CCN 265337 · Franklin County, Missouri
Pacific Care Center
105 South Sixth Street, Pacific, MO 63069
Pacific Care Center is a 118-bed for-profit nursing home in Pacific, Missouri, first certified for Medicare or Medicaid in 1988. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 53.9 residents a day, about 46% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $4.2 million in May 2012 (223(a)(7) refinance of a 223(f) loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 118
- Average residents per day
- 53.9 (45.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Pacific Manor, LLC
- Certified since
- Dec 1, 1988
- Chain or affiliated group
- James & Judy Lincoln (56 facilities, chain average 2.5 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Missouri median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 163 at 1, 91 at 2, 97 at 3, 76 at 4, 53 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 1 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 2.40 | 3.36 | 3.68 |
| RN hours per resident per day | 0.18 | 0.39 | 0.58 |
| Weekend nurse hours per resident per day | 2.05 | ||
| Nursing staff turnover | 66.7% | 56.1% | 44.9% |
| Occupancy (residents / beds) | 45.7% | 74.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 9 (Feb 12, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Pacific Care Center does not meet it today: overall rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Lincoln, JamesIndividual | Direct Ownership Interest | 50% | 07/01/2019 |
| Lincoln, JudyIndividual | Direct Ownership Interest | 50% | 07/01/2019 |
| LTC Management Services LLCOrganization | Operational / Managerial Control | n/a | 07/01/2019 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jul 1, 2019 | Pacific Manor, LLC | Pacific Care Center, LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| May 25, 2012 | 223(a)(7) refinance of a 223(f) loanHUD project name: Pacific Care Center, 120 beds. Lender at endorsement: Gershman Investment Corp | $4,209,000 | Ended Jul 1, 2019Prepayment | 08522061 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.