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Nursing homeFAID #7095

Shepherd of the Hills Living Center

996 STATE HIGHWAY 248, BRANSON, MO, 65616

(417) 334-6431

100 licensed beds

CMS rates Shepherd of the Hills Living Center 4 out of 5 overall. Federal inspectors issued 47 citations across 11 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

996 State Highway 248

Branson, MO 65616

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Public record summary

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Bed capacity

100

State license

053355

CMS facility ID

265393

Care type

Nursing home

Facility name

Shepherd of the Hills Living Center

Street address

996 STATE HIGHWAY 248

City / state / ZIP

Branson, MO 65616

Phone

(417) 334-6431

Website

shepherdofthehillsliving.com

State license #

053355

About this facility — Shepherd of the Hills Living Center

Shepherd of the Hills Living Center is a Medicare/Medicaid-certified skilled nursing facility in Branson, Missouri. It is licensed for 100 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 4 senior care facilities in Branson 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 Shepherd of the Hills Living Center 47 times across 11 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. 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 Branson, Llc

Parent company

James & Judy Lincoln

Ownership type

For profit - Limited Liability company

Administrator

Jeremy Osenga

Registered owners & officers

Lincoln, James

Direct owner — 50% stake — since 2016

Lincoln, Judy

Direct owner — 50% stake — since 2016

Ltc Management Services Llc

Operational control — since 2016

Regulatory standing

Licensed / certified since

1989-08-24

License expires

2028-01-31

CMS overall rating

4 of 5 stars

Health deficiencies

10 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-02-13

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$238 per day (≈ $7,240/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

64% Medicaid · 5% Medicare · 31% private/other

Occupancy

78% (fiscal year 2023)

Vs. state median

7% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

100

Licensed as

SNF

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 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-30Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-09-13

F-0761

F · No harm foundFrom a complaint

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.

Corrected 2026-09-13

2026-02-13Health inspection7 citations

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2026-03-30

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-03-30

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-03-30

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-03-30

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 2026-03-30

F-0761

E · No harm found

Corrected 2026-03-30

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-30

8 earlier / fire-safety inspections (38 citations)

2025-11-20Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-04

2025-07-29Health inspectionComplaint-triggered1 citation

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-08-25

2024-03-21Health inspectionComplaint-triggered8 citations

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-05-06

F-0585

D · No harm found

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.

Corrected 2024-05-06

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-05-06

F-0689

E · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-06

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-05-06

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-05-06

F-0761

D · No harm found

Corrected 2024-05-06

F-0914

D · No harm found

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Corrected 2024-05-06

2023-11-20Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-21

2022-07-28Health inspection11 citations

F-0575

C · No harm found

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.

Corrected 2022-09-11

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2022-09-11

F-0623

E · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-09-11

F-0625

E · No harm found

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.

Corrected 2022-09-11

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-09-11

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 2022-09-11

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-09-11

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2022-09-11

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-09-11

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 2022-09-11

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-08-27

2026-02-13Fire-safety inspection5 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2026-03-30

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-03-30

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-03-30

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-03-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-03-30

2024-03-21Fire-safety inspection9 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2024-05-06

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-05-06

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-06

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-05-06

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-06

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-05-06

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-05-06

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-06

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-05-06

2022-07-28Fire-safety inspection2 citations

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-11

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-09-11

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 265393.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 46% of nursing homes in the state

State median: 50

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.2

Higher than 42% of nursing homes in the state

State median: 3.4

Nursing staff turnover, annual

57%

Higher than 49% of nursing homes in the state

State median: 57%

Resident outcomes

On 21 federal quality measures, this facility does better than the Missouri average on 11 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	30.2%	17.4%	13.5%	Worse than state
Lose too much weight	8.2%	5.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.6%	0.9%	0.7%	Better than state
With a urinary tract infection	3.0%	2.2%	1.5%	Worse than state
Have depressive symptoms	1.0%	20.0%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	6.7%	4.0%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	31.9%	84.0%	93.7%	Worse than state
Ability to walk independently worsened	27.8%	15.8%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	12.2%	25.6%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	86.1%	90.8%	95.3%	Near state average
With pressure ulcers	2.9%	4.4%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	21.2%	17.1%	18.3%	Worse than state
Received an antipsychotic medication	6.5%	23.5%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.42	1.98	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	0.21	2.16	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	44.2%	65.7%	82.3%	Worse than state
Newly received an antipsychotic medication	0.3%	2.1%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	53.7%	61.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	13.1%	25.7%	23.4%	Better than state
Had an outpatient emergency department visit	10.8%	13.4%	11.8%	Better 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-0761 3 inspections. 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.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0880 2 inspections. Provide and implement an infection prevention and control program.
K-0161 2 inspections. Use approved construction type or materials.
K-0712 2 inspections. Have simulated fire drills held at unexpected times.
K-0918 2 inspections. Have generator or other power source capable of supplying service within 10 seconds.

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

North Arkansas Regional Medical Center, about 30 miles. CMS rating 2 of 5.
Cox Medical Centers, about 33 miles. CMS rating 3 of 5.
Eureka Springs Hospital Commission, about 34 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Point Lookout Nursing & Rehab, Hollister, about 2.6 miles. CMS rating 3 of 5.
Forsyth Rehabilitation & Health Care Center, Forsyth, about 6.7 miles. CMS rating 2 of 5.
Ozark Riverview Manor, Ozark, about 25 miles. CMS rating 3 of 5.
Ozark Care & Rehab Center, Ozark, about 26 miles. CMS rating 1 of 5.
The Blossoms At Berryville Rehab & Nursing Center, Berryville, about 28 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

3.948 ratings on Google

★Gellet Joiner · 2025-11-01 · via Google
“I totally regret placing my husband in this Nursing Home. His name is Fred Scott Carlton, hust a little that happened.Before leaving him i explained in detail that he had to be encouraged to eat and help him eat, he had to be walked with assistance, they assured me he would be taken care of. He was to be staying 10 days. I carried him 7 sets of cloths and his name was in everything, i also left $…”

★★★★★Alisa Eret · 2025-09-20 · via Google
“I can't effectively convey how amazing and wonderful this place is. The entire staff took, not only impeccable care of my dad, but also of my family navigating one of the most stressful times in our lives. They CARE about every person there. They knew and remembered our names as we passed in the halls...from the Director of Nursing Lauren, to Jessica, to every nurse, aide and therapist (special sh…”

★★★★★Faith Young · 2025-08-22 · via Google
“I have been in this skilled nursing facility averaging 12 hours a day for over a week. Not one time have I heard a patient call and ask for help from their room. The patients seem very safe and familiar with the staff here. One thing that has impressed me is that there are patients that are close to the nurses station feeling that they're part of a team so to speak. The nurses know them personally…”

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

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 47 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

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Active civil suits

Federal dockets

CDC infection data

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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

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