Strafford Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 35 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (19 vs median 10)
- High staff turnover (90%)
- High RN turnover (100%)
Bottom 25% in MO · Below recommended RN staffing · Very high staff turnover · Worst in JAMES & JUDY LINCOLN chain · $52,456 in fines · Abuse citation
What this means for your family
We strongly advise caution when considering this facility. Recent reports of serious medical errors, insect infestations, and unresponsive management are critical red flags that warrant immediate investigation before placement.
Google Reviews
Google Reviews
35 reviews on Google“Strafford Care Center receives highly polarized feedback, with recent reviews indicating significant concerns regarding neglect, poor communication, and facility maintenance. While some families praise the staff and cleanliness, multiple reports of unaddressed medical needs, insect infestations, and unresponsive management suggest a decline in quality of care.”
Quality Themes
Tap a score for detailsStrengths
- Some staff members described as kind and professional
- Clean facility environment (noted in older/select reviews)
- Accessible outdoor smoking area for residents
Concerns
- Neglect and poor response to call lights (mentioned by 4 reviewers)
- Facility maintenance issues (ants, water/plumbing problems) (mentioned by 3 reviewers)
- Poor communication and unresponsiveness from administration (mentioned by 4 reviewers)
- Inadequate medical care and medication management (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 38 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given that staffing levels are a primary focus for your team, could you walk me through how you ensure residents receive timely assistance when they use their call lights?
- 2I noticed some concerns regarding facility maintenance; what is your current process for addressing urgent repairs like plumbing or pest control to ensure a comfortable living environment?
- 3With medication management being a critical priority, what specific protocols do you have in place to ensure accuracy and consistency for residents?
- 4How does your administration team approach communication with families to ensure we are kept fully updated on our loved one's health and daily status?
- 5I see you have an outdoor space available; could you tell me more about the types of daily activities or social opportunities you organize to keep residents engaged throughout the week?
- 6How do you monitor and maintain the quality of care provided by your staff to ensure that every resident feels supported and treated with kindness?
Personalized based on this facility's data
Key Review Excerpts
“The CNAs nearly killed my grandpa. We found out that they haven't been checking his blood sugar like they're supposed to... They gave him his medicine, which nearly killed him or could have sent him to a diabetic coma.”
“My sister does not have warm water in her room and hasn’t for months! There are also ants in her room and are even in her purse.”
“I was beyond saddened. when we showed up 2 days in a row and found the help light on at my Moms room... On both occasions we had to get staffs attention to help get her cleaned and changed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
6
measures
11
measures
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed numerous complaints triggering 37 of 56 deficiencies, raising serious concerns about protection from abuse and neglect, medication management, and quality of care. The facility has repeatedly struggled with timely reporting of suspected abuse, preventing medication errors, and providing appropriate treatment according to care plans. While all issues show correction dates, the recurring patterns across multiple surveys—particularly regarding resident safety and medication errors—suggest persistent problems that families should carefully consider before placement.
Mar 26, 2026Complaint8
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Feb 25, 2026Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 5, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Dec 12, 2025Complaint1
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.
Dec 11, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Dec 10, 2025Complaint4
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Oct 18, 2024
$52,456
Payment Denial
Oct 18, 2024
84-day denial
Ownership & Operations
Who Operates This Facility
Strafford Care Center
for profit
Chain Affiliation
James & Judy Lincoln
56 facilities nationwide
Chain avg rating: 2.5/5 · Rank 56 of 56 (Worst)
Ownership & Management
Owners
Lincoln, James
Owner
Lincoln, Judy
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
35 reviews from families & visitors
Official Website
Visit straffordbytutera.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Woodland Manor
7.9 miNursing Home · Springfield, MO
Glendale Gardens Nursing & Rehab
8.5 miNursing Home · Springfield, MO
James River Nursing and Rehabilitation
9.6 miNursing Home · Springfield, MO
Spring Valley Health & Rehabilitation Center
11.1 miNursing Home · Springfield, MO