Shepherd of the Hills Living Center

Nursing Home · Branson, MO

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number265393

Contact & location

996 State Highway 248
Branson, MO 65616
Taney County
Phone
(417) 334-6431
ZIP code
65616 – all care providers

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Facility details

Certified beds
100
Residents per day
75.6 (76% occupied)
Ownership
For profit - Limited Liability company
Legal name
N & R of Branson LLC
Chain
James & Judy Lincoln (56 facilities, avg 2.4★)
Medicare certified since
August 24, 1989
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.5
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.2
Quality measures★★★★★ 4/5
State avg 2.7
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.38 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.28 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.92 (state 0.68 · U.S. 0.86)
Nurse aides
2.18 (state 2.29 · U.S. 2.32)
Weekend total
2.75 (state 3.02 · U.S. 3.42)
Nursing staff turnover
55.6 (state 56.0 · U.S. 45.8)%
RN turnover
—
Administrators who left
1 in the last year

Inspections

Last standard inspection
February 13, 2026
Health deficiencies (last cycle)
8.0 (state 11.5 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
30 health · 16 fire safety · includes actual harm
DateCitationSeverityStatus
2026-02-13 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 2026-03-30
2026-02-13 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-30
2026-02-13 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-30
2026-02-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-30
2026-02-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-30
2026-02-13 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-30
2026-02-13 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 2026-03-30
2025-11-20 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-04
2025-07-29 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-25
2024-03-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-03-21 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-03-21 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-03-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-03-21 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-03-21 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-03-21 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2024-03-21 Provide bedrooms that don't allow residents to see each other when privacy is needed.
F0914 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-06
2023-11-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2023-12-21
2023-09-29 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 2023-10-31
2022-07-28 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 2022-09-11
2022-07-28 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-09-11
2022-07-28 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-09-11
2022-07-28 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 2022-09-11
2022-07-28 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-09-11
2022-07-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-08-27
2022-07-28 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-11
2022-07-28 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-11
2022-07-28 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 2022-09-11
2022-07-28 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-11
2022-07-28 Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
F0575 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2022-09-11

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

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
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

Frequently asked questions

What is the rating of Shepherd of the Hills Living Center?

Shepherd of the Hills Living Center has a 2-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 Shepherd of the Hills Living Center have?

It has 100 certified beds and cares for about 76 residents per day.

Has Shepherd of the Hills Living Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Shepherd of the Hills Living Center?

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 Shepherd of the Hills Living Center?

(417) 334-6431. The facility is located at 996 State Highway 248, Branson, MO 65616.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.