Strafford Rehabilitation & Health Care Center
Strafford, Missouri · CCN 265656
32 surveys since 2011, 4 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 134
- Surveys
- 32
- Harm or worse
- 4
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 78
- Ownership
- For profit - Limited Liability company
- Chain
- JAMES & JUDY LINCOLN
- County
- Greene
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 113 for-profit facilities of 66–99 beds in Missouri.
Last survey on record
Mar 26, 2026
228 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.16 | 3.32 |
| Registered-nurse hours per resident day | 0.30 | — |
| Annual nurse turnover | 82.3% | 60.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $52,456 across 1 penalty
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J11.3% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D4052.6% | E2532.9% | F911.8% |
| No harm, potential for minimal | A— | B— | C11.3% |
Most frequently cited here
In CMS’s current monthly file.
- F6096×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6846×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6104×
Respond appropriately to all alleged violations.
- F6974×
Provide safe, appropriate pain management for a resident who requires such services.
- F5503×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Strafford Rehabilitation & Health Care Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600Oct 31, 2024
Based on observation, interview, and record review, the facility failed to ensure each resident was free from abuse when two staff (Certified Nurses Aide (CNA) E and Certified Medication Technician (CMT) F) physically forced one resident (Resident #1) to shower against his/her wishes- resulting in the resident yelling out for help, fighting against the aides, receiving bruises on both the right and left hand/wrist, and voicing he/she was upset. The facility census was 72. The Assistant Administrator and the Administrator were notified on 10/29/24, at 4:05 P.M., of an Immediate Jeopardy (IJ) which began on 10/26/24. […]
- No harm, potential for more than minimal, widespreadF804Mar 26, 2026
Based on observation, record review, and interview, the facility staff failed to ensure all meals met the nutritional needs of residents when staff failed to follow approved menus, including appropriate serving sizes, for all residents including two residents (Resident #3 and #4) who stated portion sizes were not sufficient. The facility census was 62. Review of the facility's policy titled, Standardized Recipes, undated showed the following:-Standardized recipes will be used for all menu items;-The registered dietician will approve recipe changes or new recipes utilized for a menu item.Review of the facility's policy titled, Diet Spreadsheet, Portion Serving Communication Tool, undated , showed the following:-Diet spreadsheets or similar meals and portion serving communication tools are… […]
- No harm, potential for more than minimal, widespreadF761Apr 21, 2025
Based on observation, interview, and record review, the facility failed to store refrigerated medications at the medication's recommended temperatures and failed to have a system in place to monitor and adjust the temperature as needed. The facility census was 61. Review of the facility's policy titled Medication Storage in the Facility, dated April 2017, showed the following: -Medication and biologicals are stored safely, securely, and properly, following manufacturers' recommendations or those of the supplier; -Medications requiring refrigeration are kept in a refrigerator at temperatures between 36 degrees Fahrenheit (F) and 46 degrees F; -The facility should maintain a temperature log in the storage area to record temperatures at least once a day. […]
- No harm, potential for more than minimal, widespreadF803Apr 21, 2025
Based on observation, record review, and interview, the facility staff failed to ensure all meals met the nutritional needs of residents when staff failed to follow approved menus for all residents and failed to provide potatoes, or comparable substitute, at a meal for all residents. The facility census was 61. Review of the facility's policy titled, Menu Substitutions or Changes and Approval, undated showed the following: -All substitutions, whether a one-time substitution or a permanent menu change, are recorded using a facility specific document or a menu substitution form. […]
- No harm, potential for more than minimal, widespreadF812Apr 21, 2025
Based on observation, interview, and record review, the facility failed store, prepare, distribute, and serve food in accordance with professional standards when staff failed to use effective hair restraints; failed to consistently label and date food; and failed to properly close frozen foods to prevent freezer burn; failed to cover foods in the refrigerator being stored under fan with lint and black substance. The facility census was 61. 1. Review of the 2013 Food Code, issued by the Food and Drug Administration (FDA), showed food employees shall wear hair restraints such as hats, hair coverings or nets, beard restraints, and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food; clean equipment, utensils, and linens; and… […]
Read 24 findings in full →The most serious and the most recent: 24 of 134 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 7, 2026Complaint3 findings
- Mar 26, 2026Complaint8 findings
- Feb 25, 2026Complaint2 findings
- Jan 5, 2026Complaint2 findings
- Dec 12, 2025Complaint1 finding
- Dec 11, 2025Complaint2 findings
- Dec 10, 2025Complaint4 findings
- May 20, 2025Complaint1 finding
Show the 24 earlier surveys
- May 2, 2025Complaint3 findings
- Apr 21, 2025Standard20 findings
- Feb 6, 2025Complaint3 findings
- Dec 11, 2024Complaint1 finding
- Oct 31, 2024Complaint2 findings · 1 harm
- Oct 18, 2024Complaint9 findings
- Jun 4, 2024Complaint3 findings
- Apr 7, 2024Complaint7 findings
- Jul 12, 2023Complaint4 findings
- Jun 29, 2023Standard6 findings
- Sep 8, 2021Complaint3 findings
- Dec 11, 2020Infection control2 findings
- Feb 13, 2020Standard3 findings
- Mar 14, 2018Complaint1 finding
- Jan 26, 2018Standard4 findings
- Mar 16, 2017Standard1 finding
- Apr 18, 2016Standard5 findings · 1 harm
- Mar 18, 2015Complaint1 finding
- Feb 6, 2015Standard2 findings
- Mar 13, 2014Standard6 findings · 1 harm
- Feb 25, 2013—4 findings
- Oct 19, 2012—2 findings
- Jan 17, 2012—17 findings · 1 harm
- Feb 10, 2011—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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