Lincoln County Nursing & Rehab: Staffing, Turnover, and Inspection Record
Lincoln County Nursing & Rehab is a 90-bed for-profit nursing home in Troy, Missouri, part of James & Judy Lincoln. In the CMS August 2026 release it reported 1.55 nurse aide hours per resident per day, 32% below the Missouri average of 2.29, and 74.2% nursing staff turnover (Missouri average 56.0%).
Lincoln County Nursing & Rehab
1145 East Cherry StreetTroy, MO 63379
Lincoln County
CMS Care Compare, August 2026 release
Special Focus Facility. CMS places nursing homes with a history of serious quality issues in its Special Focus Facility program, which brings more frequent inspections.
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Lincoln County Nursing & Rehab, nurse aides logged 1.55 hours per resident per day, 32% below the Missouri average. With about 78 residents a day, that works out to roughly 121 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
CMS note: Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.55 | 2.29 | 2.32 |
| Licensed practical nurses | 0.63 | 0.68 | 0.86 |
| Registered nurses | 0.27 | 0.46 | 0.69 |
| All nursing staff | 2.45 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.22 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
74.2% of nursing staff at Lincoln County Nursing & Rehab left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 66.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 16, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Missouri average 11.5). CMS lists 4 fines totaling $259,609 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 16, 2026 | Fine | $24,195 |
| Apr 16, 2026 | Payment Denial | 3 days from May 26, 2026 |
| May 23, 2024 | Fine | $151,801 |
| May 23, 2024 | Payment Denial | 21 days from Jul 24, 2024 |
| Mar 29, 2024 | Fine | $30,641 |
| Oct 17, 2023 | Fine | $52,972 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
About Lincoln County Nursing & Rehab
- Ownership: For profit - Limited Liability company
- Chain: James & Judy Lincoln, 56 homes
- Legal name: N & R of Lincoln County, Inc.
- Medicare and Medicaid certified since: Jun 26, 1990
- Councils: resident council
- Area: urban
Nursing homes near Lincoln County Nursing & Rehab
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Troy Manor Troy | 0.4 | 130 | 1.71 | 2.57 | 38.3% | 1 | $104,685 |
| Elsberry Missouri Health Care Center Elsberry | 12.9 | 56 | 2.15 | 3.05 | 38.6% | 4 | $28,704 |
| Warrenton Manor Wright City | 14.3 | 120 | 2.31 | 3.07 | 43.2% | 1 | None |
| Cottages of Lake St Louis Lake Saint Louis | 17.5 | 60 | 3.92 | 6.03 | 57.5% | 4 | $17,696 |
| Abbey Senior Health O Fallon · abuse citation | 18.3 | 55 | 2.94 | 4.74 | 35.6% | 3 | None |
| Sunterra Springs Dardenne Prairie Dardenne Prairie | 18.7 | 38 | 2.20 | 4.46 | 76.1% | 2 | $49,722 |
| Garden View Care Center O Fallon · abuse citation | 19.4 | 80 | 3.37 | 4.67 | 62.1% | 1 | None |
| Delmar Gardens of O'Fallon O Fallon | 20.3 | 198 | 3.01 | 4.20 | 42.7% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.