HomeMissouriLincoln CountyLINCOLN COUNTY NURSING & REHAB
F
Critical

LINCOLN COUNTY NURSING & REHAB

1145 EAST CHERRY STREET · TROY, MO 63379

6365285712 · For profit - Individual

90 beds79.9 residents100 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
D
Poor
Total Staff
F
Critical
RN Staff
F
Critical
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LINCOLN COUNTY NURSING & REHAB receives an overall staffing grade of F (Critical). With 2.7529 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.1266 HPRD, below the recommended 0.75. It is 1.14 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.44% compared to weekdays. The facility has low agency staff usage (0.9% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Had 13 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.7529 HPRD — needs 0.73 more hours per resident per day.
⚠️RN staffing (0.1266 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (2)

Low agency staff usage (0.9%) — mostly permanent, familiar staff
Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.7529hrs/resident/day 1.14
CMS benchmark: 3.48
RN HPRD
0.1266hrs/resident/day 0.56
Recommended: 0.75
Weekend Drop-off
12.44%
2.8533 weekday → 2.4982 weekend
Agency Staff
0.9%
19.51% of RN hours from contractors
Days with Zero RN
13days this quarter
4+ days = auto 1-star
Auto 1-star triggered
CNA HPRD
0.8923hrs/resident/day
Direct care aides
LPN HPRD
0.6321hrs/resident/day
Licensed practical nurses
Consistency
0.2957std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lincoln County Average+0.11 HPRD
2.64
02.75 HPRD
vs. Missouri State Average-0.73 HPRD
3.48
02.75 HPRD
vs. National Average-1.14 HPRD
3.90
02.75 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LINCOLN COUNTY NURSING & REHAB
TROY · This facility
F
2.75290.1266☆☆☆☆☆
WARRENTON MANOR
WRIGHT CITY
14.3 mi
D
3.25210.3159★★☆☆☆
GARDEN VIEW CARE CENTER
O FALLON
19.3 mi
C
4.33580.466☆☆☆☆
ASPIRE SENIOR LIVING JONESBURG
JONESBURG
20.3 mi
F
2.150.3966★★☆☆☆
ASPEN POINT HEALTH AND REHABILITATION
SAINT CHARLES
26.9 mi
C
3.13480.5432☆☆☆☆☆
NHC HEALTHCARE, ST CHARLES
SAINT CHARLES
28.1 mi
C
3.33160.5499★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
113
Total Deficiencies
$235,414
Fines Assessed
Nov 17, 2025Health
1 deficiency cited
Jan 17, 2025Health
2 deficiencies cited
Oct 8, 2024Health
2 deficiencies cited
May 23, 2024Health
54 deficiencies cited· Includes actual harm
Mar 29, 2024Health
6 deficiencies cited· Includes actual harm
Jan 3, 2024Health
2 deficiencies cited
Oct 17, 2023Health
3 deficiencies cited· Includes actual harm
Oct 27, 2022Health
26 deficiencies cited· Includes actual harm
Jun 20, 2019Health
17 deficiencies cited

Penalty History

May 23, 2024Fine
$151,801
May 23, 2024Payment Denial
Mar 29, 2024Fine
$30,641
Oct 17, 2023Fine
$52,972
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.