Republic Nursing & Rehab

Name: Republic Nursing & Rehab
Address: 901 EAST HWY 174, Republic, MO, 65738, US
Telephone: 4177321822

901 East Hwy 174, Republic, MO 65738 · Greene County · 127 certified beds · avg 111 residents/day · certified since May 15, 1988

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

3.57

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: 5/5

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 (17)

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
Sep 18, 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.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jul 24, 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
Mar 14, 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.
Mar 14, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 14, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 14, 2024	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.
Mar 14, 2024	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.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Feb 25, 2022	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Feb 25, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 25, 2022	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.
Feb 25, 2022	E · Potential for harm, repeated	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Feb 25, 2022	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Feb 25, 2022	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 1).

Year	Citations	Worst severity that year
2022	6	E
2024	10	F
2025	1	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)	3.57	3.66	3.95	bottom 49% in Missouri; bottom 40% in the U.S.
Registered Nurse hours	0.60	0.49	0.69	top 22% in Missouri; top 48% in the U.S.
Weekend total nurse staffing	3.21	3.22	3.50	top 47% in Missouri; bottom 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.33	0.48	top 37% in Missouri; bottom 36% in the U.S.
Total nursing staff turnover (%)	51.0	56.0	45.8	top 36% in Missouri; bottom 34% in the U.S.
RN turnover (%)	27.3	47.8	42.9	top 21% in Missouri; top 24% 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 3.02, RN 0.51, weekend 2.71. 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: 5/5 · long-stay residents: 5/5 · 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%	07/01/2014
Lincoln, Judy	Individual	5% or Greater Direct Ownership Interest	50%	07/01/2014
Love, Darius	Individual	W-2 Managing Employee	NOT APPLICABLE	03/11/2013
LTC Management Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2014

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"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
Springfield Skilled Care Center	8.2 mi	Springfield, MO	★☆☆☆☆	1/5
Neighborhoods at Quail Creek, the	8.8 mi	Springfield, MO	★★★☆☆	3/5
Brookhaven Nursing & Rehab	9.1 mi	Springfield, MO	★★☆☆☆	3/5
Wilson's Creek Nursing & Rehab	9.2 mi	Springfield, MO	★★★★★	5/5
Magnolia Square Nursing and Rehab	9.4 mi	Springfield, MO	★★☆☆☆	2/5
Springfield Rehabilitation & Health Care Center	9.5 mi	Springfield, MO	★★★★★	4/5
Manor at Elfindale, the	9.8 mi	Springfield, MO	★★★★☆	4/5
Maples Health and Rehabilitation, the	10.0 mi	Springfield, MO	★★★★☆	3/5
Birch Pointe Health and Rehabilitation	10.1 mi	Springfield, MO	★★★☆☆	3/5
Nixa Nursing & Rehab	10.4 mi	Nixa, MO	★★★★★	5/5
Sunterra Springs Springfield	10.5 mi	Springfield, MO	★★★★☆	3/5
Springfield Villa	10.8 mi	Springfield, MO	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Republic →

Facility data as of CMS processing date 2026-08-01. CCN 265326.

The Care File

Visit checklist — Republic Nursing & Rehab

901 East Hwy 174, Republic, MO 65738 · 4177321822

Health inspection rating 4/5 · CMS overall 5/5· 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?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "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 265326 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)