McDonald County Living Center

Name: McDonald County Living Center
Address: 1000 PATTERSON STREET, Anderson, MO, 64831, US
Telephone: 4178453351

1000 Patterson Street, Anderson, MO 64831 · Mc Donald County · 96 certified beds · avg 58 residents/day · certified since Feb 1, 1991

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.16

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Aug 8, 2024 · F-0554 · triggered by a complaint

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.

Why it matters: Taking away this independence unnecessarily chips away at a resident's autonomy and confidence.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 25, 2024 (Past Non-Compliance)

All citations in the current public record (15)

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
Jul 30, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jul 30, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Dec 12, 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.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Aug 8, 2024	▲ G · Actual 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
Apr 28, 2023	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 28, 2023	E · Potential for harm, repeated	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.
Apr 28, 2023	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.
Apr 28, 2023	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Apr 28, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 28, 2023	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2023	9	0	E
2024	4	1	G ▲
2025	2	0	D

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)	3.16	3.66	3.95	bottom 30% in Missouri; bottom 20% in the U.S.
Registered Nurse hours	0.54	0.49	0.69	top 31% in Missouri; bottom 44% in the U.S.
Weekend total nurse staffing	2.82	3.22	3.50	bottom 34% in Missouri; bottom 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.33	0.48	top 29% in Missouri; bottom 42% in the U.S.
Total nursing staff turnover (%)	25.6	56.0	45.8	top 1% in Missouri; top 8% in the U.S.
RN turnover (%)	0.0	47.8	42.9	top 1% in Missouri; top 1% 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 3.15, RN 0.54, weekend 2.80. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Lincoln, James	Individual	5% or Greater Direct Ownership Interest	50%	09/01/2016
Lincoln, Judy	Individual	5% or Greater Direct Ownership Interest	50%	09/01/2016
Drake, Timothy	Individual	Operational/Managerial Control	NOT APPLICABLE	11/17/2021
LTC Management Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/05/2016

Questions to ask on your visit

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

"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Medicalodges Neosho	12.8 mi	Neosho, MO	★★★★☆	4/5
Highlands of Bella Vista Health & Rehab, LLC	15.3 mi	Bella Vista, AR	★★☆☆☆	1/5
Concordia Nursing & Rehab, LLC	15.4 mi	Bella Vista, AR	★☆☆☆☆	1/5	SFF
Seneca Nursing	17.1 mi	Seneca, MO	★☆☆☆☆	2/5
Betty Ann Nursing Center	18.9 mi	Grove, OK	★☆☆☆☆	1/5
Grand Lake Villa	19.0 mi	Grove, OK	★★☆☆☆	1/5	abuse
Grove Nursing Center	20.0 mi	Grove, OK	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Anderson →

Facility data as of CMS processing date 2026-08-01. CCN 265447.

The Care File

Visit checklist — McDonald County Living Center

1000 Patterson Street, Anderson, MO 64831 · 4178453351

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Aug 8, 2024 (F-0554, Actual 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.

Questions for the administrator:

☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 265447 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)