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No fines or payment denials in the published 3-year window.
1104 North Main Street, Nixa, MO 65714 (opens Google Maps) · Christian County · (417) 725-1777· 82 certified beds · avg 73 residents/day · certified since Apr 8, 1988 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: JAMES & JUDY LINCOLN (56 facilities, chain avg rating 2.4★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
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. F-0678
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. F-0609
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. F-0610
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 23, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0678 |
| Jul 23, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Jul 23, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Sep 16, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| Sep 16, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0760 |
| Sep 16, 2022 | C · Potential for minimal harm, widespread | 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. · F-0732 |
| Sep 26, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Sep 26, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0625 |
| Sep 26, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2022 | 3 | 0 | E |
| 2024 | 3 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.36 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Nixa Nursing & Rehab. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 4 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain James & Judy Lincoln — 56 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 55 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 265322.
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