Federal inspection record · CMS data as of October 1, 2026

Wilson's Creek Nursing & Rehab

3403 West Mt Vernon, Springfield, MO · (417) 864-5600

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
172
Residents per day
129
Ownership
For-Profit
Chain
James & Judy Lincoln
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 11, 1982

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Wilson's Creek Nursing & Rehab carries 13 inspection points. That is fewer than 97% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 13 pts · 5★

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

15 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 6 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 20, 2021 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected August 26, 2021

Everything else, by area of care

Pharmacy Service4E
  1. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    November 30, 2023 · Standard · F756 · Corrected January 1, 2024

  2. E

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    November 30, 2023 · Standard · F758 · Corrected January 10, 2024

  3. D

    Ensure medication error rates are not 5 percent or greater.

    November 30, 2023 · Standard · F759 · Corrected January 2, 2024

  4. D

    Ensure medication error rates are not 5 percent or greater.

    July 20, 2021 · Standard · F759 · Corrected August 26, 2021

Nutrition and Dietary2F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 30, 2023 · Standard · F812 · Corrected January 10, 2024

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 20, 2021 · Standard · F812 · Corrected August 26, 2021

Resident Rights2E
  1. D

    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.

    November 30, 2023 · Standard · F625 · Corrected January 10, 2024

  2. 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.

    July 20, 2021 · Standard · F584 · Corrected September 3, 2021

Resident Assessment and Care Planning2D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    November 30, 2023 · Standard · F644 · Corrected January 14, 2024

  2. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    November 30, 2023 · Standard · F645 · Corrected January 14, 2024

Quality of Life and Care2D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 30, 2023 · Standard · F689 · Corrected January 10, 2024

  2. D

    Provide enough food/fluids to maintain a resident's health.

    July 20, 2021 · Standard · F692 · Corrected September 3, 2021

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    July 20, 2021 · Standard · F880 · Corrected August 26, 2021

Environmental1E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    July 20, 2021 · Standard · F921 · Corrected September 3, 2021

Inspection history

  1. 2025-08-14

    0 health deficiencies · 4 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2023-11-30

    8 health deficiencies · 6 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

  3. 2021-07-20

    7 health deficiencies · 6 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 2 h 47 min of nursing staff time a day, 24 min of it from a registered nurse.

This home

2 h 47 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 22% of nursing staff and 10% 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.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better95.3%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better100.0%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better2.5%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms20 pts better0.0%20.0%13.5%
Percentage of long-stay residents who lose too much weight1.9 pts better3.2%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.1 pts worse26.7%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication19.4 pts worse42.9%23.5%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened11.9 pts better3.9%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.3 pts better10.1%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.3%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2 pts better0.2%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.3 pts better9.8%17.1%18.3%
Percentage of long-stay residents with pressure ulcers3.7 pts better0.7%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better68.8%65.7%82.3%

·

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
NameRoleShareHomes
Lincoln, James5% Or Greater Direct Ownership Interest · Individual50%53 facilities
Lincoln, Judy5% Or Greater Direct Ownership Interest · Individual50%52 facilities
Huffman, MichaelW-2 Managing Employee · Individual0%1 facilities
Ltc Management Services LLCOperational/Managerial Control · Organization0%37 facilities

·

Fire safety

16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke8F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 14, 2025 · K353 · Corrected September 25, 2025

  2. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    August 14, 2025 · K355 · Corrected September 10, 2025

  3. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    November 30, 2023 · K321 · Corrected January 20, 2024

  4. F

    Install a fire alarm system that can be heard throughout the facility.

    November 30, 2023 · K341 · Corrected January 8, 2024

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 30, 2023 · K353 · Corrected December 12, 2023

  6. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    November 30, 2023 · K372 · Corrected January 10, 2024

  7. F

    Install corridor and hallway doors that block smoke.

    July 20, 2021 · K363 · Corrected September 3, 2021

  8. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    July 20, 2021 · K372 · Corrected September 3, 2021

Gas, Vacuum, and Electrical Systems3F
  1. E

    Ensure proper usage of power strips and extension cords.

    August 14, 2025 · K920 · Corrected September 9, 2025

  2. E

    Have proper medical gas storage and administration areas.

    November 30, 2023 · K923 · Corrected January 10, 2024

  3. F

    Have proper medical gas storage and administration areas.

    July 20, 2021 · K923 · Corrected July 26, 2021

Egress2F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    November 30, 2023 · K291 · Corrected December 12, 2023

  2. F

    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.

    July 20, 2021 · K222 · Corrected July 26, 2021

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    August 14, 2025 · K712 · Corrected September 25, 2025

Construction1F
  1. F

    Use approved construction type or materials.

    July 20, 2021 · K161 · Corrected September 3, 2021

·

Other homes nearby

  1. Brookhaven Nursing & Rehab

    Springfield, MO · James & Judy Lincoln

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 29 min
    Fines
    $0
  2. Springfield Skilled Care Center

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    Worst citation, 3 yrs
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    Nursing / resident / day
    2 h 33 min
    Fines
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  3. Manor At Elfindale, The

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    Nursing / resident / day
    4 h 25 min
    Fines
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