Overview

Address
1201 HUNT AVENUE, COLUMBIA, MO 65202
Phone
5734491448
Certified beds
120
Avg daily residents
73 (61% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1986-03-17
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 2/5
Short-Stay Quality Measures Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.26 2.91 4.32 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.26 0.51 0.34 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.44 0.65 0.58
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.56 1.75 3.40
Licensed (RN + LPN)
Combined licensed nurse coverage.
0.69
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.01

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.00
hrs / resident / day
RN (weekend)
0.20
hrs / resident / day
Total nurse (adjusted, weekend)
3.98
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
63.6%
annual
RN turnover
Staffing penalized (missing PBJ submission).
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.03
near national average
Case-Mix Index Ratio
0.75
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-12-19 16 10 6 96 2 144
Cycle 2/3 (prior) 2023-08-23 22 18 4 168 1 168
Total weighted health score
150.0
lower is better

Deficiencies (50)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

4 A/B/C No actual harm — minor
45 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0880 Provide and implement an infection prevention and control program. E 2026-01-15
0584 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. E 2025-08-07 2025-09-17
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-04-07 2025-05-19
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2025-04-07 2025-05-19
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-04-07 2025-05-19
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-04-07 2025-05-19
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-02-13
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-12-19 2025-03-07
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2024-12-19 2025-03-07
0679 Provide activities to meet all resident's needs. D 2024-12-19 2025-01-30
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-12-19 2025-01-30
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-12-19 2025-01-30
0727 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. E 2024-12-19 2025-01-30
0728 Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. E 2024-12-19 2025-01-30
0849 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. D 2024-12-19 2025-01-30
0880 Provide and implement an infection prevention and control program. E 2024-12-19 2025-01-30
0881 Implement a program that monitors antibiotic use. E 2024-12-19 2025-01-30
0880 Provide and implement an infection prevention and control program. F 2024-09-19 2024-10-31
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-04-15 2024-05-27
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-01-25 2024-03-07
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2023-08-23 2023-10-04
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. C 2023-08-23 2023-10-04
0575 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. C 2023-08-23 2023-10-04
0583 Keep residents' personal and medical records private and confidential. E 2023-08-23 2023-10-04
0584 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. D 2023-08-23 2023-10-04
0625 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. C 2023-08-23 2023-10-04
0645 PASARR screening for Mental disorders or Intellectual Disabilities E 2023-08-23 2023-10-04
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-08-23 2023-10-04
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2023-08-23 2023-10-04
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2023-08-23 2023-10-04
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2023-08-23 2023-10-04
0679 Provide activities to meet all resident's needs. E 2023-08-23 2023-10-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2023-08-23 2023-10-04
0759 Ensure medication error rates are not 5 percent or greater. E 2023-08-23 2023-10-04
0761 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. E 2023-08-23 2023-10-04
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-08-23 2023-10-04
0880 Provide and implement an infection prevention and control program. E 2023-08-23 2023-10-04
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2023-08-23 2023-10-04
0584 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. E 2022-07-28 2022-09-08
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2022-07-28 2022-09-08
0641 Ensure each resident receives an accurate assessment. E 2022-07-28 2022-09-08
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2022-07-28 2022-09-08
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2022-07-28 2022-09-08
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2022-07-28 2022-09-08
0679 Provide activities to meet all resident's needs. E 2022-07-28 2022-09-08
0680 Ensure the activities program is directed by a qualified professional. C 2022-07-28 2022-09-08
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2022-07-28 2022-09-08
0803 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. E 2022-07-28 2022-09-08
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2022-07-28 2022-09-08
0880 Provide and implement an infection prevention and control program. E 2022-07-28 2022-09-08

Penalties (1)

Fines issued
0
last 3 years
Payment denials
1
Date Type Fine amount
2024-01-25 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 1.8% Medicaid 83.0% Other 15.1%

Operating performance

Operating Margin
-8.7%
Total Margin
-8.1%
Occupancy Rate
56.2%

Revenue & costs

Net Patient Revenue
$4.9M
Total Costs
$380K
Net Income
-$397K

Balance sheet

Total Assets
$3.1M
Total Liabilities
$2.7M
Fund Balance
$374K
Current Ratio
0.96

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: JAMES & JUDY LINCOLN

Chain ID
290
Facilities in chain
58
Legal business name
N & R OF COLUMBIA, LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.8
Staffing
2.1
QM
2.6

Owner / manager organizations (1)

Organization Role Association
LTC MANAGEMENT SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 05/21/2015

Owner / manager individuals (3)

Name Role Association
LINCOLN, JAMES 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2008
LINCOLN, JUDY 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2008
BOWLES, ELIZABETH W-2 MANAGING EMPLOYEE since 10/01/2021

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 0.96 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 83.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 1.8% metrics.medicare_day_share
Cost Report Net Income ($) $-396,602 metrics.net_income
Cost Report Net Patient Revenue ($) $4,871,445 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 56.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -8.7% metrics.operating_margin
Cost Report Total Assets ($) $3,093,809 metrics.total_assets
Cost Report Total Costs ($) $379,679 metrics.total_costs
Cost Report Total Fund Balances ($) $373,950 metrics.fund_balance
Cost Report Total Liabilities ($) $2,719,859 metrics.total_liabilities
Cost Report Total Margin (%) -8.1% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.58097 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.39956 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.34162 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.32215 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.98053 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 73.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.64547 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.75425 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.50877 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 2.90849 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.56353 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.8 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.6 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 290 Chain ID
Provider Information Chain Name JAMES & JUDY LINCOLN Chain Name
Provider Information City/Town COLUMBIA City/Town
Provider Information CMS Certification Number (CCN) 265302 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Boone County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1986-03-17 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 38.9664 Latitude
Provider Information Legal Business Name N & R OF COLUMBIA, LLC Legal Business Name
Provider Information Location 1201 HUNT AVENUE,COLUMBIA,MO,65202 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -92.36 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 120 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 58 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.03035 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.74790 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1201 HUNT AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name PARKSIDE MANOR Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 090 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 96 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 48 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 6 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 10 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-12-19 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 144 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 16 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 18 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-08-23 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 168 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 4 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 168 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 22 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.19796 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 27 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 0.69500 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.43765 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.56094 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00626 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.25735 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.25594 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State MO State
Provider Information Telephone Number 5734491448 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.99859 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 63.6 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 150.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 65202 ZIP Code