Federal inspection record · CMS data as of October 1, 2026
Crowley Ridge Care Center
1204 North Outer Road, Dexter, MO · (573) 624-5557
- Certified beds
- 90
- Residents per day
- 46
- Ownership
- For-Profit
- Chain
- James & Judy Lincoln
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 21, 1993
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Crowley Ridge Care Center carries 18 inspection points. That is fewer than 92% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Assessment and Care Planning2D
- D
Assess the resident when there is a significant change in condition
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care2D
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2025-03-20
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-04-05
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2022-11-04
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 42 min of nursing staff time a day, 11 min of it from a registered nurse.
This home
3 h 42 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 80% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts worse | 90.4% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts worse | 7.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.8 pts better | 1.2% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.6 pts worse | 11.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.5 pts worse | 31.1% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.6 pts worse | 29.1% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.1 pts better | 6.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts better | 13.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse | 1.7% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.2 pts worse | 5.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.3 pts better | 7.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts better | 2.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.8 pts better | 98.5% | 65.7% | 82.3% |
·
Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lincoln, James | 5% Or Greater Direct Ownership Interest · Individual | 50% | 53 facilities |
| Lincoln, Judy | 5% Or Greater Direct Ownership Interest · Individual | 50% | 52 facilities |
| Bysor, Brandon | Corporate Director · Individual | 0% | 11 facilities |
| Drake, Timothy | Corporate Officer · Individual | 0% | 18 facilities |
| Hensley, Kristi | W-2 Managing Employee · Individual | 0% | 1 facilities |
| N & R Of Dexter Inc | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Stutts, Charlotte | Corporate Officer · Individual | 0% | 15 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Install an approved automatic sprinkler system.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress2F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
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Cypress Point-Skilled Nursing By Americare
Dexter, MO · Americare Senior Living
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 47 min
- Fines
- $73,743
-
Memory Lane Of Dexter
Dexter, MO · Paradigm Senior Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 26 min
- Fines
- $0
-
Prairie View Skilled Nursing
Bloomfield, MO · Paradigm Senior Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 34 min
- Fines
- $0