Nursing home
Lincoln County Nursing & Rehab
1145 East Cherry Street, Troy, MO 63379 · Map
For profit - Individual · Part of James & Judy Lincoln (58 facilities) · 90 certified beds
Lincoln County Nursing & Rehab is a Medicare-certified nursing home in Troy, Missouri. Nurse staffing is 2.75 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on May 23, 2024 cited 55 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus FacilityCMS has identified this facility for enhanced oversight.
- 3 fines totaling $235,414In CMS records: 4 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Lincoln County Nursing & Rehab compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.75 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.13 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.99 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 75.3% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 55.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $235,414, 4 total penalties, 1 Medicare payment denial.
What inspectors found at Lincoln County Nursing & Rehab
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Oct 8, 2024 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Oct 8, 2024 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 23, 2024 · Full report (PDF) - Actual harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · May 23, 2024 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · May 23, 2024 · Full report (PDF) - Potential for harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · May 23, 2024 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · May 23, 2024 · Full report (PDF) - Potential for harm
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · May 23, 2024 · Full report (PDF) - Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · May 23, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1145 East Cherry Street
Troy, MO 63379 - CMS certification #
- 265433
- Ownership
- For profit - Individual
- Certified beds
- 90
- Avg residents/day
- 79.9
- Provider type
- Medicare and Medicaid
- First certified
- 1990-06-26
- Chain
- James & Judy Lincoln (58 facilities)
- Setting
- Urban
Part of James & Judy Lincoln
James & Judy Lincoln operates 58 nursing facilities across the United States. View all James & Judy Lincoln facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Lincoln County Nursing & Rehab using Google Maps.
Other public records
- Website says Works with hospice, transportation
- Staff pay 1 federal wage case with violations found, since 2021
Full public records, with dates and sources
Care and services
From the community’s website
What Lincoln County Nursing & Rehab says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
We have registered nurses and certified nursing assistants as well as visits from psychiatrists, podiatrists, dentists and hospice.
(page, checked Oct 15, 2026) - Provides transportation.
Van Transportation
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Semi-Private, Private Rooms & Suites
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Apr 12, 2021 to Apr 11, 2023. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Lincoln County Nursing and Rehab (N and R of Lincoln County Inc). Case 1978521.
DOL also concluded 1 case here with no violations found, most recently for a period ending Feb 24, 2013.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Hospital Lincoln, Troy. 1.7 miles away, straight line.
- Nearest Medicare nursing home
- Troy Manor, Troy. 0.4 miles away, straight line.
- Nearest home health agency office
- Calhoun County Health Department, Hardin. 21.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63379 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Fmc Dialysis Services Of Lincoln County, Troy, 2.3 miles away, straight line (CMS rating 2 of 5 stars)
Fmc - Wentzville, Wentzville, 11.9 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 17 Medicare hospices tell CMS they serve ZIP code 63379.
Ssm Health At Home Hospice, office in Wentzville, 12.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Community Loving Care Hospice, office in Wentzville, 12.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Solace Hospice Care, LLC, office in O'Fallon, 16.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Ssm Health Care Group, Saint Charles. 28.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
How is Lincoln County Nursing & Rehab staffed?
Lincoln County Nursing & Rehab reports 2.75 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Lincoln County Nursing & Rehab had inspection problems?
Its most recent CMS inspection cited 55 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Lincoln County Nursing & Rehab have?
Lincoln County Nursing & Rehab is certified for 90 beds.