Missouri › Lincoln County › Troy
Troy Manor
200 Thompson Drive, Troy, MO 63379
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Troy Manor is a For-profit, limited liability company nursing home in Troy, Missouri, certified for 130 beds and caring for about 100 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 71 health deficiencies across the three most recent survey cycles (17, 39, 15 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 54.6 per 100 beds, more than the state median of 32.1.
CMS lists 4 penalties in the period covered: fines totalling $105K and 2 payment denials.
Reported nurse staffing is 2.6 hours per resident per day (0.2 RN), below the Missouri median of 3.4; nursing staff turnover is 38.3%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Lincoln Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 71 | 71 | 31 | 28.7 |
| Citations per 100 beds | 54.6 | 54.6 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.6 | 2.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 38.3% | 38.6% | 56.1% | 45.8% |
| Fines listed | $104,685 | $104,685 | $0 | — |
County and state figures are medians across facilities (3 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2024, 28 Oct 2020.
Severity mix: K ×2 G ×4 D ×19 E ×39 F ×4 B ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 May 2025 |
| 14 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 May 2025 |
| 14 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Jun 2025 |
| 19 Nov 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 16 Dec 2024 |
| 3 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 11 Nov 2024 |
| 3 Oct 2024 | F0584 | 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. | E | Complaint investigation | 11 Nov 2024 |
| 3 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 16 Dec 2024 |
| 3 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 16 Dec 2024 |
| 3 Oct 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 11 Nov 2024 |
| 3 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Nov 2024 |
| 3 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Nov 2024 |
| 3 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 Nov 2024 |
| 9 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | K | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 20 May 2024 |
| 9 Apr 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 20 May 2024 |
| 9 Apr 2024 | F0700 | 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. | E | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0728 | 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. | E | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0909 | 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. | E | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 20 May 2024 |
| 9 Apr 2024 | F0625 | 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. | B | Standard survey | 20 May 2024 |
| 20 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 12 Oct 2023 |
| 31 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 10 Oct 2023 |
| 31 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 10 Oct 2023 |
| 28 Oct 2020 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Jan 2021 |
| 28 Oct 2020 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0625 | 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. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 27 Jan 2021 |
| 28 Oct 2020 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0688 | 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. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0700 | 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. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0909 | 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. | E | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 10 Dec 2020 |
| 28 Oct 2020 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 10 Dec 2020 |
| 15 Jan 2019 | F0584 | 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. | E | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0585 | 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. | E | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0924 | Put firmly secured handrails on each side of hallways. | E | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 26 Feb 2019 |
| 15 Jan 2019 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 26 Feb 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Oct 2024 | Payment denial | — | 33 days |
| 3 Oct 2024 | Fine | $84,256 | |
| 9 Apr 2024 | Payment denial | — | 5 days |
| 9 Apr 2024 | Fine | $20,429 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 38.3%, RNs 20.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.8% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.2% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.1% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Troy Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| LTC Management Services LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2008 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lincoln County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Elsberry Missouri Health Care Center | Elsberry | 56 | 4 | 3 | 3 | 13 | 23.2 | $29K | 31 Jul 2025 |
| Lincoln County Nursing & Rehababuse iconSFF | Troy | 90 | — | — | — | 111 | 123.3 | $260K | 16 Apr 2026 |
All 3 facilities in Lincoln County
Questions and answers
How many deficiencies has Troy Manor been cited for?
71 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Troy Manor been fined?
Yes. CMS lists fines totalling $105K in the period covered, plus 2 payment denials.
How does staffing at Troy Manor compare?
Reported total nurse staffing is 2.6 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Troy Manor?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include LTC Management Services LLC. Individual owners and managers are not listed on this site.
When was Troy Manor last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2025; the most recent standard health survey was 9 Apr 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.