JAMES & JUDY LINCOLN
Ownership rollup across 56 nursing homes in 2 states: Arkansas, Missouri. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 2.4 of 5 stars on the CMS overall rating — roughly in line with the ~2.5 average of the 2 states it operates in. It is also moving the wrong way: across the same 56 homes rated throughout, the average fell 0.18 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.8 of 5 | 54 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 2.2 of 5 | 54 rated homes | from payroll (PBJ) hours |
| Quality measures | 2.4 of 5 | 54 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the 55 of 56 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Woodland Hills Healthcare And RehabilitationJacksonville, AR | 1 of 5 | — |
| Camdenton Windsor EstatesCamdenton, MO | 1 of 5 | — |
| Crestview HomeBethany, MO | 1 of 5 | $14,498 fined |
| Grand River Health CareChillicothe, MO | 1 of 5 | 1 immediate-jeopardy Abuse flag $68,226 fined |
| Joplin GardensJoplin, MO | 1 of 5 | — |
| Lebanon North Nursing & RehabLebanon, MO | 1 of 5 | $263,670 fined |
| Lewis & Clark GardensSaint Charles, MO | 1 of 5 | 2 immediate-jeopardy $139,916 fined |
| Maryville Rehabilitation & Health Care CenterMaryville, MO | 1 of 5 | Abuse flag $86,912 fined |
| Pacific Care CenterPacific, MO | 1 of 5 | — |
| Parkside ManorColumbia, MO | 1 of 5 | — |
| Pin Oaks Living CenterMexico, MO | 1 of 5 | Abuse flag $26,650 fined |
| River City Living CommunityJefferson City, MO | 1 of 5 | 2 immediate-jeopardy $237,995 fined |
| Rocky Ridge ManorMansfield, MO | 1 of 5 | Abuse flag |
| South Hampton Rehabilitation & Health Care CenterColumbia, MO | 1 of 5 | $12,735 fined |
| Springfield VillaSpringfield, MO | 1 of 5 | 1 immediate-jeopardy $69,595 fined |
| Strafford Rehabilitation & Health Care CenterStrafford, MO | 1 of 5 | 1 immediate-jeopardy $52,456 fined |
| Troy ManorTroy, MO | 1 of 5 | 2 immediate-jeopardy $104,685 fined |
| Villa At Blue Ridge, TheColumbia, MO | 1 of 5 | Abuse flag |
| Warrenton ManorWright City, MO | 1 of 5 | — |
| Brookhaven Nursing & RehabSpringfield, MO | 2 of 5 | — |
| Carroll HouseCarrollton, MO | 2 of 5 | 1 immediate-jeopardy Abuse flag $84,890 fined |
| Current River Rehabilitation & Health Care CenterDoniphan, MO | 2 of 5 | — |
| Eldon Nursing & RehabEldon, MO | 2 of 5 | 1 immediate-jeopardy $79,671 fined |
| Forsyth Rehabilitation & Health Care CenterForsyth, MO | 2 of 5 | — |
| Fulton Nursing & RehabFulton, MO | 2 of 5 | $8,018 fined |
| Grandview Healthcare CenterWashington, MO | 2 of 5 | — |
| Lebanon South Nursing & RehabLebanon, MO | 2 of 5 | — |
| Point Lookout Nursing & RehabHollister, MO | 2 of 5 | — |
| Shepherd Of The Hills Living CenterBranson, MO | 2 of 5 | — |
| Sunset HomeMaysville, MO | 2 of 5 | — |
| Willard Care CenterWillard, MO | 2 of 5 | — |
| Windsor Rehabilitation & Health Care CenterWindsor, MO | 2 of 5 | — |
| Claru Deville Nursing CenterFredericktown, MO | 3 of 5 | 2 immediate-jeopardy $81,964 fined |
| Glasgow GardensGlasgow, MO | 3 of 5 | — |
| Glendale Gardens Nursing & RehabSpringfield, MO | 3 of 5 | — |
| Hartville Care CenterHartville, MO | 3 of 5 | — |
| Hermitage Nursing & RehabHermitage, MO | 3 of 5 | 1 immediate-jeopardy Abuse flag $78,550 fined |
| Maries ManorVienna, MO | 3 of 5 | — |
| St James Living CenterSaint James, MO | 3 of 5 | $14,069 fined |
| Clearview Nursing CenterSikeston, MO | 4 of 5 | — |
| Crowley Ridge Care CenterDexter, MO | 4 of 5 | — |
| Cuba Manor INCCuba, MO | 4 of 5 | — |
| Glenwood Rehabilitation & Health Care CenterSeymour, MO | 4 of 5 | — |
| Hillcrest Care Center INCDe Soto, MO | 4 of 5 | $10,845 fined |
| McDonald County Living CenterAnderson, MO | 4 of 5 | — |
| Potosi ManorPotosi, MO | 4 of 5 | $13,627 fined |
| St Francois ManorFarmington, MO | 4 of 5 | — |
| Tipton Oak ManorTipton, MO | 4 of 5 | — |
| California Care CenterCalifornia, MO | 5 of 5 | — |
| Country MeadowsPark Hills, MO | 5 of 5 | — |
| New Madrid Living CenterNew Madrid, MO | 5 of 5 | $8,824 fined |
| Nixa Nursing & RehabNixa, MO | 5 of 5 | — |
| Republic Nursing & RehabRepublic, MO | 5 of 5 | — |
| Wilson's Creek Nursing & RehabSpringfield, MO | 5 of 5 | — |
| Ashley Rehabilitation and Health Care CenterRogers, AR | Not rated | 2 immediate-jeopardy Special Focus $65,473 fined |
| Lincoln County Nursing & RehabTroy, MO | Not rated | 1 immediate-jeopardy Special Focus Abuse flag $259,609 fined |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.