SNF

STRAFFORD CARE CENTER

CCN: 265656 · STRAFFORD, MO 65757 · Greene County

⚠ Abuse citation flag ⚠ Inspection > 2 years ago

Overview

Address
505 WEST EVERGREEN, STRAFFORD, MO 65757
Phone
4177369332
Certified beds
78
Avg daily residents
62 (80% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1996-08-21
Setting
Urban
1 /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.
★★★★★ 1/5
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.
★★★★★ 1/5
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
 3.38 3.55 3.68 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.38 0.62 0.41 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.60 0.79 0.66 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.40 2.14 2.61 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 0.98 — — —
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)
2.89
hrs / resident / day
RN (weekend)
0.21
hrs / resident / day
Total nurse (adjusted, weekend)
3.15
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
89.9%
annual
RN turnover
100.0%
annual
Administrators departed
4
last 12 months

Resident acuity

Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.91
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) 2023-06-29 19 6 13 108 1 108
Cycle 2/3 (prior) 2020-02-13 27 3 24 231 1 231
Total weighted health score
138.8
lower is better

Deficiencies (46)

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).

45 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2026-01-05 2026-02-13
0610 Respond appropriately to all alleged violations. D 2026-01-05 2026-02-13
0688 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. E 2025-12-12 2026-01-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-12-11 2025-09-16
0760 Ensure that residents are free from significant medication errors. D 2025-12-11 2026-01-23
0583 Keep residents' personal and medical records private and confidential. D 2025-12-10 2026-01-23
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-12-10 2026-01-23
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2025-12-10 2026-01-23
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-12-10 2026-01-23
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-05-20 2025-06-04
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-05-02 2025-06-16
0610 Respond appropriately to all alleged violations. D 2025-05-02 2025-06-16
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-05-02 2025-06-16
0697 Provide safe, appropriate pain management for a resident who requires such services. E 2025-02-06 2025-03-06
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-02-06 2025-03-06
0760 Ensure that residents are free from significant medication errors. E 2025-02-06 2025-03-06
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-12-11 2025-01-03
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-10-31 2024-12-13
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-10-31 2024-12-13
0602 Protect each resident from the wrongful use of the resident's belongings or money. E 2024-10-18 2025-03-06
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-10-18 2024-12-02
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-10-18 2024-12-02
0697 Provide safe, appropriate pain management for a resident who requires such services. E 2024-10-18 2025-03-06
0726 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. F 2024-10-18 2024-12-02
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-10-18 2025-03-06
0760 Ensure that residents are free from significant medication errors. E 2024-10-18 2025-03-06
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-06-04 2024-07-05
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-06-04 2024-07-05
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-06-04 2024-07-05
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-04-07 2024-05-20
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-04-07 2024-07-05
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-04-07 2024-07-05
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-04-07 2024-07-05
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-07-12 2023-08-25
0610 Respond appropriately to all alleged violations. D 2023-07-12 2023-08-25
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-07-12 2023-08-25
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2023-07-12 2023-08-25
0641 Ensure each resident receives an accurate assessment. E 2023-06-29 2023-08-20
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-06-29 2023-08-20
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-06-29 2023-08-20
0688 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. D 2023-06-29 2023-08-20
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. E 2023-06-29 2023-08-20
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F 2023-06-29 2023-08-20
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2020-02-13 2020-03-29
0759 Ensure medication error rates are not 5 percent or greater. E 2020-02-13 2020-03-29
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2020-02-13 2020-03-29

Penalties (2)

Fines issued
1
last 3 years
Total fines
$52,456
Payment denials
1
Date Type Fine amount
2024-10-18 Fine $52,456
2024-10-18 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 1.5% Medicaid 65.7% Other 32.8%

Operating performance

Operating Margin
-4.8%
Total Margin
-2.7%
Occupancy Rate
90.0%

Revenue & costs

Net Patient Revenue
$5.1M
Total Costs
$400K
Net Income
-$140K

Balance sheet

Total Assets
$2.0M
Total Liabilities
$1.0M
Fund Balance
$984K
Current Ratio
1.72

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 STRAFFORD, INC.
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.8
Staffing
2.1
QM
2.6

Owner / manager individuals (8)

Name Role Association
LINCOLN, JAMES 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2001
LINCOLN, JUDY 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2001
BYSOR, BRANDON CORPORATE DIRECTOR since 04/25/2022
CRANE, GARY CORPORATE DIRECTOR since 10/11/2011
STUTTS, CHARLOTTE CORPORATE DIRECTOR since 10/11/2011
DRAKE, TIMOTHY CORPORATE OFFICER since 04/25/2022
STUTTS, CHARLOTTE CORPORATE OFFICER since 10/11/2011
MANESS, BARBARA W-2 MANAGING EMPLOYEE since 03/06/2013

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
Yes — last 2 cycles
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.

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Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 1.72 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 65.7% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 1.5% metrics.medicare_day_share
Cost Report Net Income ($) $-140,494 metrics.net_income
Cost Report Net Patient Revenue ($) $5,060,890 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 90.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.8% metrics.operating_margin
Cost Report Total Assets ($) $2,033,718 metrics.total_assets
Cost Report Total Costs ($) $399,709 metrics.total_costs
Cost Report Total Fund Balances ($) $984,296 metrics.fund_balance
Cost Report Total Liabilities ($) $1,049,422 metrics.total_liabilities
Cost Report Total Margin (%) -2.7% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.65864 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.60913 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.41249 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.68026 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.15051 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 62.1 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 0.78675 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.13821 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.62013 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.54509 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.12462 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 STRAFFORD City/Town
Provider Information CMS Certification Number (CCN) 265656 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Greene County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1996-08-21 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 37.2714 Latitude
Provider Information Legal Business Name N & R OF STRAFFORD, INC. Legal Business Name
Provider Information Location 505 WEST EVERGREEN,STRAFFORD,MO,65757 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 -93.126 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 4 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 78 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 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.25587 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.91160 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 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 505 WEST EVERGREEN Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name STRAFFORD CARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 380 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 108 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 13 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2023-06-29 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 108 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 19 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 3 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2020-02-13 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 231 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 24 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 231 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 27 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.21479 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 100.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 0.98351 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.60476 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.39569 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01068 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.37875 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 3.37920 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 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State MO State
Provider Information Telephone Number 4177369332 Telephone Number
Provider Information Total Amount of Fines in Dollars 52456.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.89279 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 89.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 138.750 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 65757 ZIP Code