996 State Highway 248, Branson, MO 65616 · Taney County · (417) 334-6431
100 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265393 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 13, 2026, inspectors cited 7 health deficiencies (the Missouri average is 11.4, the national average 9.2).
Of 32 health citations since July 2022, 1 was 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 3.38 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.
55.6% 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 32 health citations on file.
Inspectors wroteBased on observation and interview, the facility failed to ensure all medication was secured when medication and treatment carts were left unlocked, medication keys were left in box on top of the medication cart, and keys were left in the door lock of the medication room. The facility census was 77. Review of the facility policy, titled Storage of Medication, dated July 2021, showed the following:-Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier;-The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, pharmacy personnel, or staff members lawfully authorized to administered medications;-Medication rooms, carts, and medication supplies are locked when not attended by persons with authorized access. 1. Observation of the 300/400 Hall nurses' desk on 07/29/26 at 9:28 A. [...]
Inspectors wroteBased on record review and interview the facility failed to document notification of the responsible party or emergency contact of the resident's change in health condition, transfer to and return from the hospital for one Resident (Resident #1). The facility census was 77. Review of the undated facility policy, titled Condition Change, Resident, showed the following:-After all resident falls, injuries of changes in physical or mental function, monitor the resident;-Notify the resident's responsible party;-Monitor resident's condition frequently;-Notify physician of condition change, need for treatment orders and/or medication order changes. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide the services of a registered nurse (RN) for at least eight consecutive hours per day seven days per week when the facility did not have consistent RN coverage on the weekends. The facility census was 75. Review showed the facility did not have a specific policy pertaining to the scheduling of an RN. 1. Review of the facility's nurse schedule, timecard reports for all RNs, and facility form entitled Salaried Personnel - Direct Resident Care Logs (Salaried Time Log - logged working hours by salaried employee), dated December 2025, January 2026, and February 2026, showed the following:-On Saturday, 12/06/25, no RN was scheduled. The Minimum Data Set Coordinator/RN (MDS - a federally mandated comprehensive assessment tool completed by facility staff)) worked for 6.9 hours; [...]
Inspectors wroteBased on record review and interview, the facility failed to implement their abuse and neglect policies when staff failed to complete criminal background checks (CBCs) for two of ten sampled employees prior to their hire/start date in a facility with a census of 75. Review of the facility's Abuse Prohibition Protocol Manual (effective 11/28/2016) showed the following:-The facility must develop and implement written policies and procedures that: -prohibit and prevent abuse, neglect, and exploitation of residents, and misappropriation of property;-It is the policy of this facility to screen employees and volunteers prior to working with residents. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the medication storage refrigerator at the recommended temperatures, per manufactures recommendations, for multiple medications stored in the refrigerator for use. The facility census was 75. Review of the facility's policy titled Medications, Storage of, undated, showed the following:-Biologicals or medications requiring refrigeration must be kept in a separate, securely fastened refrigerator;-Drugs must be stored at appropriate temperature levels. Drugs stored in a refrigerator must be stored between 36 and 46 degrees Fahrenheit (F). [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain a complete infection control program when staff failed to use proper hand hygiene and Enhanced Barrier Precautions (EBP - an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs - microorganism that has developed resistance to one or more classes of antibiotics, making infections caused by it more difficult to treat) in nursing homes) during wound care for one resident (Residents #58) and medication administration for one resident (Resident #8) who had a feeding tube. Staff failed to complete proper hand hygiene during diabetic accu-checks (a point of care blood test) for one resident (Resident #1). A sample of 16 residents was reviewed. The facility census was 75. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to complete a comprehensive and individualized care plan for one resident (Resident #10). The care plan failed to include monitoring and interventions for the following: high fall-risk; insulin (a medication that lowers the level of glucose in the blood for treatment of diabetes), for an anticoagulant (prevent or reduce the ability of the blood to clot) medication; and toileting needs. The facility census was 75. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all residents received care and treatment in accordance with professional standards of practice when facility nursing staff failed to provide assessments after falls in accordance with their change in condition policy and neurological assessment sheet (evaluation of the functioning of the nervous system, identifying any abnormalities or neurological deficits.) for two residents (Resident #12 and Resident #45) after each resident sustained a fall with potential for head injury. The facility census was 75. Review of the facility policy titled, Condition change, resident (observing, recording, and reporting) (includes falls), undated, showed the following:-After all residents fall, injuries or changes in physical or mental function, monitor the following: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed ensure all residents maintained acceptable standards of nutritional status when staff failed to consistently encourage fluid intake for one resident (Resident #10) whose intake was less consistently that recommended by the registered dietician (RD) The facility census was 75. Review of the facility's policy titled Hydration, undated, showed the following:-The amount is based on careful assessment. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to obtain a physician order, care plan the use of and monitor one resident's (Resident #1) cardiac life vest (a portable device that monitors and protects individuals at risk for sudden cardiac arrest (sudden, unexpected loss of heart function, breathing, and consciousness)) out of a sample size of 7 residents. The facility census was 78. Review of the facility policy titled, Physician Orders, undated, showed a current list of orders must be maintained in the clinical record of each resident to avoid confusion and errors. Physician orders must be reviewed and renewed. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure pharmacy services in place that established a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation, that ensured drug records were in order, and ensured an account of all controlled drugs was maintained and periodically reconciled when staff had medications that could not be returned to the pharmacy stored and not destroyed in timely manner for 73 residents, which included 159 cards of controlled substance medications, and failed to have a system of accountability for the 159 cards of unused controlled substance medications located in locked cabinets in two offices that were pending destruction. The facility census was 69. [...]
Inspectors wrote3. Review of Resident #33's Resident Face Sheet showed the following: -admission date of 10/09/23; -Diagnoses that included essential hypertension (high blood pressure), cognitive communication deficit, and unspecified macular degeneration (a disease that affects a person's central vision). Review of the resident's quarterly MDS, with an ARD of 01/15/24, showed the resident had moderate cognitive impairment. Observation on 03/18/24, at 9:38 A.M., showed a medication cup that contained a small blue-gray tablet and four white tablets in the resident's room. The resident said the nurse brought the pills into their room that morning about 9:00 A.M. and left the medications in the room for them to take as they wanted. [...]
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure staff assessed one resident (Resident #30), of two sampled residents reviewed for self-administration of medications, to determine if they were clinically appropriate and safe to self-administer medications before allowing them to administer their own medication. Review the facility policy titled, Medications, Self-Administration, Self Storage, Leave At Bedside, undated, showed the following: -The resident has a right to self-administer medication unless the interdisciplinary team has determined that this practice is unsafe for an individual resident; -If a resident expresses a desire to self-administer medication, the interdisciplinary team must assess the resident's cognitive, physical, and visual ability to carry out this responsibility. [...]
Inspectors wroteBased on interviews, and record review, the facility failed to resolve a grievance and document full resolution of the grievance for one resident (Resident #8) of two residents reviewed for grievances. Review of an undated facility policy titled Resident Grievances showed the following: -The coordinator (or designee) shall conduct an investigation of the complaint to determine its validity. This investigation may be informal, but it must be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint; -The coordinator will maintain files and records of the facility, relating to such grievances; -The coordinator will issue a written decision on the grievance no later than 30 days after its filing. 1. Review of Resident #8's Resident Face Sheet showed the following: -admission date of 12/09/21; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two (Resident #12 and Resident #72) of 2 residents reviewed for activity of daily living (ADL) care received services to maintain grooming/personal hygiene. Specifically, the facility failed to ensure staff provided nail care and shaved facial hair for Resident #2 and #72. In addition, the facility failed to assist Resident #72 with a bath/shower twice weekly in March 2024 per the facility's shower schedule. Review of a facility policy titled Activities of Daily Living (ADL), undated, showed the purpose of the policy was to assist resident in achieving maximum function. (The policy did not addressed assisting residents with shaving or nail care. Review of the facility's Certified Nursing Assistant (CNA) Job Description, dated May 2006, showed the following: [...]
Inspectors wroteBased on record review, and interviews, the facility failed to monitor and document the bruit (a whooshing sound that can be heard with a stethoscope) and thrill (gentle vibration caused by blood flow) of a resident's arteriovenous (AV) shunt for one resident (Resident #61) of one sampled resident reviewed for dialysis (a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly) services. Review of a facility's policy titled, Dialysis, Care of a Resident Receiving, undated, showed the following: -Purpose to utilize the following guideline to provide care for a resident that is receiving dialysis; -Care of the AV shunt/fistula/graft specified, feel for the thrill sensation daily; -Checking the thrill sensation specified nurses will check the thrill daily and document daily. This will be documented on the resident's treatment record; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the physician reviewed and acted upon medication irregularities reported by a Consultant Pharmacist in a timely manner for one resident (Resident #16) of five residents reviewed for unnecessary medications. Review of facility guideline titled, Drug Review, undated, showed the following: -All medications given to each resident will be reviewed on a monthly basis in order to review drug interactions, ensure adherence to stop orders. ensure accuracy in administration, and evaluate medications appropriate to diagnosis; -The pharmacist reviews all federal indicators, and a monthly report form is filled out to show any problem areas. The report lists any problems noted, the date, and signature of reporter; -Medications should not show unnecessary or excessive use and should have a diagnosis to support them; [...]
Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure an expired medication was not stored in a resident's room for one resident (Resident #8) of 21 sampled residents. Review of the facility policy titled, Medications, Storage of, undated, showed the following: -All medications for residents must be stored at or near the nurses' station in a locked cabinet, a locked medication room, or one or more locked mobile medication carts; -No discontinued, outdated, or deteriorated drugs or biologicals may be retained for use. 1. Review of Resident #8's Resident Face Sheet showed an admission date of [DATE]. Observations on [DATE], at 11:18 A.M., showed a tube of hydrocortisone cream in the resident's room. The cream had an expiration date of [DATE]. [...]
Inspectors wroteBased on observations and interviews, the facility failed to ensure a privacy curtain was in place between two residents (Resident #16 and Resident #17) who resided in one of 48 semi-private rooms in the facility. 1. Observations on 03/18/24, at 11:59 A.M., showed Resident #16 and Resident #17 shared a semi-private room. The privacy curtain between their beds was missing. Observations on 03/19/24, at 12:04 P.M., and on 03/20/24, at 10:35 A.M., showed the privacy curtain between the two residents was missing. During an interview on 03/20/24, at 12:09 P.M., Certified Nurse Assistant (CNA) #9 said he/she had been employed at the facility for approximately one year and did not recall if there had ever been a privacy curtain between the residents' beds. He/she did not think the privacy curtain was a concern due to the poor cognition of both residents. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide protective oversight to one resident (Resident #1), when staff failed to place foot rests on the resident's wheelchair, and the resident subsequently fell out of the wheelchair sustaining a facial laceration and a broken nose. The facility census was 78. Review of the facility policy titled, Use of Wheelchair, undated, showed the following: -Purpose to provide mobility for the non-ambulatory resident with safety and comfort and to provide mobility for residents learning to become independent in activities of daily living; -Apply brakes to lock wheels of wheelchair and fold footrests up out of the resident's way for safety; -Do not remove footrests unless resident uses feet on floor to enable mobility; -Pad seat of wheelchair with pressure-reducing cushion; [...]
Inspectors wroteBased on interviews and record review, the facility failed to ensure all allegation of possible abuse were reportedly immediately to the facility manager and within two hours to the State Survey Agency (SSA - Department of Health and Senior Services (DHSS)) when the Medical Director did not report an allegation of possible abuse received from one resident (Resident #1). The facility census was 79. Review of the facility's policy titled Abuse Prohibition and Protocol Manual, undated, showed the following: -It is the policy of the facility that each resident will be free from abuse. Abuse can include verbal, mental, sexual, or physical abuse, misappropriation of resident property and exploitation, corporal punishment or involuntary seclusion; -The facility will ensure that all allegations of abuse or serious bodily injury are reported to the SSA within two hours; [...]
Inspectors wroteBased on record review, observation, and interview, the facility failed to store food in accordance with professional standards of practice and protect food from possible contamination when staff did not store dry food properly after opening and staff did not wear proper hair coverings. The facility census was 77. 1. Record review of the 2013 Missouri Food Code showed the following information: -Food shall be protected from contamination by storing the food in a clean, dry location and where it is not exposed to splash, dust, or other contamination. Record review showed the facility did not have a policy regarding dry food storage. Observations of the kitchen on 7/24/2022, beginning at 9:24 A.M., showed the following: -Containers of golden pure cane sugar and corn starch opened to the air and not covered or sealed; -Box of raisins opened to the air and not covered or sealed; [...]
Inspectors wroteBased on record review and interview, the facility failed to notify the resident and the resident's representative in writing of a transfer or discharge to the hospital and failed to provide the ombudsman (a resident advocate who provides support and assistance with problems and/or complaints regarding the facility) a copy of the notification of transfer to the hospital for four residents (Resident #17, #46, #56, and #65). The facility census was 77. Record review showed the facility did not provide a policy regarding written notification to the resident and the resident's responsible party of a transfer to the hospital. Record review of the facility's Bed Hold Policy, undated, showed it included an untitled form with the following information: -Date letter written; -Responsible party/representative name and address; -RE: Emergency Transfer Notice; [...]
Inspectors wroteBased on record review and interview, the facility failed to provide written notification to the resident and/or resident's representative of the facility's bed hold policy at the time of transfer for four residents (Resident #17, #46, #56, and #65). The facility census was 77. Record review of the facility's policy titled Bed Hold Policy Guidelines, undated, showed the following information: -The facility will notify all residents, and/or their representative of the bed hold guideline; -This notification will be given upon admission to the facility, at the time of transfer to the hospital or leave, and at the time of non-covered therapeutic leave; -The rights and limitation of the resident regarding bed-holds; -The reserve payment policy as indicated by the state plan (Medicaid residents); [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain written consent for side rail use, failed to complete a documented side rail assessment, failed to monitor and measure bed rails for risk of entrapment , failed to obtain physician orders for use of side rails, and failed to complete a risk versus benefits side rail assessment for four residents (Residents #38, #56, #65, and #219). The facility census was 77. Record review showed the facility did not provide a policy regarding side rail assessments. 1. Record review of Resident #219's face sheet (admission information) showed the following information: -admission date of 7/20/22; [...]
Inspectors wroteBased on observation, record review, and interview, the facility staff failed to ensure serving sizes met the approved menu when serving meals to the residents. The facility census was 77. Record review of the facility's Nutrition and Dining Services Manual, dated May 2015, showed the following: -Staff should prepare meals in accordance with planned menus, standardized recipes, special diet orders and established portion control guidelines. 1. Record review of the facility's menu spread sheet showed residents should receive one half cup of spinach and one half cup of potatoes, including pureed spinach and potatoes, for lunch on 7/26/2022. Observations on 7/26/2022, at 12:09 P.M., showed the following: -The Dietary Manager (DM) placed one third cup ladles in the whole potatoes, diced potatoes, creamed spinach and pureed cream spinach; [...]
Inspectors wroteBased on record review and interview, the facility failed to follow their infection control policy when staff failed to ensure staff completed employee tuberculosis (TB-a potentially serious infectious bacterial disease that mainly affects the lungs) screening tests on hire for six staff members. The facility census was 77. Record review of the facility's policy, Tuberculosis Control, undated, showed the following information: -Provide a tuberculin skin test (Mantoux - five tuberculin units of purified protein derivative (PPD)) to all employees during the pre-employment procedures, unless a previous reaction greater than 10 mm (millimeters) is documented. If the initial skin test result is 0 to 9 mm, a second test should be given at least one week later and no more than three weeks after the first test; -All employees will be screened for TB; [...]
Inspectors wroteBased on record review and interview, the facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice (SNFABN-form CMS-10055) or a denial letter at initiation, reduction, or termination of Medicare Part A benefits for one resident (Resident #2) who remained in the facility after discharge from Medicare Part A services. The facility census was 77. Record review of the Centers for Medicare and Medicaid Services Survey and Certification memo (S&C -09-20), dated 1/09/09, and showed the following: [...]
Inspectors wroteBased on interview and record review, the facility failed to complete baseline care plans within 48 hours for two residents (Residents #53 and #219). The facility had a census of 77. Record review of the facility's policy titled, Care Plan, Temporary, undated, showed the following: -A temporary care plan will be implemented to meet the new resident's immediate needs; -To assure that the resident's immediate care needs are met and maintained, a temporary care plan will be implemented for the resident within twenty-four hours of admission; -The interdisciplinary care plan team and/or admitting nurse will review the physician orders and implement a nursing care plan to meet the immediate care needs of the resident; -The temporary care plan will be used until the comprehensive assessment has been completed and an interdisciplinary care plan has been developed. 1. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff administered medications with an error rate of less than 5% when staff made two errors out of 31 opportunities, resulting in an error rate of 6.45%, affecting two residents (Residents #37 and #68). The facility census was 77. Record review of the Novolog FlexPen (a fast-acting insulin) manufacturer's guidance, dated 3/2021, showed the following: -Before each injection small amounts of air may collect in the cartridge during normal use; -To avoid injecting air and to ensure proper dosing, -Prime (referred to as an air shot) the flex pen before each injection; -Turn the dose selector to select two units; -Hold the flex pen with the needle pointing up. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all residents were free from significant medication errors when staff administered insulin (medication used to help control blood sugar levels) without priming the insulin pens prior to administration per manufacture recommendations and standards of practice for two residents (Residents #37 and #68). The facility census was 77. Record review of the Novolog FlexPen (a fast-acting insulin) manufacturer's guidance, dated 3/2021, showed the following: -Before each injection small amounts of air may collect in the cartridge during normal use; -To avoid injecting air and to ensure proper dosing, -Prime (referred to as an air shot) the flex pen before each injection; -Turn the dose selector to select two units; -Hold the flex pen with the needle pointing up. [...]
Inspectors wroteBased on observation, record review, and interview, the facility failed to post the abuse and neglect hotline number in a manner that residents and family could easily access when the number was posted in an elevated position not easily seen from a wheelchair and in small print. The facility also failed to post the Medicare/Medicaid contact information for residents and family members to access. The facility census was 77. Record review of the facility's Abuse and Neglect Policy, undated, showed the policy did not address the positing of the abuse/neglect number or the Medicare/Medicaid information. 1. Observations on 07/25/2022, at 10:20 A.M. and 11:50 A.M., and on 7/26/2022, at 9:39 A.M. and 11:45 A.M., showed the abuse/neglect contact information was posted at the nurses' station for 100/200 halls. [...]
16 fire safety citations on file: 5 on February 13, 2026, 9 on March 21, 2024, 2 on July 28, 2022.
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) | 3.38 | 3.43 | 3.86 |
| Registered nurses | 0.28 | 0.46 | 0.69 |
| All nursing staff on weekends | 2.75 | 3.01 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 55.6% | 56.0% | 45.8% |
| Registered nurse turnover | not reported | 47.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.09 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 3.64 on weekdays and 2.75 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.50 in April to June 2025 to 3.38 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 | 3.38 | 0.28 | 3.64 | 2.75 | 0.9% | 10 of 90 | 76 |
| Oct to Dec 2025 | 2.86 | 0.14 | 2.99 | 2.54 | 2.3% | 22 of 92 | 78 |
| Jul to Sep 2025 | 3.16 | 0.20 | 3.30 | 2.80 | 0.5% | 4 of 92 | 76 |
| Apr to Jun 2025 | 3.50 | 0.24 | 3.66 | 3.09 | 0.0% | 1 of 91 | 78 |
| 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 | 31.3 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.8 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.3 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 34.2 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.8 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.8 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.4 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Shepherd of the Hills Living Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (59.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
59.2% 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. 95 eligible stays.
8.8% 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. 89 eligible stays.
8.5% 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. 58 eligible stays.
71.7% 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. 60 residents counted.
0.0% 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. 79 residents counted.
0.0% 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. 79 residents counted.
96.0% this home
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. 50 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 BRANSON LLC. 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% | 09/01/2016 |
| Lincoln, Judy | 5% or greater direct ownership interest | Individual | 50% | 09/01/2016 |
| LTC Management Services LLC | Operational/managerial control | Organization | 09/01/2016 |
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.