Wilson's Creek Nursing & Rehab
3403 West Mt Vernon · Springfield, MO · 65802 · 4178645600
172 certified beds For profit - Limited Liability company 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.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.77 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.51 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
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Potential for harm · D November 30, 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 January 10, 2024 · Resident Rights
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Potential for harm · D November 30, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 30, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 30, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 10, 2024 · Quality of Life and Care
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Potential for harm · E November 30, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 1, 2024 · Pharmacy Service
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Potential for harm · E November 30, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected January 10, 2024 · Pharmacy Service
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Potential for harm · D November 30, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected January 2, 2024 · Pharmacy Service
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Potential for harm · F November 30, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 10, 2024 · Nutrition and Dietary
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Potential for harm · D August 28, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 20, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 26, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 20, 2021
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 3, 2021 · Resident Rights
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Potential for harm · D July 20, 2021
Provide enough food/fluids to maintain a resident's health.
Corrected September 3, 2021 · Quality of Life and Care
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Potential for harm · D July 20, 2021
Ensure medication error rates are not 5 percent or greater.
Corrected August 26, 2021 · Pharmacy Service
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Potential for harm · E July 20, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 26, 2021 · Nutrition and Dietary
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Potential for harm · E July 20, 2021
Provide and implement an infection prevention and control program.
Corrected August 26, 2021 · Infection Control
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Potential for harm · E July 20, 2021
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 3, 2021 · Environmental
Better-scoring options nearby
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 265161 · certified since January 11, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.