McDonald County Living Center

1000 Patterson Street · Anderson, MO · 64831 · 4178453351

96 certified beds For profit - Corporation Chain: James & Judy Lincoln

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 60
Serious harm & abuse 20% 94
Staffing 20% 59
Federal penalties 15% 100
Trend 10% 80
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.043.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day2.74≈ weekday level
Nursing turnover / year28%median 45%
Fines (3-yr window)none

Inspection citations (15 in the current record)

  • Potential for harm · D July 30, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 12, 2025 · Pharmacy Service

  • Potential for harm · D July 30, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Past Non-Compliance · Pharmacy Service

  • Potential for harm · D December 12, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected January 25, 2025 · Quality of Life and Care

  • Potential for harm · F December 12, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 25, 2025 · Nutrition and Dietary

  • Potential for harm · D December 12, 2024

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected January 25, 2025 · Administration

  • Actual harm · G August 8, 2024 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected June 25, 2024 · Resident Rights

  • Potential for harm · D April 28, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 12, 2023 · Resident Rights

  • Potential for harm · D April 28, 2023

    Keep residents' personal and medical records private and confidential.

    Corrected June 12, 2023 · Resident Rights

  • Potential for harm · E April 28, 2023

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected June 12, 2023 · Resident Rights

  • Potential for harm · D April 28, 2023

    Ensure that residents are free from significant medication errors.

    Corrected June 12, 2023 · Pharmacy Service

  • Potential for harm · E April 28, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected June 12, 2023 · Pharmacy Service

  • Potential for harm · E April 28, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 12, 2023 · Nutrition and Dietary

  • Potential for harm · E April 28, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 12, 2023 · Infection Control

  • Potential for harm · E April 28, 2023

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected June 12, 2023 · Environmental

  • No harm found · C April 28, 2023

    Post nurse staffing information every day.

    Corrected June 12, 2023 · Nursing and Physician Services

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265447 · certified since February 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.