Senior CareScorecard

Nursing home · Farmington, MO

St Francois Manor

1180 Old Jackson Road, Farmington, MO 63640 · 118 certified beds · for profit ownership · part of James & Judy Lincoln

Medicare & Medicaid
Medicare overall rating4 / 5Above averageFarmington area 3.5 · Missouri 2.51 · U.S. 2.99
4/5Health inspections Above average
3/5Staffing Average
4/5Quality measures Above average
–Short-stay (rehab) quality Not rated
4/5Long-stay quality Above average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Apr 2, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jun 13, 2025) it had 11 citations, compared with an average of 7.6 for Farmington-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 2.95 hours per resident per day here, 14% less than the Missouri average (3.43) and 24% less than the U.S. average (3.86). Registered nurses account for 0.17 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 63% over the past year, 7 points higher than Missouri (56%) and 17 points higher than the U.S. (46%).

How St Francois Manor compares

This home's latest CMS figures next to the averages for Farmington-area homes (15), Missouri (487) and the U.S. (14,680).

This homeFarmington areaMissouriU.S.
Total nurse hours per resident per day2.953.233.433.86
Registered nurse hours per resident per day0.170.440.460.68
Weekend nurse hours per resident per day2.622.793.013.42
Nursing staff turnover (past year)63%59%56%46%
Registered nurse turnover (past year)62%47%48%43%
Citations at the most recent standard inspection117.611.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Apr 2, 20261complaint
Feb 23, 20261complaint
Nov 17, 20252complaint
Jun 13, 20257standard
Nov 26, 20241complaint
Jun 13, 20245standard
Jan 12, 20234standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 21 of 21 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Apr 2, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights · complaint
DDeficient, Provider has date of correction
Feb 23, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Nov 17, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights · complaint
DDeficient, Provider has date of correction
Nov 17, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Jun 13, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and physician services
DDeficient, Provider has date of correction
Jun 13, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy service
DDeficient, Provider has date of correction
Jun 13, 2025Post nurse staffing information every day.
Nursing and physician services
DDeficient, Provider has date of correction
Jun 13, 2025Regularly 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.
Environmental
DDeficient, Provider has date of correction
Jun 13, 2025Try 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.
Quality of life and care
DDeficient, Provider has date of correction
Jun 13, 2025Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Resident rights
DDeficient, Provider has date of correction
Jun 13, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Nov 26, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Jun 13, 2024Keep residents' personal and medical records private and confidential.
Resident rights
DDeficient, Provider has date of correction
Jun 13, 2024Honor 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.
Resident rights
DDeficient, Provider has date of correction
Jun 13, 2024Provide care or services that was trauma informed and/or culturally competent.
Quality of life and care
DDeficient, Provider has date of correction
Jun 13, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service
DDeficient, Provider has date of correction
Jun 13, 2024Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy service
DDeficient, Provider has date of correction
Jan 12, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Jan 12, 2023Dispose of garbage and refuse properly.
Nutrition and dietary
FDeficient, Provider has date of correction
Jan 12, 2023Honor 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.
Resident rights
DDeficient, Provider has date of correction
Jan 12, 2023Provide 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.
Quality of life and care
DDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about St Francois Manor

Answers computed from CMS data for this facility.

What is St Francois Manor's Medicare rating?

Medicare rates St Francois Manor 4 out of 5 stars overall (above average). The average for Farmington-area nursing homes is 3.5, for Missouri 2.51 and for the U.S. 2.99.

How did St Francois Manor do on its last inspection?

Inspectors' most recent visit in the CMS data was on Apr 2, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jun 13, 2025) it had 11 citations, compared with an average of 7.6 for Farmington-area homes, 11.4 in Missouri and 9.2 nationally.

Has St Francois Manor been fined?

CMS reports no federal fines for this facility in the past three years.

Does St Francois Manor accept Medicaid?

St Francois Manor is certified for both Medicare and Medicaid. Call (573) 760-1700 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.