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Nursing homeFAID #7020

Hermitage Nursing & Rehab

18599 FIRST STREET, HERMITAGE, MO, 65668
(417) 745-2111
www.hermitagenursingrehab.com
120 licensed beds

CMS rates Hermitage Nursing & Rehab 2 out of 5 overall. Federal inspectors issued 32 citations across 8 inspections in the last three years, with $102,470 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
120
State license
053821
CMS facility ID
265239
Care type
Nursing home
Facility name
Hermitage Nursing & Rehab
Street address
18599 FIRST STREET
City / state / ZIP
Hermitage, MO 65668
Phone
(417) 745-2111
Website
www.hermitagenursingrehab.com
State license #
053821

About this facility — Hermitage Nursing & Rehab

Hermitage Nursing & Rehab is a Medicare/Medicaid-certified skilled nursing facility in Hermitage, Missouri. It is licensed for 120 beds — above the median for skilled nursing facilities in Missouri (97 beds).

It is one of 1 senior care facility in Hermitage and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of James & Judy Lincoln, a group of 56 facilities on this site.

Federal inspectors have cited Hermitage Nursing & Rehab 32 times across 8 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $102,470 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
N & R of Hermitage, Llc
Parent company
James & Judy Lincoln
Ownership type
For profit - Limited Liability company
Administrator
Maggi Chambers

Registered owners & officers

Lincoln, James
Direct owner — 50% stake — since 2014
Lincoln, Judy
Direct owner — 50% stake — since 2014
Ltc Management Services Llc
Operational control — since 2014
Spence, Jaquelyne
Managing employee — since 2022

Regulatory standing

Licensed / certified since
1984-07-02
License expires
2028-07-13
CMS overall rating
2 of 5 stars
Health deficiencies
12 at the last standard inspection
Federal fines
$102,470 total
Last standard inspection
2025-12-12
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$211 per day (≈ $6,410/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
68% Medicaid · 4% Medicare · 28% private/other
Occupancy
60% (fiscal year 2023)
Vs. state median
18% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
120
Licensed as
SNF
Memory care
Yes — dedicated memory care
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-05-11Health inspectionComplaint-triggered1 citation
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-01
2026-03-05Health inspectionComplaint-triggered7 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-04-20
F-0605
D · No harm foundFrom a complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-06-01
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-04-20
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-04-20
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-01
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-04-20
F-0773
D · No harm foundFrom a complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2026-04-20
6 earlier / fire-safety inspections (24 citations)
2025-12-12Health inspection4 citations
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-01-26
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-26
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-26
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-01-26
2024-02-01Health inspection5 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-17
F-0678
D · No harm found
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-03-17
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-03-17
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-17
2022-01-13Health inspection6 citations
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-02-27
F-0700
E · No harm found
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.
Corrected 2022-02-27
F-0727
F · No harm found
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.
Corrected 2022-02-27
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-02-27
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2022-02-27
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-02-27
2025-12-12Fire-safety inspection2 citations
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-01-26
K-0500
E · No harm found
Meet other general requirements that are deficient.
Corrected 2026-01-26
2024-02-01Fire-safety inspection6 citations
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2024-03-12
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-03-12
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-12
K-0500
E · No harm found
Meet other general requirements that are deficient.
Corrected 2024-03-12
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-12
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-12
2022-01-13Fire-safety inspection1 citation
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-02-27

Federal penalties

2026-03-05Fine$102,470
2026-03-05Medicare payment denial — 37 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265239.

Quality of care & staffing

How it compares in Missouri.
Inspection citations, 3 years
32
More than 24% of nursing homes in the state
State median: 50
Federal fines, 3 years
$102,470
More than 90% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.2
Higher than 36% of nursing homes in the state
State median: 3.4
Nursing staff turnover, annual
48%
Higher than 27% of nursing homes in the state
State median: 57%

Resident outcomes

On 16 federal quality measures, this facility does better than the Missouri average on 6 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased16.0%17.4%13.5%Near state average
Lose too much weight7.8%5.1%5.1%Worse than state
With a catheter inserted and left in their bladder1.1%0.9%0.7%Worse than state
With a urinary tract infection2.6%2.2%1.5%Worse than state
Have depressive symptoms1.3%20.0%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.1%4.0%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine95.8%84.0%93.7%Better than state
Ability to walk independently worsened19.0%15.8%12.7%Worse than state
Received an antianxiety or hypnotic medication37.6%25.6%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine96.8%90.8%95.3%Near state average
With pressure ulcers4.3%4.4%4.5%Near state average
With new or worsened bowel or bladder incontinence12.0%17.1%18.3%Better than state
Received an antipsychotic medication34.6%23.5%15.4%Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine97.3%65.7%82.3%Better than state
Newly received an antipsychotic medication5.1%2.1%1.5%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • K-0500 2 inspections. Meet other general requirements that are deficient.
  • F-0760 2 inspections. Ensure that residents are free from significant medication errors.

Verify & compare

Where to check, and what's nearby.

Who to contact in Missouri

  • Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
  • File a complaint: 800-392-0210 · Online
  • Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
  • Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Citizens Memorial Hospital, about 23 miles. CMS rating 3 of 5.
  • Lake Regional Health System, about 36 miles. CMS rating 3 of 5.
  • Golden Valley Memorial Hospital, about 38 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.210 ratings on Google
★★Vkesu · 2024-04-30 · via Google

“Well, it took changing beds 5 times before they could find one that worked correctly and still can’t see out windows due to fogged up and needing to be replaced. No splint available when resident broke a bone (had to make one out of a cardboard box. Seriously). Owners need to put money into building and hire people who want to be there. - Food has improved. Sadly, you get a good nurse or aid and t…”

★★★★★Sandra Duncan · 2021-04-05 · via Google

“I was a resident at Christian Health Care for 3 years and if I have to go to a Nursing Home again, it seems to be soon, and I want to go back there. It is home to me.”

★★★★Jacqueline Stevens · 2016-08-10 · via Google

“It's a beautiful drive just riding to Hertimage, MO. Take the family and visit the Ozarks on the way.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 32 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered