Strafford Rehabilitation & Health Care Center

Nursing Home · Strafford, MO

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number265656

Contact & location

505 West Evergreen
Strafford, MO 65757
Greene County
Phone
(417) 736-9332
ZIP code
65757 – all care providers

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Facility details

Certified beds
78
Residents per day
66.1 (85% occupied)
Ownership
For profit - Limited Liability company
Legal name
N & R of Strafford, INC.
Chain
James & Judy Lincoln (56 facilities, avg 2.4★)
Medicare certified since
August 21, 1996
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

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

Staffing

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

Total nurse staffing
3.16 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.30 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.61 (state 0.68 · U.S. 0.86)
Nurse aides
2.25 (state 2.29 · U.S. 2.32)
Weekend total
2.84 (state 3.02 · U.S. 3.42)
Nursing staff turnover
82.3 (state 56.0 · U.S. 45.8)%
RN turnover
83.3 (state 47.8 · U.S. 42.9)%
Administrators who left
3 in the last year

Inspections

Last standard inspection
April 21, 2025
Health deficiencies (last cycle)
39.0 (state 11.5 · U.S. 9.3)
From complaints
21
Citations on record (3 years)
69 health · 11 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-26 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-03-26 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-03-26 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-03-26 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-03-26 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
F0559 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-03-26 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-03-26 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 2026-05-22
2026-03-26 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-22
2026-02-25 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-10
2026-02-25 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 2026-04-10
2026-01-05 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 2026-02-13
2026-01-05 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 2026-02-13
2025-12-12 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-11 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 2025-09-16
2025-12-11 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-10 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-10 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-10 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-05-20 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-05-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-16
2025-05-02 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 2025-06-16
2025-05-02 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 2025-06-16
2025-04-21 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
F
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 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 2025-06-04
2025-04-21 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-10
2025-04-21 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 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 2025-06-04
2025-04-21 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 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 2025-06-04
2025-04-21 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 2025-06-04
2025-04-21 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 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 2025-06-04
2025-04-21 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 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 2025-06-04
2025-04-21 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 2025-06-04
2025-04-21 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-04
2025-04-21 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2025-06-04
2025-02-06 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-06
2025-02-06 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 2025-03-06
2025-02-06 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-06
2024-12-11 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-03
2024-10-31 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 2024-12-13
2024-10-31 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 2024-12-13
2024-10-18 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-12-02

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

2 penalties in the last three years, including $52,456 in fines.

DateTypeAmount
2024-10-18Payment Denial84 days payment denial
2024-10-18Fine$52,456

Ownership & management

NameRoleSince
Lincoln, James (individual)5%+ Direct Ownership Interest · 50%
Lincoln, Judy (individual)5%+ Direct Ownership Interest · 50%
Bysor, Brandon (individual)Corporate Director · NOT APPLICABLE
Stutts, Charlotte (individual)Corporate Director · NOT APPLICABLE
Drake, Timothy (individual)Corporate Officer · NOT APPLICABLE
Stutts, Charlotte (individual)Corporate Officer · NOT APPLICABLE
Maness, Barbara (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Strafford Rehabilitation & Health Care Center?

Strafford Rehabilitation & Health Care Center has a 1-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 Strafford Rehabilitation & Health Care Center have?

It has 78 certified beds and cares for about 66 residents per day.

Has Strafford Rehabilitation & Health Care Center been fined?

Yes. CMS lists 2 penalties totaling $52,456 in the last three years.

Who owns Strafford Rehabilitation & Health Care 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 Strafford Rehabilitation & Health Care Center?

(417) 736-9332. The facility is located at 505 West Evergreen, Strafford, MO 65757.

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