Nixa Nursing & Rehab

Name: Nixa Nursing & Rehab
Address: 1104 NORTH MAIN STREET, Nixa, MO, 65714, US
Telephone: 4177251777

1104 North Main Street, Nixa, MO 65714 · Christian County · 82 certified beds · avg 73 residents/day · certified since Apr 8, 1988

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

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.01

Nurse hours/resident/day (adjusted)

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

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

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 (9)

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 23, 2024	E · Potential for harm, repeated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Jul 23, 2024	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 23, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Sep 16, 2022	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 16, 2022	E · Potential for harm, repeated	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.
Sep 16, 2022	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.
Sep 26, 2019	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 26, 2019	D · Potential for harm, one-off	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.
Sep 26, 2019	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).

Year	Citations	Worst severity that year
2019	3	D
2022	3	E
2024	3	E

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)	4.01	3.66	3.95	top 32% in Missouri; top 39% in the U.S.
Registered Nurse hours	0.45	0.49	0.69	top 44% in Missouri; bottom 30% in the U.S.
Weekend total nurse staffing	3.56	3.22	3.50	top 31% in Missouri; top 39% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.33	0.48	top 22% in Missouri; top 50% in the U.S.
Total nursing staff turnover (%)	45.1	56.0	45.8	top 23% in Missouri; bottom 50% in the U.S.
RN turnover (%)	20.0	47.8	42.9	top 12% in Missouri; top 13% 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 3.36, RN 0.37, weekend 2.98. Staffing rating: 4/5.

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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Lincoln, James	Individual	5% or Greater Direct Ownership Interest	50%	12/01/2014
Lincoln, Judy	Individual	5% or Greater Direct Ownership Interest	50%	12/01/2014
Lincoln, James	Individual	W-2 Managing Employee	NOT APPLICABLE	04/25/2022
LTC Management Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2014

Questions to ask on your visit

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

"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Where do you post your daily staffing numbers, and can I see today's?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"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
Sunterra Springs Springfield	4.5 mi	Springfield, MO	★★★★☆	3/5
Ozark Riverview Manor	5.1 mi	Ozark, MO	★★★☆☆	3/5
Neighborhoods at Quail Creek, the	5.4 mi	Springfield, MO	★★★☆☆	3/5
Ozark Care & Rehab Center	5.5 mi	Ozark, MO	★☆☆☆☆	2/5
Birch Pointe Health and Rehabilitation	6.0 mi	Springfield, MO	★★★☆☆	3/5
Cox Medical Centers Meyer Orthopedic and Surgical	6.4 mi	Springfield, MO	★★★★☆	4/5
Springfield Villa	6.8 mi	Springfield, MO	★☆☆☆☆	1/5
Spring Valley Health & Rehabilitation Center	7.1 mi	Springfield, MO	★★☆☆☆	1/5
Springfield Rehabilitation & Health Care Center	7.2 mi	Springfield, MO	★★★★★	4/5
Maples Health and Rehabilitation, the	7.3 mi	Springfield, MO	★★★★☆	3/5
Magnolia Square Nursing and Rehab	7.5 mi	Springfield, MO	★★☆☆☆	2/5
James River Nursing and Rehabilitation	7.8 mi	Springfield, MO	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Nixa →

Facility data as of CMS processing date 2026-08-01. CCN 265322.

The Care File

Visit checklist — Nixa Nursing & Rehab

1104 North Main Street, Nixa, MO 65714 · 4177251777

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

Questions for the administrator:

☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "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 265322 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)