Federal inspection record · CMS data as of October 1, 2026
Hartville Care Center
649 West Rolla Street, Hartville, MO · (417) 741-6192
- Certified beds
- 58
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- James & Judy Lincoln
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 25, 1994
1
How this home got 3 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.
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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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Hartville Care Center carries 68 inspection points. That is fewer than 58% 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
10 health citations on record since 2021. 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Environmental3F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care1E
- E
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspection history
2025-06-19
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Environmental (2 deficiencies)
2023-11-03
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2021-05-13
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 5 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 20% 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 vaccine7.3 pts better | 91.3% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts worse | 6.7% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.2 pts better | 5.8% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.1 pts better | 0.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.4 pts worse | 33.0% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3 pts worse | 26.5% | 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 worsened3.1 pts worse | 18.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.6 pts better | 10.8% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.9 pts worse | 6.1% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.6 pts worse | 21.7% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 3.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine30.5 pts better | 96.2% | 65.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine38.6 pts better | 100.0% | 61.4% | 80.1% |
·
Who owns and runs it
4 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 |
| Cryer, Natasha N | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Ltc Management Services LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1E
- E
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.
Miscellaneous1E
- E
Have restrictions on the use of highly flammable decorations.
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Other homes nearby
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Rocky Ridge Manor
Mansfield, MO · James & Judy Lincoln · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Glenwood Rehabilitation & Health Care Center
Seymour, MO · James & Judy Lincoln
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 2 min
- Fines
- $0
-
Autumn Oaks Caring Center
Mountain Grove, MO · Circle B Enterprises
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 36 min
- Fines
- $48,539