroteBased on interview and record review, the facility failed to maintain quarterly Quality Assurance and Improvement Program (QAPI - a program to improve the processes for the delivery of health care and quality of life for the residents) committee meetings with the required members. The facility census was 40. Review of the facility's policy titled, Quality Assurance and Improvement Plan (QAPI Plan), dated September 2022,showed it did not address the specific members required for the QAPI committee. Review of the QAPI attendance sheets, dated 02/21/24, showed the Director of Nursing (DON) did not attend the QAPI meeting. During an interview on 07/12/24 at 12:55 P.M., the Administrator said the last QAPI meeting was on 02/21/24. The DON did not attend the QAPI meeting because the facility hasn't had a DON since November 2023. The QAPI committee did require the DON to be a required member.
Inspectors wroteBased on interview and record review, the facility failed to conduct at least twelve hours of nurse aide in-service education per year for two Certified Nurse Assistants (CNA) (CNA G and CNA H) out of two sampled CNAs. The facility's census was 40. The facility did not provide a policy regarding annual training. Review of the facility assessment, dated 03/07/24, showed staff competencies and annual training requirements per regulatory authority and/or facility policy to include: abuse, neglect, exploitation and misappropriation, care/ management for persons with dementia, infection control, culture change, person centered care, disaster planning, communication, and resident rights. 1. Review of CNA G's employee record, dated November 2022 through November 2023, showed: - Hire date of 11/08/22; - No documentation of any annual in-service trainings provided; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These practices had the potential to affect all residents. The facility census was 43. Record review of the facility's Glove Use policy, dated May 2015, showed: - To ensure safe and proper food handling during food preparation and services; - The food code states that food items should not be handled with bare hands; - Hand washing per guidelines should occur between each task; - Gloves should be worn when handling food. Record Review of the facility's Nutrition and Dining Services Guideline Manual, dated April 2011, showed: - The responsibility of the Dining Services Manager will be to enforce the cleaning schedules and to monitor the completion of assigned cleaning tasks; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe, clean, comfortable, and homelike environment. The facility's census was 43. Record review of the facility's Orientation Manual Guidelines policy, dated May 2006, showed the maintenance manager responsibilities will be: - Supervise the day-to-day activities of the maintenance department in accordance with current federal, state, and local standards, guidelines and regulations governing the facility, and as may be directed by the environmental manager or the Administrator; - Assure the facility will be maintained in a safe and comfortable manner; - To repair and install drywall including mudding, taping and sanding; - Paint walls; - Assist in setting maintenance standards as well as establishing a preventative maintenance program; [...]
Inspectors wroteBased on interview and record review, the facility failed to maintain quarterly quality assurance assessment (QAA) committee meetings with the required members. The facility's census was 43. Record review showed no documentation the facility maintained the minimum required quarterly QAA meetings with the required members. During an interview on 2/9/23 at 12:33 P.M., the Administrator said she has daily quality assurance (QA) meetings with all of the department heads in the facility, but had not been holding quarterly meetings with the Medical Director (MD) because she cannot get the MD to come to the facility nor get him/her to attend a conference call. The facility did not have wifi capabilities yet, and the MD had told her that he/she refused to come to the facility until the wifi was set up. The corporate office had not provided the wifi service to the facility yet. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an effective pest control program. The facility's census was 43. Record Review of the facility's Nutrition and Dining Services policy, dated April 2011, showed: - The dietary department must be free from vermin at all times; - Food must be properly covered and stored; - The dietary department must be kept free from soil and clutter; - Arrangements will be made by the Administrator for an effective pest control program to provide routine services. Observations of the kitchen on 2/6/23 at 10:23 A.M., showed: - Thirty gnats crawled on the inside shelves of the commercial double door reach-in refrigerator in the middle aisle; - The commercial double door reach-in refrigerator in the middle aisle with bug debris; - The commercial double door reach-in refrigerator near the coffee pot with bug debris inside. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide a copy of the notice for transfer or discharge to the resident and or the resident's representative for two residents (Resident #19 and #24) out of two sampled residents. The facility's census was 43. Record review of the facility's Post Discharge Plan of Care policy, dated April 2006, showed: - A post discharge plan of care to be completed prior to the time of the discharge, and to include the resident's needs and referrals, the responsible party's signature and date, and obtained at the time of the discharge; - The social worker maintains the primary responsibility of the discharge plan and coordinates the discharge process; - The charge nurse to complete the remaining sections of the Post-Discharge Plan of Care form and obtains the signature from the responsible party. 1. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide written information to the resident and/or the resident's legal representative of their bed hold policy at the time of transfer to the hospital for two residents (Resident #19 and #24) out of two sampled residents. The facility's census was 43. 1. Record review of Resident #19's medical record showed: - admitted on [DATE]; - The resident transferred to the hospital on [DATE]; - No documentation with the notification for the bed hold policy provided to the resident and/or the resident's responsible party upon transfer to the hospital. 2. Record review of Resident #24's medical record showed: - admitted on [DATE]; - The resident transferred to the hospital on [DATE], 12/9/22, 1/23/23, and 1/29/23; [...]
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a baseline care plan (plan for immediate needs) within 48 hours of admission that included the minimum healthcare information necessary to properly care for the immediate needs of one resident (Resident #142) out of two sampled residents. The facility census was 43. Record review of the facility's Temporary Care Plan guidelines, dated March 2015, showed: - A temporary care plan will be implemented to meet the new resident's immediate needs; - To assure that the resident's immediate care needs will be met and maintained, a temporary care plan will be implemented for the resident within 24 hours of admission; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain physician orders for one resident (Resident #142) out of 12 sampled residents. The facility census was 43. Record review of the facility's Physician Orders Guidelines, dated March 2015, showed: - Each resident must be under the care of a licensed physician authorized to practice medicine in this state; - Physician's orders must be dated and signed by the physician; - Orders must be written and maintained in chronological order; - Physician orders must be reviewed and renewed; - A Foley catheter (a flexible tube placed into the bladder to drain urine) order should specify the size and the frequency of the change; - Catheter care specifies what will be used according to the facility procedure. 1. Observations of Resident #142 showed: [...]
Inspectors wroteBased on interview and closed record review, the facility failed to ensure a discharge planning process was in place which addressed goals and needs and involved the resident and/or the resident's legal guardian and the interdisciplinary team (IDT) (a group of health care professionals from diverse fields who work in a coordinated effort toward a common goal for a resident) in developing a discharge plan for one resident (Resident #39) out of two sampled discharged residents. The facility census was 43. Record review of the facility's Post Discharge Plan of Care policy, dated April 2006, showed: - A post discharge plan of care to be completed prior to the time of the discharge, and to include the resident's needs and referrals, the responsible party's signature and date, and obtained at the time of the discharge; [...]
Inspectors wroteBased on interview and closed record review, the facility failed to complete a comprehensive discharge summary for one resident (Resident #39) out of two sampled discharged residents. The facility census was 43. Record review of the facility's Post Discharge Plan of Care policy, dated April 2006, showed: - A post discharge plan of care to be completed prior to the time of the discharge, and to include the resident's needs and referrals, the responsible party's signature and date, and obtained at the time of the discharge; - The social worker maintains the primary responsibility of the discharge plan and coordinates the discharge process; - The charge nurse to complete the remaining sections of the Post-Discharge Plan of Care form and obtains the signature from the responsible party. 1. Record review of Resident #39's closed medical record showed: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident was transferred by staff with safe transfer techniques for one resident (Resident #9) out of two sampled residents. The facility census was 43. Record review of the facility's Gait Belt (a device used for assistance with transfers and walking) Transfers policy, undated, showed: - Assist resident to a sitting position; - Apply belt to the resident's waist and tighten to fit snugly with the buckle at the side; - Face the resident; - Bend your knees and place your hands around the gait belt on each side of the resident's waist; - Bring the resident to a standing position while straightening your knees; - After the resident is standing, the belt provides assistance stabilizing the turning of the resident. 1. Record review of Resident #9's medical record showed: - Resident admitted on [DATE]; [...]
Inspectors wroteBased on interview and record review, the facility failed to conduct at least twelve hours of nurse aide in-service education per year. This affected two out of two sampled Certified Nurse Assistants (CNA) (CNA D and E). The facility's census was 43. 1. Record review of CNA D's in-service record showed: - A hire date of 4/10/15; - A total of eight hours of annual in-service training for February 2022 through February 2023; - Less than twelve hours of in-service education for February 2022 through February 2023. 2. Record review of CNA E's in-service record showed: - A hire date of 12/3/21; - A total of seven hours of annual in-service training for February 2022 through February 2023; - Less than twelve hours of in-service education for February 2022 through February 2023. [...]
9 fire safety citations on file: 1 on February 6, 2026, 1 on August 29, 2025, 2 on July 15, 2024, 5 on February 9, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| July 15, 2024 | Payment Denial | 116 days from August 22, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.27 | 3.43 | 3.86 |
| Registered nurses | 0.57 | 0.46 | 0.69 |
| All nursing staff on weekends | 2.94 | 3.01 | 3.42 |
| Nurse aides | 2.34 | ||
| Licensed practical nurses | 0.35 | ||
| Nursing staff turnover (share who left in a year) | 73.5% | 56.0% | 45.8% |
| Registered nurse turnover | not reported | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.66 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 3.40 on weekdays and 2.94 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 27.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.27 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 | 3.27 | 0.57 | 3.40 | 2.94 | 27.6% | 0 of 90 | 47 |
| Oct to Dec 2025 | 3.26 | 0.61 | 3.40 | 2.91 | 22.2% | 0 of 92 | 46 |
| Jul to Sep 2025 | 3.34 | 0.57 | 3.48 | 2.99 | 18.5% | 0 of 92 | 42 |
| Apr to Jun 2025 | 3.28 | 0.40 | 3.42 | 2.93 | 18.5% | 0 of 91 | 47 |
| 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 | 17.2 | 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 | 1.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 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 | 17.2 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.9 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 32.0 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.4 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 28.4 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Current River Rehabilitation & Health Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (41.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
41.8% 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. 48 eligible stays.
12.9% 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. 47 eligible stays.
9.0% 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. 31 eligible stays.
39.1% this home
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. 23 residents counted.
2.7% this home
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. 37 residents counted.
2.0% this home
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. 37 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. 7 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: CURRENT RIVER NURSING CENTER, 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% | 03/01/1992 |
| Lincoln, Judy | 5% or greater direct ownership interest | Individual | 05/01/2002 | |
| Campbell, Heather | W-2 managing employee | Individual | 03/23/2022 | |
| Bysor, Brandon | Corporate director | Individual | 03/23/2022 | |
| Drake, Timothy | Corporate officer | Individual | 03/23/2022 | |
| Stutts, Charlotte | Corporate officer | Individual | 03/01/1992 | |
| Current River Nursing Center, Inc. | Operational/managerial control | Organization | 03/01/1992 |
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.