Quick answers
- Where is Hermitage Nursing & Rehab?
- 18599 First Street, Hermitage, MO 65668, in Hickory County, Missouri.
- What is the phone number of Hermitage Nursing & Rehab?
- (417) 745-2111, as listed by Medicare (CMS).
- What is the Medicare star rating of Hermitage Nursing & Rehab?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Hermitage Nursing & Rehab been fined?
- Medicare lists 1 fine totaling $102,470 and 1 payment denial.
- What did inspectors find at Hermitage Nursing & Rehab?
- In its last three inspection cycles (January 13, 2022 to May 11, 2026), Medicare lists 23 health citations; the most serious was level J. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (January 13, 2022 to May 11, 2026), Hermitage Nursing & Rehab had 23 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $102,470 in total (1 fine, the latest on March 5, 2026) and had 1 Medicare payment denial. Nurse staffing is 3.17 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 12, 2025 — 12 health citations
Inspections in this cycle: December 12, 2025 (standard health inspection); March 5, 2026 (complaint investigation); May 11, 2026 (complaint investigation).
F0600 Level J
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 9 less serious citations (levels A to F)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0773 Level D
“Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
Previous cycle: February 1, 2024 — 5 health citations
Inspections in this cycle: February 1, 2024 (standard health inspection).
Show 5 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0678 Level D
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Earlier cycle: January 13, 2022 — 6 health citations
Inspections in this cycle: January 13, 2022 (standard health inspection).
Show 6 citations (levels A to F, no actual harm)
F0727 Level F
“Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”
F0700 Level E
“Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (9)
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0500 Level E
“Meet other general requirements that are deficient.”
K0161 Level F
“Use approved construction type or materials.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0223 Level E
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0500 Level E
“Meet other general requirements that are deficient.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
Fines and payment denials
Total fines over about the last three years: $102,470 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| March 5, 2026 | Fine | $102,470 |
| March 5, 2026 | Payment denial | from April 25, 2026, 37 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.42 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.28 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.47 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.17 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.65 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.39 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 47.8% | 56.9% | 45.3% |
| RN turnover (per year) | 50.0% | 50.0% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 55 nursing homes: James & Judy Lincoln.
Legal business name: N & R of Hermitage LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Lincoln, James | Direct owner | 50% | December 1, 2014 |
| Lincoln, Judy | Direct owner | 50% | December 1, 2014 |
| LTC Management Services LLC | Management company (operational or managerial control) | NOT APPLICABLE | December 1, 2014 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 120 |
| Average residents per day | 55.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | James & Judy Lincoln |
| Legal business name | N & R of Hermitage LLC |
| First approved by Medicare/Medicaid | 1984-07-02 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 18599 First Street, Hermitage, MO 65668 |
| County | Hickory County |
| State | Missouri |
| Phone | (417) 745‑2111 |
| CMS Certification Number | 265239 |
| Name in Medicare records | HERMITAGE NURSING & REHAB |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Northwood Hills Care Center17 mi · Humansville, MO · 2 of 5 stars
- Big Spring Care Center for Rehab and Healthcare18 mi · Humansville, MO · 1 of 5 stars
- Aspire Senior Living Warsaw22 mi · Warsaw, MO · 1 of 5 stars
- Parkview Health Care Facility23 mi · Bolivar, MO · 5 of 5 stars
- Citizens Memorial Healthcare Facility23 mi · Bolivar, MO · 3 of 5 stars
Nearest hospital emergency rooms
- Citizens Memorial Hospital23 mi · Bolivar, MO · Acute Care Hospital
- Lake Regional Health System36 mi · Osage Beach, MO · Acute Care Hospital
- Golden Valley Memorial Hospital38 mi · Clinton, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13