Total Health inspections
9
36% above Missouri average
Missouri average:
6.6
Last Health inspection on Nov 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Lincoln County Nursing &Amp; Rehab
Lincoln County Nursing &Amp; Rehab is a Nursing Home in Missouri
Lincoln County Nursing &Amp;… is a Nursing Home in Missouri
Lincoln County Nursing &Amp; Rehab
Lincoln County Nursing &Amp; Rehab is a Nursing Home in Missouri
Lincoln County Nursing &Amp;… is a Nursing Home in Missouri
Lincoln County Nursing & Rehab is a long-term care facility located in Troy, MO. It provides a wide range of services including skilled nursing care, rehabilitation services, and complete dining services. The facility is committed to meeting the needs of its residents under physician supervision.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
90
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
71.1%
Residents per day (avg)
67
Occupancy rate
71.1%
Residents per day (avg)
67
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
12% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
41% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
47% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Proprietary home
Corporation
Home revenue
$4.8M
Operating loss
-$910.4K
Proprietary home
Corporation
Home revenue
$4,824,248.00
Operating loss
$-910,402.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.7M
90-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265433
Certification type:
Medicare/Medicaid
County:
LINCOLN
Ownership & operating entity
Lincoln County Nursing &Amp; Rehab is administrated by DENISE THORSDEN.
Owner name:
N & R OF LINCOLN COUNTY, INC
Safety & Compliance
Care Services
Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Professional Medical Care, Rehab Services, Social Services, Daily Activities, Complete Dining Services, Pharmaceutical Services, Religious Services, Beauty & Barber Services, Housekeeping & Laundry
Religious Services
Yes
Dining & Nutrition
Food Description
Complete dining services with a variety of nutritious meals and snacks based on individual preferences.
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Compare Nursing Homes around Troy
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Lincoln County Nursing &Amp; Rehab
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63379-1520
90
No
-
N & R OF LINCOLN COUNTY, INC.
71.1%
$4,561,206.00
$1,724,272.00
37.8%
67.10
1/5
3.5342
1/5
1/5
1/5
3
Sugar Creek Senior Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
RC
Respite Care
Troy
60
Yes
23
-
-
-
-
-
-
-
-
-
-
-
-
Places of interest near Lincoln County Nursing &Amp; Rehab
0.0 miles from city center
TROY, MO 63379-1520
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
82
Total Staff
66
Employees
16
Contractors
20,915
Total Hours (Quarter)
28
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 3 | 8.1 | Yes |
| Licensed Practical Nurse | 11 | 9.4 | No |
| Certified Nursing Assistant | 13 | 9.1 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
63 staff
8.8hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.2hs shift avg
Therapy Services ⓘ
12 staff
4.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
1.6hs shift avg
Dietary Services ⓘ
1 staff
9.2hs shift avg
Other Services ⓘ
1 staff
9hs shift avg
Contractor Analysis
7.3%
of total hours from contractors
1,518 contractor hours this quarter
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 3
Registered Nurse: 1
Qualified Social Worker: 2
Physical Therapy Aide: 2
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 1
Speech Language Pathologist: 1
Clinical Nurse Specialist: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Nurse Aide in Training | 24 | 0 | 24 | 5,837 | 91 | 100% | 8.1 |
| Certified Nursing Assistant | 13 | 0 | 13 | 3,925 | 91 | 100% | 9.1 |
| Medication Aide/Technician | 10 | 0 | 10 | 3,523 | 91 | 100% | 9.7 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,414 | 91 | 100% | 9.4 |
| RN Director of Nursing | 2 | 0 | 2 | 779 | 73 | 80% | 7.4 |
| Dental Services Staff | 1 | 0 | 1 | 558 | 62 | 68% | 9 |
| Registered Nurse | 2 | 1 | 3 | 510 | 55 | 60% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 66 | 73% | 7.3 |
| Administrator | 1 | 0 | 1 | 425 | 53 | 58% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 389 | 67 | 74% | 5.1 |
| Dietitian | 1 | 0 | 1 | 351 | 38 | 42% | 9.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 337 | 77 | 85% | 3.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 228 | 56 | 62% | 3.9 |
| Qualified Social Worker | 0 | 2 | 2 | 98 | 60 | 66% | 1.6 |
| Occupational Therapy Aide | 0 | 2 | 2 | 38 | 6 | 7% | 6.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
| Clinical Nurse Specialist | 0 | 1 | 1 | 3 | 1 | 1% | 3 |
| Speech Language Pathologist | 0 | 1 | 1 | 1 | 1 | 1% | 1.2 |
Health Inspection History
Total Health citations
113
210% above Missouri average
Missouri average:
36.5
12.56 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
97 citations
Complaint investigations
18 citations
Breakdown of citations
Critical Health citations
1
43% above Missouri average
Missouri average:
0.7
Serious Health citations
7
600% above Missouri average
Missouri average:
1.0
Moderate Health citations
98
Minor Health citations
7
Citations history (last 3 years)
Quality of Care moderate citation
Nov 17, 2025
Corrected
Nursing Services moderate citation
Jan 17, 2025
Corrected
Quality of Care moderate citation
Jan 17, 2025
Corrected
Nutrition moderate citation
Oct 08, 2024
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Individual
Part of: HEALTH SYSTEMS INC
Resident Census by Payment Source
67
Total Residents
Medicare
1
(1.5%)
ⓘ
Medicaid
53
(79.1%)
ⓘ
Private Pay/Other
13
(19.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
12.1
10% worse than Missouri average
Missouri average:
10.9
Functional decline score
18.4
5% better than Missouri average
Missouri average:
19.5
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
18.6%
6% below Missouri average.
Walking Ability Worsened
17.9%
13% below Missouri average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
18.8%
4% above Missouri average.
Safety & clinical stability
Falls with Major Injury
8.7%
114% above Missouri average.
High Risk Residents with Pressure Ulcers
9.6%
91% above Missouri average.
Urinary Tract Infection
4.0%
46% above Missouri average.
Emotional & behavioral wellbeing
Depressive Symptoms
4.2%
67% below Missouri average.
Antipsychotic Use
15.3%
30% below Missouri average.
Preventive care
Pneumococcal Vaccine
87.4%
3% above Missouri average.
Influenza Vaccine
92.8%
2% above Missouri average.
Nutrition & physical health
Lost Too Much Weight
5.5%
2% below Missouri average.Short-stay resident measures
Pneumococcal Vaccine
53.9%
19% worse than Missouri average
Antipsychotic medication increase
1.8%
18% better than Missouri average
Influenza Vaccine
53.3%
16% worse than Missouri average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$235K
This home paid 222% more in fines than the state average.
Missouri average:
$73K
Number of Fines
3
This home received 23% more fines than the state average.
Missouri average:
2.4
Payment Denials
1
This home had 45% more payment denials than the state average.
Missouri average:
0.7
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
May 23, 2024
$152K
Payment Denial
May 23, 2024
21 days
Civil Money Penalty
Mar 29, 2024
$31K
Civil Money Penalty
Oct 17, 2023
$53K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Lincoln County Nursing &Amp; Rehab based on CMS SNF Cost Reports.
Occupancy Rate
71.1%
↓ 3.8pp vs 2022
Net Income
-$910,402
↓ ~$378K vs 2022
Total Payroll
$3,384,575
↑ ~$348K vs 2022
Profit Margin
-20.0%
↓ 9.4pp vs 2022
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