Hermitage Nursing & Rehab
Nursing Home · Hermitage, MO
CMS certification number265239
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
18599 First StreetHermitage, MO 65668
Hickory County
- Phone
- (417) 745-2111
- ZIP code
- 65668 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 64.3 (54% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- N & R of Hermitage LLC
- Chain
- James & Judy Lincoln (56 facilities, avg 2.4★)
- Medicare certified since
- July 2, 1984
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.84 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.37 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.37 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.10 (state 2.29 · U.S. 2.32)
- Weekend total
- 2.29 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 53.8 (state 56.0 · U.S. 45.8)%
- RN turnover
- 42.9 (state 47.8 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- December 12, 2025
- Health deficiencies (last cycle)
- 12.0 (state 11.5 · U.S. 9.3)
- From complaints
- 8
- Citations on record (3 years)
- 23 health · 9 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-06-01 |
| 2026-03-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-04-20 |
| 2026-03-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-06-01 |
| 2026-03-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-01 |
| 2026-03-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-20 |
| 2026-03-05 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-20 |
| 2026-03-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-20 |
| 2026-03-05 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-20 |
| 2025-12-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-26 |
| 2025-12-12 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-26 |
| 2025-12-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-26 |
| 2025-12-12 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-26 |
| 2024-02-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-03-17 |
| 2024-02-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-17 |
| 2024-02-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-17 |
| 2024-02-01 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-17 |
| 2024-02-01 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-17 |
| 2022-01-13 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-02-27 |
| 2022-01-13 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-02-27 |
| 2022-01-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-02-27 |
| 2022-01-13 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-02-27 |
| 2022-01-13 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-02-27 |
| 2022-01-13 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-02-27 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $78,550 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-05 | Fine | $78,550 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Lincoln, James (individual) | 5%+ Direct Ownership Interest · 50% | |
| Lincoln, Judy (individual) | 5%+ Direct Ownership Interest · 50% | |
| LTC Management Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Spence, Jaquelyne (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Hermitage Nursing & Rehab?
Hermitage Nursing & Rehab has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Hermitage Nursing & Rehab have?
It has 120 certified beds and cares for about 64 residents per day.
Has Hermitage Nursing & Rehab been fined?
Yes. CMS lists 1 penalty totaling $78,550 in the last three years.
Who owns Hermitage Nursing & Rehab?
It is part of James & Judy Lincoln and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Hermitage Nursing & Rehab?
(417) 745-2111. The facility is located at 18599 First Street, Hermitage, MO 65668.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.