Nursing home
St Francois Manor (Skilled Nursing)
1180 Old Jackson Road, Farmington, MO 63640 · Map
For profit - Limited Liability company · Part of James & Judy Lincoln (58 facilities) · 118 certified beds
St Francois Manor (Skilled Nursing) is a Medicare-certified nursing home in Farmington, Missouri. CMS rates it 4 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.88 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Jun 13, 2025 cited 9 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How St Francois Manor (Skilled Nursing) compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.88 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.13 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.19 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 72.1% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 9.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at St Francois Manor (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Feb 23, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Jun 13, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Have 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 Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Post 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 Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 26, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Jun 13, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1180 Old Jackson Road
Farmington, MO 63640 - CMS certification #
- 265674
- Ownership
- For profit - Limited Liability company
- Certified beds
- 118
- Avg residents/day
- 86.8
- Provider type
- Medicare and Medicaid
- First certified
- 1997-06-05
- Chain
- James & Judy Lincoln (58 facilities)
- Setting
- Rural
Part of James & Judy Lincoln
James & Judy Lincoln operates 58 nursing facilities across the United States. View all James & Judy Lincoln facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around St Francois Manor (Skilled Nursing) using Google Maps.
Other public records
- Website says Works with hospice, behavioral support, couples welcome
Full public records, with dates and sources
Care and services
From the community’s website
What St Francois Manor (Skilled Nursing) says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Accept Medicare, Medicaid, Hospice, Private and Most Insurances
(page, checked Oct 15, 2026) - Offers behavioral support.
Behavioral Health Services – Academy
(page, checked Oct 15, 2026) - Couples welcome.
Private Rooms and Semi-Private Rooms for Couples, Provide Meals, Pass Meds and Housekeeping Services, 40 Beds.
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private and Semi-Private Rooms
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Apr 2, 2013.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Parkland Health Center, Farmington. 2.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Farmington Presbyterian Manor, Farmington. 1.9 miles away, straight line.
- Nearest home health agency office
- Americare Home Health Solutions, Farmington. 2.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharm-x. 23.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63640 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Farmington Dialysis Clinic, Farmington, 2.7 miles away, straight line (CMS rating 4 of 5 stars)
Davita Maple Valley Dialysis, Farmington, 2.7 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 63640.
Heart & Soul Hospice, office in Farmington, 1.8 miles away, straight line
Preferred Hospice Of Missouri, office in Farmington, 3.0 miles away, straight line (CMS family survey rating 3 of 5 stars)
Serenity Hospicecare, office in Park Hills, 8.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Red Bud Illinois Hospital Company LLC, Red Bud. 37.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is St Francois Manor (Skilled Nursing) a good nursing home?
CMS gives St Francois Manor (Skilled Nursing) an overall rating of 4 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is St Francois Manor (Skilled Nursing) staffed?
St Francois Manor (Skilled Nursing) reports 2.88 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has St Francois Manor (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does St Francois Manor (Skilled Nursing) have?
St Francois Manor (Skilled Nursing) is certified for 118 beds.