Wilson's Creek Nursing & Rehab

Name: Wilson's Creek Nursing & Rehab
Address: 3403 WEST MT VERNON, Springfield, MO, 65802, US
Telephone: 4178645600

3403 West Mt Vernon, Springfield, MO 65802 · Greene County · 172 certified beds · avg 129 residents/day · certified since Jan 11, 1982

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

4.29

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 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 · Jul 20, 2021 · F-0600

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

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: Aug 26, 2021 (Deficient, Provider has date of correction)

All citations in the current public record (18)

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 30, 2023	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 30, 2023	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 30, 2023	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.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Nov 30, 2023	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.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 30, 2023	D · Potential for harm, one-off	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.
Aug 28, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Aug 28, 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
Aug 28, 2023	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. · from a complaint
Jul 20, 2021	▲ G · Actual harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Jul 20, 2021	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 20, 2021	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.
Jul 20, 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 20, 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 20, 2021	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 20, 2021	D · Potential for harm, one-off	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.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2021	7	1	G ▲
2023	11	0	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)	4.29	3.66	3.95	top 23% in Missouri; top 29% in the U.S.
Registered Nurse hours	0.57	0.49	0.69	top 28% in Missouri; bottom 48% in the U.S.
Weekend total nurse staffing	3.89	3.22	3.50	top 21% in Missouri; top 26% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.33	0.48	top 37% in Missouri; bottom 37% in the U.S.
Total nursing staff turnover (%)	26.9	56.0	45.8	top 2% in Missouri; top 9% 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 2.84, RN 0.38, weekend 2.57. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

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
Huffman, Michael	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2018
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.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"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
Brookhaven Nursing & Rehab	0.1 mi	Springfield, MO	★★☆☆☆	3/5
Springfield Skilled Care Center	1.0 mi	Springfield, MO	★☆☆☆☆	1/5
Manor at Elfindale, the	2.3 mi	Springfield, MO	★★★★☆	4/5
Magnolia Square Nursing and Rehab	3.2 mi	Springfield, MO	★★☆☆☆	2/5
Springfield Rehabilitation & Health Care Center	3.5 mi	Springfield, MO	★★★★★	4/5
Maples Health and Rehabilitation, the	3.7 mi	Springfield, MO	★★★★☆	3/5
Maranatha Village, INC	4.5 mi	Springfield, MO	★★★★☆	3/5
Springfield Villa	4.9 mi	Springfield, MO	★☆☆☆☆	1/5
Birch Pointe Health and Rehabilitation	5.0 mi	Springfield, MO	★★★☆☆	3/5
Neighborhoods at Quail Creek, the	5.1 mi	Springfield, MO	★★★☆☆	3/5
Spring Valley Health & Rehabilitation Center	5.1 mi	Springfield, MO	★★☆☆☆	1/5
Cox Medical Centers Meyer Orthopedic and Surgical	5.3 mi	Springfield, MO	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Springfield →

Facility data as of CMS processing date 2026-08-01. CCN 265161.

The Care File

Visit checklist — Wilson's Creek Nursing & Rehab

3403 West Mt Vernon, Springfield, MO 65802 · 4178645600

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

Most serious findings on record:

▲ Jul 20, 2021 (F-0600, Actual harm, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "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 265161 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)