Federal inspection record · CMS data as of October 1, 2026
Point Lookout Nursing & Rehab
11103 Historic Hwy 165, Hollister, MO · (417) 334-4105
- Certified beds
- 130
- Residents per day
- 87
- Ownership
- For-Profit
- Chain
- James & Judy Lincoln
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 2, 1990
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
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.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Point Lookout Nursing & Rehab carries 91 inspection points. That is fewer than 44% 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
34 health citations on record since 2019. 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
Quality of Life and Care10E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
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.
- D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights8E
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nutrition and Dietary5F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning5E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1D
- D
Post nurse staffing information every day.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Inspection history
2024-10-24
7 health deficiencies · 11 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2023-03-20
18 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2019-12-12
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 24 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
2 h 24 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 33% 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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 1.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 1.0 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 83.6% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.2 pts better | 98.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 4.2% | 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 weight1.6 pts worse | 6.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21.9 pts worse | 47.5% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.4 pts worse | 25.9% | 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 worsened0.9 pts worse | 16.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.8 pts worse | 27.2% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 1.2% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 2.3% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.2 pts worse | 25.3% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine35.1 pts worse | 30.6% | 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 vaccine34.7 pts worse | 26.7% | 61.4% | 80.1% |
·
Who owns and runs it
8 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 |
| Bestgen, Devan | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Lincoln, James | Operational/Managerial Control · Individual | 0% | 53 facilities |
| Lincoln, Judy | Corporate Director · Individual | 0% | 52 facilities |
| Ltc Management Services LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| N & R Of Hollister, LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| N & R Of Hollister, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous6F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke5F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install corridor and hallway doors that block smoke.
- E
Inspect, test, and maintain automatic sprinkler systems.
Egress5E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
- E
Have properly located and lighted "Exit" signs.
- E
Have exits that are accessible at all times.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems4F
- F
Have power receptacles that are properly grounded.
- E
Have proper medical gas storage and administration areas.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Meet requirements for the use of electrical equipment.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Construction1E
- E
Use approved construction type or materials.
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Other homes nearby
-
Shepherd Of The Hills Living Center
Branson, MO · James & Judy Lincoln
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 15 min
- Fines
- $0
-
Forsyth Rehabilitation & Health Care Center
Forsyth, MO · James & Judy Lincoln
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 52 min
- Fines
- $0
-
The Blossoms at Berryville Rehab & Nursing Center
Berryville, AR · The Blossoms Rehab & Nursing Center
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 3 h 2 min
- Fines
- $14,872