McDonald County Living Center: Staffing, Turnover, and Inspection Record
McDonald County Living Center is a 96-bed for-profit nursing home in Anderson, Missouri, part of James & Judy Lincoln. In the CMS August 2026 release it reported 1.92 nurse aide hours per resident per day, 16% below the Missouri average of 2.29, and 25.6% nursing staff turnover (Missouri average 56.0%).
McDonald County Living Center
1000 Patterson StreetAnderson, MO 64831
Mc Donald County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At McDonald County Living Center, nurse aides logged 1.92 hours per resident per day, 16% below the Missouri average. With about 58 residents a day, that works out to roughly 112 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.92 | 2.29 | 2.32 |
| Licensed practical nurses | 0.69 | 0.68 | 0.86 |
| Registered nurses | 0.54 | 0.46 | 0.69 |
| All nursing staff | 3.15 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.80 | 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
25.6% of nursing staff at McDonald County Living Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 0.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 12, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. McDonald County Living Center holds 4 of 5 overall; the Missouri average is 2.5.
About McDonald County Living Center
- Ownership: For profit - Corporation
- Chain: James & Judy Lincoln, 56 homes
- Legal name: N & R of Anderson LLC
- Medicare and Medicaid certified since: Feb 1, 1991
- Councils: resident and family councils
- Area: rural
Nursing homes near McDonald County Living Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Medicalodges Neosho Neosho · staffing data not validated | 12.8 | 114 | — | — | 37.8% | 4 | None |
| Highlands of Bella Vista Health & Rehab, LLC Bella Vista | 15.3 | 90 | 2.86 | 4.44 | 45.6% | 2 | $8,055 |
| Concordia Nursing & Rehab, LLC Bella Vista · SFF candidate | 15.4 | 102 | 2.02 | 3.52 | — | 1 | $123,918 |
| Seneca Nursing Seneca | 17.1 | 80 | 1.92 | 2.78 | 63.8% | 1 | None |
| Betty Ann Nursing Center Grove · many days without an RN | 18.9 | 60 | 2.46 | 3.70 | 50.0% | 1 | $44,429 |
| Grand Lake Villa Grove · abuse citation | 19.0 | 100 | 3.06 | 4.12 | 40.6% | 2 | $32,576 |
| Grove Nursing Center Grove | 20.0 | 133 | 2.60 | 3.98 | 41.1% | 3 | None |
| Apple Creek Health and Rehab, LLC Centerton | 20.9 | 114 | 3.23 | 4.45 | 51.2% | 2 | $8,410 |
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.