Senior CareScorecard

Nursing home · Wright City, MO

Warrenton Manor

65 State Hwy Aa, Wright City, MO 63390 · 120 certified beds · for profit ownership · part of James & Judy Lincoln

Medicare & Medicaid
Medicare overall rating1 / 5Much below averageFulton area 2.2 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
3/5Staffing Average
1/5Quality measures Much below average
–Short-stay (rehab) quality Not rated
1/5Long-stay quality Much below 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 May 7, 2026, when they cited 4 problems from complaint investigations. The most common area was resident assessment and care planning (2 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 4 are marked corrected in the CMS data. At its most recent standard inspection (Mar 21, 2025) it had 19 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 3.07 hours per resident per day here, 10% less than the Missouri average (3.43) and 20% less than the U.S. average (3.86). Registered nurses account for 0.32 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 43% over the past year, 13 points lower than Missouri (56%) and 3 points lower than the U.S. (46%).

How Warrenton 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 homeFulton areaMissouriU.S.
Total nurse hours per resident per day3.072.863.433.86
Registered nurse hours per resident per day0.320.370.460.68
Weekend nurse hours per resident per day2.772.503.013.42
Nursing staff turnover (past year)43%58%56%46%
Registered nurse turnover (past year)29%43%48%43%
Citations at the most recent standard inspection1912.611.49.2

Inspection history

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

May 7, 20264complaint
Feb 26, 20261complaint
Jan 15, 20261complaint
Nov 25, 20251complaint
Mar 21, 202512standard
Apr 18, 202415standard + complaint
Mar 13, 20241complaint
Dec 30, 202212standard

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

Most recent 40 of 47 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
May 7, 2026Develop 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 · complaint
EDeficient, Provider has date of correction
May 7, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
May 7, 2026Ensure that residents are free from significant medication errors.
Pharmacy service · complaint
DDeficient, Provider has date of correction
May 7, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
EDeficient, Provider has date of correction
Feb 26, 2026Provide and implement an infection prevention and control program.
Infection control · complaint
EDeficient, Provider has date of correction
Jan 15, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Nov 25, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DPast Non-Compliance
Mar 21, 2025Ensure 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
EDeficient, Provider has date of correction
Mar 21, 2025Ensure the activities program is directed by a qualified professional.
Quality of life and care
DDeficient, Provider has date of correction
Mar 21, 2025Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection control
EDeficient, Provider has date of correction
Mar 21, 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
EDeficient, Provider has date of correction
Mar 21, 2025Post nurse staffing information every day.
Nursing and physician services
EDeficient, Provider has date of correction
Mar 21, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Mar 21, 2025Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Mar 21, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
EDeficient, Provider has date of correction
Mar 21, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Mar 21, 2025Develop 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
EDeficient, Provider has date of correction
Mar 21, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights
EDeficient, Provider has date of correction
Mar 21, 2025Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Apr 18, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Apr 18, 2024Ensure 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
DDeficient, Provider has date of correction
Apr 18, 2024Create 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
DDeficient, Provider has date of correction
Apr 18, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights
DDeficient, Provider has date of correction
Apr 18, 2024Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Apr 18, 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
EDeficient, Provider has date of correction
Apr 18, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy service
EDeficient, Provider has date of correction
Apr 18, 2024Assure that each resident’s assessment is updated at least once every 3 months.
Resident assessment and care planning
EDeficient, Provider has date of correction
Apr 18, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
EDeficient, Provider has date of correction
Apr 18, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident assessment and care planning
EDeficient, Provider has date of correction
Apr 18, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident assessment and care planning
EDeficient, Provider has date of correction
Apr 18, 2024Notify 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.
Resident rights
EDeficient, Provider has date of correction
Apr 18, 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
EDeficient, Provider has date of correction
Apr 18, 2024Procure 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
Apr 18, 2024Develop 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
EDeficient, Provider has date of correction
Mar 13, 2024Immediately 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
Dec 30, 2022Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy service
EDeficient, Provider has date of correction
Dec 30, 2022Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident assessment and care planning
DDeficient, Provider has date of correction
Dec 30, 2022Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Dec 30, 2022Ensure 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
EDeficient, Provider has date of correction
Dec 30, 2022Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy service
EDeficient, 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 Warrenton Manor

Answers computed from CMS data for this facility.

What is Warrenton Manor's Medicare rating?

Medicare rates Warrenton Manor 1 out of 5 stars overall (much 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 Warrenton Manor do on its last inspection?

Inspectors' most recent visit in the CMS data was on May 7, 2026, when they cited 4 problems from complaint investigations. The most common area was resident assessment and care planning (2 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 4 are marked corrected in the CMS data. At its most recent standard inspection (Mar 21, 2025) it had 19 citations, compared with an average of 12.6 for Fulton-area homes, 11.4 in Missouri and 9.2 nationally.

Has Warrenton Manor been fined?

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

Does Warrenton Manor accept Medicaid?

Warrenton Manor is certified for both Medicare and Medicaid. Call (636) 456-8700 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.