Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SHEPHERD OF THE HILLS LIVING CENTER

BRANSON, MO · 100 certified beds · Last Life Safety survey February 13, 2026

CMS Certification Number 265393 · first certified August 1989

Ownership

Operated by JAMES & JUDY LINCOLN · For profit - Limited Liability company

  • Ownership changed September 1, 2016 (change of ownership)to SHEPARD OF THE HILLS LIVING CENTER from GGNSC BRANSON LLC
16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within MO

16 citations — more than 44% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was February 2026. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility16MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-0792024-0352026-02
Citations at each Life Safety survey
Survey dateCitations
July 28, 20222
March 21, 20249
February 13, 20265

Most-cited tags

Most-cited tags at this facility
K-03533K-01612K-07122K-09182K-03721K-03741K-03211K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-02-13
K-0161Use approved construction type or materials.22026-02-13
K-0712Have simulated fire drills held at unexpected times.22026-02-13
K-0918Have generator or other power source capable of supplying service within 10 seconds.22026-02-13
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-03-21
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12022-07-28
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-03-21
K-0923Have proper medical gas storage and administration areas.12024-03-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 3
  • Construction Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies3
Construction Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 13, 2026 — 5 citations

Citations issued on February 13, 2026
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 30, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 30, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 30, 2026)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 30, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 30, 2026)

March 21, 2024 — 9 citations

Citations issued on March 21, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (May 6, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (May 6, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 6, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 6, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 6, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 6, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 6, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 6, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 6, 2024)

July 28, 2022 — 2 citations

Citations issued on July 28, 2022
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 11, 2022)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 11, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.