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Nursing HomeMedicaid Investigative

Pacific Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

105 South Sixth Street, Pacific, MO 63069118 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.8/5

based on 28 Google reviews

5
4
3
2
1
Pacific Care Center Nursing Home in Pacific, MO — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (58%)

Bottom 25% in MO · Critically understaffed (RN) · Worst in JAMES & JUDY LINCOLN chain · No penalties on record

Source: Medicare data

What this means for your family

While some families report positive experiences with the rehab team and specific staff members, the facility has a pattern of complaints regarding staffing levels and management. We strongly recommend visiting during off-hours to observe staffing ratios and asking management directly about their current turnover rates and plans for addressing resident hygiene concerns.

Google Reviews

Google Reviews

28 reviews on Google
Pacific Care Center receives highly polarized feedback, with some families praising the compassionate staff and clean environment, while others report significant concerns regarding management and staffing levels. Critical reviews highlight issues with cleanliness, missing personal items, and a lack of adequate care, while positive reviews emphasize the dedication of specific nurses and the administrator. Prospective families should be aware of the inconsistency in care quality reported across different experiences.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean5.0Activities2.0MedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Compassionate and friendly nursing staff
  • Clean, odor-free facility environment
  • Involved and accessible administration
  • Effective post-surgery rehab support

Concerns

  • Understaffing leading to delayed care and lack of attention (mentioned by 3 reviewers)
  • Poor management and administrative oversight (mentioned by 4 reviewers)
  • Poor food quality and lack of variety (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.3'16(3)1.01.0'20(1)1.01.0'22(1)2.82.6'24(10)3.8'25(4)

Distribution · 32 analyzed

5
12
4
2
3
0
2
0
1
18

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that staffing levels are a primary focus for your team, how do you ensure that residents receive timely assistance when they press their call buttons during peak hours?
  • 2I noticed the facility is kept very clean and odor-free; what specific protocols do you have in place to maintain that high standard of environment for the residents?
  • 3Since administrative accessibility is a strength here, how do you typically handle and resolve family concerns regarding day-to-day care or management issues?
  • 4What steps are you taking to improve the variety and nutritional quality of the meal options to better meet the residents' preferences?
  • 5With the current focus on post-surgery rehab, how do you coordinate the transition from intensive therapy to daily long-term care to ensure no drop-off in support?
  • 6Could you walk me through the current schedule of social activities and how you encourage residents to participate in these events throughout the week?

Personalized based on this facility's data


Key Review Excerpts

My husband has been at Pacific Care Center for a while now. I can't say enough about the hard working staff & the compassionate and caring administrator, Kevin.

Long-term resident's family · 2024★★★★★

My mom stayed here a few days for recovery. We had one issue with the call button the first night but after we communicated our expectations, they were wonderful.

Rehab patient's family · 2025★★★★

There are not enough staff members to keep up with the residents needs including dietary,personal hygiene and mental stimulation /daily activities.

Long-term resident's family · 2024☆☆☆☆
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.20hrs
27%
Registered nurses for medical care
Total Nursing
3.00hrs
73%
All nurses + aides combined
Staff Turnover
65%
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 · 17 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility35.1%
Worse than Avg
Here
35.1%
US
14.4%
MO
19.1%
Franklin
6.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility31.3%
Worse than Avg
Here
31.3%
US
15.4%
MO
23.6%
Franklin
10.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
12.1%
MO
16.7%
Franklin
25.6%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.2%
Better than Avg
Here
14.2%
US
19.5%
MO
25.4%
Franklin
20.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.8%
Worse than Avg
Here
82.8%
US
93.4%
MO
84.4%
Franklin
93.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.1%
Mixed vs Avgs
Here
10.1%
US
15.3%
MO
18.9%
Franklin
7.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility37.5%
Worse than Avg
Here
37.5%
US
79.7%
MO
63.5%
Franklin
76.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility40.5%
Worse than Avg
Here
40.5%
US
81.8%
MO
65.9%
Franklin
80.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Franklin
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Near state avg (12.0)
12 complaint-triggered

Pacific Care Center has a concerning pattern of safety and fire protection violations that persist across multiple surveys, including repeated issues with sprinkler systems, fire alarms, and emergency power backup. Families have filed complaints about basic daily care assistance and staff training. The facility shows ongoing problems with infection control, care planning, and safety hazards, though all deficiencies appear to have correction dates.

Feb 12, 2026Complaint
1
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Jul 26, 2024Routine
20
0923Potential for harm · Widespread

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0355Potential for harm · WidespreadResolved (past non-compliance)

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0926Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0700Potential for harm · 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.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0909Potential for harm · PatternCorrected

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Jul 26, 2024Complaint
2
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0728Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

May 24, 2024Complaint
1
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Apr 19, 2024Complaint
8
0919Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0919Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 10, 2023Routine
19
0100Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0812Potential for harm · 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.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0914Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0585Minimal · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0620Minimal · WidespreadCorrected

Resident Rights Deficiencies

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pacific Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

James & Judy Lincoln

Chain Size

56 facilities nationwide

Chain avg rating: 2.5/5 · Rank 48 of 56 (Worst)

Ownership & Management

Owners

Lincoln, James

Owner

50%

Lincoln, Judy

Owner

50%

Key personnel

Hudson, KevinW-2 Managing EmployeeLtc Management Services LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — 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.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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