Cycle 1
Health 2025-07-25 · Fire 2025-07-25
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Park Hills, MO
Country Meadows
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1301 N St Joe Drive, Park Hills, MO
(573) 431-2889
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
64
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
James & Judy Lincoln
Operator or chain grouping
Approved since
2002-01-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
58 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.57
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.32
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.44
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.89
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.23
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
4.66
CMS adjusted total nurse staffing hours
Case-mix index
1.01
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,659
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.40
Composite VBP score used to determine payment impact.
Payment multiplier
0.9891
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.77
Baseline 20.09% · Performance 21.08% · Measure score 0.77 · Achievement 0.77 · Improvement 0
Healthcare-associated infections
6.85
Baseline 6.81% · Performance 5.79% · Measure score 6.85 · Achievement 6.85 · Improvement 5.13
Total nurse turnover
3.55
Baseline 54.55% · Performance 49.18% · Measure score 3.55 · Achievement 3.55 · Improvement 1.31
Adjusted total nurse staffing
3
Baseline 3.45 hours · Performance 3.93 hours · Measure score 3 · Achievement 3 · Improvement 1.58
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.04% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 8.82% · Lower 95% interval 6.74% |
| Discharge to community | 61.11% |
50.57%
10.5 pts better
|
Better than the National Rate · Eligible stays 76 · Observed rate 57.89% · Lower 95% interval 52.06% |
| Medicare spending per beneficiary | 0.66 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 41 · Denominator 41 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 41 |
| Discharge self-care score | 56.25% |
53.69%
2.6 pts better
|
Numerator 18 · Denominator 32 |
| Discharge mobility score | 46.88% |
50.94%
4.1 pts worse
|
Numerator 15 · Denominator 32 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 41 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.79% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 41 · Observed rate 0% · Lower 95% interval 2.82% |
| Staff COVID-19 vaccination coverage | 17.24% |
8.2%
9 pts better
|
Numerator 15 · Denominator 87 |
| Staff flu vaccination coverage | 9.76% |
42%
32.2 pts worse
|
Numerator 8 · Denominator 82 |
| Discharge function score | 59.38% |
56.45%
2.9 pts better
|
Numerator 19 · Denominator 32 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 82.14% |
96.28%
14.1 pts worse
|
Numerator 23 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.4% |
84.8%
3.6 pts better
|
93.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.9% · Q2 88.3% · Q3 90.7% · Q4 87.9% · 4Q avg 88.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.5% |
90.9%
4.6 pts better
|
95.5%
About the same
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% |
4.1%
1.1 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.0% · Q3 5.6% · Q4 5.2% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
14.7%
14.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 2.3% |
5.5%
3.2 pts better
|
5.4%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.2% · Q3 0.0% · Q4 2.3% · 4Q avg 2.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 39.2% |
25.3%
13.9 pts worse
|
19.6%
19.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 39.2% · Q3 46.2% · Q4 37.2% · 4Q avg 39.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.5% |
25.0%
2.5 pts worse
|
16.7%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 32.4% · Q3 25.7% · Q4 27.3% · 4Q avg 27.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 28.7% |
20.3%
8.4 pts worse
|
16.3%
12.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · 4Q avg 28.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% |
19.8%
7.2 pts better
|
14.9%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 13.0% · Q3 17.9% · Q4 9.3% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
1.4%
0.1 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.2% · Q3 2.1% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.2% |
18.1%
7.9 pts better
|
19.8%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 18.1% · Q3 10.3% · Q4 3.0% · 4Q avg 10.2% |
| Percentage of long-stay residents with pressure ulcers | 1.8% |
5.0%
3.2 pts better
|
5.1%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.7% · Q3 0.0% · Q4 2.5% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 15.5% |
66.4%
50.9 pts worse
|
81.7%
66.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 20.6% · Q3 1.5% · Q4 11.7% · 4Q avg 15.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.3% |
13.4%
5.9 pts worse
|
12.0%
7.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 21.2% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 46.9% |
63.5%
16.6 pts worse
|
79.7%
32.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 46.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.5% |
25.3%
2.8 pts better
|
23.9%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 24.2% · Expected 25.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-23 · Fire 2024-05-23
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-12-16 · Fire 2022-12-16
3 health deficiencies
Top issue: Administration (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-25
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-01
F · Potential for more than minimal harm
2025-07-25
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-01
F · Potential for more than minimal harm
2024-05-23
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-06-28
F · Potential for more than minimal harm
2024-05-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-28
F · Potential for more than minimal harm
2022-12-16
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-01-27
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-11-28
D · Potential for more than minimal harm
2025-07-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-07-25
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-09-01
D · Potential for more than minimal harm
2024-05-23
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-28
D · Potential for more than minimal harm
2024-05-23
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-28
D · Potential for more than minimal harm
2024-05-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-28
F · Potential for more than minimal harm
2022-12-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-27
D · Potential for more than minimal harm
2022-12-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-01-27
D · Potential for more than minimal harm
2022-12-16
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-01-27
Penalties and ownership
What sits behind the stars
Ownership
Lincoln, James
5% Or Greater Direct Ownership Interest · Individual
Lincoln, Judy
5% Or Greater Direct Ownership Interest · Individual
Ltc Management Services LLC
Operational/Managerial Control · Organization
Thomas, Kimberly
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Nhc Healthcare, Desloge
Desloge, MO
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
St Joe Manor
Bonne Terre, MO
2-star overall rating with 4-star inspections with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Community Manor
Farmington, MO
3-star overall rating with 4-star inspections with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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