Nursing home · Troy, MO
Troy Manor
200 Thompson Drive, Troy, MO 63379 · 130 certified beds · for profit ownership · part of James & Judy Lincoln
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jun 4, 2026, when they cited 10 problems. The most common area was nutrition and dietary (2 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 10 are marked corrected in the CMS data. At its most recent standard inspection (Jun 4, 2026) it had 10 citations, compared with an average of 12.6 for Fulton-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.57 hours per resident per day here, 25% less than the Missouri average (3.43) and 33% less than the U.S. average (3.86). Registered nurses account for 0.18 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 38% over the past year, 18 points lower than Missouri (56%) and 8 points lower than the U.S. (46%).
How Troy Manor compares
This home's latest CMS figures next to the averages for Fulton-area homes (13), Missouri (487) and the U.S. (14,680).
| This home | Fulton area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.57 | 2.86 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.18 | 0.37 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.28 | 2.50 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 38% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 20% | 43% | 48% | 43% |
| Citations at the most recent standard inspection | 10 | 12.6 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 67 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jun 4, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jun 4, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jun 4, 2026 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Jun 4, 2026 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Jun 4, 2026 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 4, 2026 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
| Jun 4, 2026 | Ensure 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 | E | Deficient, Provider has date of correction |
| Jun 4, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Jun 4, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jun 4, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | E | Deficient, Provider has date of correction |
| May 14, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| May 14, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| May 14, 2025 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Nov 19, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Oct 3, 2024 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Oct 3, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Oct 3, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Oct 3, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Oct 3, 2024 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Oct 3, 2024 | Provide and implement an infection prevention and control program. Infection control · complaint | E | Deficient, Provider has date of correction |
| Oct 3, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Oct 3, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | G actual harm | Deficient, Provider has date of correction |
| Apr 9, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Apr 9, 2024 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | B | Deficient, Provider has date of correction |
| Apr 9, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | B | Deficient, Provider has date of correction |
| Apr 9, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Apr 9, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Apr 9, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 9, 2024 | Reasonably accommodate the needs and preferences of each resident. Resident rights | D | Deficient, Provider has date of correction |
| Apr 9, 2024 | 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. Environmental | E | Deficient, Provider has date of correction |
| Apr 9, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 9, 2024 | 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. Nursing and physician services | E | Deficient, Provider has date of correction |
| Apr 9, 2024 | 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. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 9, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Apr 9, 2024 | Provide activities to meet all resident's needs. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 9, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Apr 9, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | E | Deficient, Provider has date of correction |
| Apr 9, 2024 | Provide and implement an infection prevention and control program. Infection control | K immediate jeopardy | Deficient, Provider has date of correction |
| Apr 9, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and physician services | E | Deficient, Provider has date of correction |
| Sep 20, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Oct 3, 2024 | Fine | $84,256 |
| Oct 3, 2024 | Payment Denial | 33 days |
| Apr 9, 2024 | Fine | $20,429 |
| Apr 9, 2024 | Payment Denial | 5 days |
Location
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Reviews
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Questions about Troy Manor
Answers computed from CMS data for this facility.
What is Troy Manor's Medicare rating?
Medicare rates Troy Manor 2 out of 5 stars overall (below average). The average for Fulton-area nursing homes is 2.2, for Missouri 2.51 and for the U.S. 2.99.
How did Troy Manor do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jun 4, 2026, when they cited 10 problems. The most common area was nutrition and dietary (2 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 10 are marked corrected in the CMS data. At its most recent standard inspection (Jun 4, 2026) it had 10 citations, compared with an average of 12.6 for Fulton-area homes, 11.4 in Missouri and 9.2 nationally.
Has Troy Manor been fined?
Yes. CMS reports 2 fines totaling $104,685 in the past three years.
Does Troy Manor accept Medicaid?
Troy Manor is certified for both Medicare and Medicaid. Call (636) 528-8446 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.