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Nursing HomeMedicaid

Forsyth Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

477 Coy Blvd, Forsyth, MO 65653120 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 30 Google reviews

5
4
3
2
1

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What this means for your family

While many families report positive experiences with the nursing staff and facility cleanliness, the recent reports regarding communication failures under new ownership are concerning. We strongly advise families to visit during off-hours to observe response times to call lights and to ask management specifically about their protocols for notifying families of health changes.

Google Reviews

Google Reviews

30 reviews on Google
β€œForsyth Care Center receives polarized feedback, with many families praising the staff's warmth and the facility's cleanliness, while others report severe concerns regarding neglect and communication. Recent reviews highlight a potential decline in administrative responsiveness under new ownership, contrasting with long-standing appreciation for the nursing team's bedside manner. Families should be aware of significant reports of delayed response times for basic hygiene needs and inconsistent communication during critical health events.”

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean9.0ActivitiesN/AMeds4.0MemoryN/AComms2.0ValueN/A

Strengths

  • Warm, attentive nursing and care staff
  • Clean, odor-free facility environment
  • Effective rehabilitation therapy
  • Friendly and personable management interactions

Concerns

  • Significant delays in responding to call lights and hygiene needs (mentioned by 3 reviewers)
  • Poor communication with family members regarding patient status (mentioned by 2 reviewers)
  • Understaffing leading to neglect of basic care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'20(1)'22(5)'24(5)'26(9)

Distribution Β· 34 analyzed

5
16
4
6
3
3
2
1
1
8

How They Respond to Reviews

47%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure that call lights are answered promptly and hygiene needs are met in a timely manner?
  • 2I noticed that communication can sometimes be a challenge; what is your standard process for keeping family members updated on changes in a resident's health status or care plan?
  • 3With a 5-star CMS rating for overall quality, how does your leadership team work to bridge the gap in staffing consistency to ensure residents receive the attention they need?
  • 4I see that you actively engage with online feedback; how do you use those family insights to improve areas like dining experiences and medication management?
  • 5What does a typical daily schedule look like for residents, and how do you encourage participation in activities to ensure they stay socially engaged?
  • 6In the event of a medical emergency or a sudden change in condition, what is the immediate chain of communication to ensure both the medical team and the family are involved?

Personalized based on this facility's data


Key Review Excerpts

β€œThe staff is caring. They worked together and with family to ensure my mom was comfortable and surrounded with a positive atmosphere. Their personalities and knowledge are what made this place a great support for my mom and us.”

Long-term resident's family Β· 2025β˜…β˜…β˜…β˜…β˜…

β€œMy mother is currently in this nursing home and she has MS. About everyday she tells me how when she soils herself, she has to wait about 4-5 hours to be changed. 😑They leave her in her own soil and wont respond to her button call or anything.”

Long-term resident's family Β· 2021β˜…β˜†β˜†β˜†β˜†

β€œupdate new owner ship is there now and is having major problems with communications with patients family . No one there answering the phones . Currently driving there now to speak with someone at the location.”

Family member Β· 2026β˜…β˜†β˜†β˜†β˜†
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day Β· Medicare 2026
RN Hours
0.36hrs
48%
Registered nurses for medical care
Total Nursing
2.96hrs
72%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages Β· 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
πŸ’Š

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility47.8%
Worse than Avg
Here
47.8%
US
19.5%
MO
25.4%
πŸ’Š

Residents on antipsychotic medication

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
15.5%
MO
23.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.6%
Worse than Avg
Here
29.6%
US
19.4%
MO
17.9%
πŸ›οΈ

Residents needing more daily help over time

↓ Lower is better
This Facility9.1%
Better than Avg
Here
9.1%
US
14.4%
MO
19.1%
πŸ˜”

Residents with depression symptoms

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
12.1%
MO
16.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

πŸ’‰

Residents vaccinated for pneumonia

↑ Higher is better
This Facility90.5%
Mixed vs Avgs
Here
90.5%
US
93.4%
MO
84.4%
Short-Stay Residents (Rehab / Post-Acute)
πŸ’‰

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.8%
Better than Avg
Here
83.8%
US
81.8%
MO
65.9%
πŸ’‰

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.8%
Mixed vs Avgs
Here
77.8%
US
79.8%
MO
63.5%
πŸ’Š

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback Β· Medicare 2026

7deficiencies
Near state avg (12.0)
5 complaint-triggered

Families have filed complaints triggering recent inspections, with the most recent in December 2024 citing resident rights and care quality issues. The facility shows recurring problems in food safety, infection control, and care planning that have persisted across multiple years, though all deficiencies have correction dates. Safety violations and building maintenance issues also appear regularly in inspections.

Nov 17, 2025Routine
16
0812Potential for harm Β· WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0291Potential for harm Β· WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm Β· WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm Β· WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm Β· WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0761Potential for harm Β· WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm Β· WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0561Potential for harm Β· PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0700Potential for harm Β· PatternCorrected

Quality of Life and Care Deficiencies

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.

0880Potential for harm Β· PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm Β· PatternCorrected

Egress Deficiencies

Add 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.

0741Potential for harm Β· PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm Β· PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0582Potential for harm Β· IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0658Potential for harm Β· IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0695Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Dec 16, 2024Complaint
3
0554Potential for harm Β· IsolatedCorrected

Resident Rights Deficiencies

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

0561Potential for harm Β· IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0684Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jan 19, 2024Complaint
1
0880Potential for harm Β· IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 11, 2024Routine
11
0812Potential for harm Β· WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0291Potential for harm Β· WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0918Potential for harm Β· WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0804Potential for harm Β· PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0805Potential for harm Β· PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0222Potential for harm Β· PatternCorrected

Egress Deficiencies

Add 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.

0353Potential for harm Β· PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm Β· PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0645Potential for harm Β· IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0676Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0883Potential for harm Β· IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Aug 2, 2023Complaint
1
0609Potential for harm Β· IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jul 26, 2021Routine
12
0812Potential for harm Β· WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm Β· PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm Β· PatternCorrected

Environmental Deficiencies

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

0925Potential for harm Β· PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0161Potential for harm Β· PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0223Potential for harm Β· PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0363Potential for harm Β· PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm Β· PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm Β· PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0700Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0609Potential for harm Β· IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0695Potential for harm Β· IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Forsyth Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

James & Judy Lincoln

Chain Size

56 facilities nationwide

Chain avg rating: 2.5/5 Β· Rank 1 of 56 (Best)

Ownership & Management

Owners

Lincoln, James

Owner

50%

Lincoln, Judy

Owner

50%

Key personnel

Osenga, JeremyW-2 Managing EmployeeCrane, GaryOfficer / DirectorDrake, TimothyOfficer / DirectorStutts, CharlotteOfficer / DirectorForsyth Manor INCManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources β€” Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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