Forsyth Rehabilitation & Health Care Center

Name: Forsyth Rehabilitation & Health Care Center
Address: 477 COY BLVD, Forsyth, MO, 65653, US
Telephone: 4175466337

477 Coy Blvd, Forsyth, MO 65653 · Taney County · 120 certified beds · avg 91 residents/day · certified since May 1, 1995

Part of chain: JAMES & JUDY LINCOLN (56 facilities, chain avg rating 2.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.87

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 17, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Nov 17, 2025	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Nov 17, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 17, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Nov 17, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 17, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Dec 16, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Dec 16, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Dec 16, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 19, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jan 11, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 11, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 11, 2024	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jan 11, 2024	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 2, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 26, 2021	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 26, 2021	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 26, 2021	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jul 26, 2021	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jul 26, 2021	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jul 26, 2021	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 26, 2021	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).

Year	Citations	Worst severity that year
2021	7	F
2023	1	D
2024	10	F
2025	7	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.87	3.66	3.95	bottom 19% in Missouri; bottom 10% in the U.S.
Registered Nurse hours	0.30	0.49	0.69	bottom 26% in Missouri; bottom 10% in the U.S.
Weekend total nurse staffing	2.41	3.22	3.50	bottom 18% in Missouri; bottom 7% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.33	0.48	bottom 19% in Missouri; bottom 7% in the U.S.
Total nursing staff turnover (%)	36.5	56.0	45.8	top 7% in Missouri; top 28% in the U.S.
RN turnover (%)	50.0	47.8	42.9	top 46% in Missouri; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.90, RN 0.30, weekend 2.43. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Lincoln, James	Individual	5% or Greater Direct Ownership Interest	50%	10/01/1995
Lincoln, Judy	Individual	5% or Greater Direct Ownership Interest	50%	10/01/1995
Drake, Timothy	Individual	Corporate Director	NOT APPLICABLE	04/30/2013
Forsyth Manor INC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/1995
Osenga, Jeremy	Individual	W-2 Managing Employee	NOT APPLICABLE	09/21/2017
Stutts, Charlotte	Individual	Corporate Officer	NOT APPLICABLE	04/30/2013

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Shepherd of the Hills Living Center	6.8 mi	Branson, MO	★★☆☆☆	3/5
Point Lookout Nursing & Rehab	6.9 mi	Hollister, MO	★★☆☆☆	3/5

Compare this facility with the 2 closest →

All facilities in Forsyth →

Facility data as of CMS processing date 2026-08-01. CCN 265605.

The Care File

Visit checklist — Forsyth Rehabilitation & Health Care Center

477 Coy Blvd, Forsyth, MO 65653 · 4175466337

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265605 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)