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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriStrafford Care Center

Strafford Care Center

505 West Evergreen, Strafford, MO 657574177369332
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
2/5
Beds
78
certified
This facility has been flagged for abuse.
1 fine(s) totaling $52,456

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 78 certified beds with an average of 62.1 residents per day (80% occupancy)

• Last health inspection found 32 deficiencies (inspected Apr 21, 2025)

• Has been fined a total of $52,456 across 1 fine(s)

• Total nursing staff: 3.38 hours per resident per day

• Staff turnover rate: 89.9% (high)

• Part of the James & Judy Lincoln chain (58 facilities)

Strafford Care Center is a 1-star Medicare and Medicaid certified nursing home in Strafford, Missouri with 78 certified beds. It has been operating since 1996. The facility scored below average compared to Missouri facilities.

Beds
78
Avg Residents/Day
62.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 21, 1996
Sprinklers
Yes
Council
Resident
County
Greene
Last Inspection
Apr 21, 2025
Deficiencies (Cycle 1)
32
Weighted Score
341.3
Infection Citations
0

Deficiency Citations (64)

F0688Potential for Harm

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.

Survey: Dec 12, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0600Potential for Harm

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

Survey: May 20, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 2, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 2, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 2, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0644Potential for Harm

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

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0700Potential for Harm

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.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Apr 21, 2025Corrected: NoCycle: 1

+ 34 more deficiencies

Total Fines
$52,456
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineOct 18, 2024
$52,456
Payment DenialOct 18, 2024
84 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.40 hrs
National avg: 2.35 hrs
LPN0.60 hrs
National avg: 0.86 hrs
RN0.38 hrs
National avg: 0.68 hrs
Total Nursing3.38 hrs
National avg: 3.89 hrs
Weekend Total2.89 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
89.9%
RN Turnover
100.0%
Administrators Left
4

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
LINCOLN, JAMES5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Aug 1, 2001
LINCOLN, JUDY5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Aug 1, 2001
BYSOR, BRANDONCORPORATE DIRECTORIndividualN/AApr 25, 2022
CRANE, GARYCORPORATE DIRECTORIndividualN/AOct 11, 2011
STUTTS, CHARLOTTECORPORATE DIRECTORIndividualN/AOct 11, 2011
DRAKE, TIMOTHYCORPORATE OFFICERIndividualN/AApr 25, 2022
STUTTS, CHARLOTTECORPORATE OFFICERIndividualN/AOct 11, 2011
MANESS, BARBARAW-2 MANAGING EMPLOYEEIndividualN/AMar 6, 2013

Frequently Asked Questions

What is the CMS rating for Strafford Care Center?▾
Strafford Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
Has Strafford Care Center had any health inspection violations?▾
Strafford Care Center had 32 deficiency citations in its most recent health inspection (Apr 21, 2025). The facility has been fined a total of $52,456 across 1 fine(s).
What are the staffing levels at Strafford Care Center?▾
Strafford Care Center provides 3.38 total nursing staff hours per resident per day, including 0.38 RN hours, 0.60 LPN hours, and 2.40 nurse aide hours. The total staff turnover rate is 89.9%.
How many beds does Strafford Care Center have?▾
Strafford Care Center has 78 certified beds with an average of 62.1 residents per day, resulting in approximately 80% occupancy. The facility is For profit - Limited Liability company owned and is part of the James & Judy Lincoln chain.

Part of James & Judy Lincoln

This chain operates 58 facilities. View all →