Nursing home
Troy Manor (Skilled Nursing)
200 Thompson Drive, Troy, MO 63379 · Map
For profit - Limited Liability company · Part of James & Judy Lincoln (58 facilities) · 130 certified beds
Troy Manor (Skilled Nursing) is a Medicare-certified nursing home in Troy, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.20 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Apr 9, 2024 cited 20 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 3 fines totaling $207,902In CMS records: 5 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Troy 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) | 2.20 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.19 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.47 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 53.6% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 20.0 | 12.0 | 9.5 | above 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.
Penalties in CMS records: 3 fines totaling $207,902, 5 total penalties, 2 Medicare payment denials.
What inspectors found at Troy 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
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Nov 19, 2024 · Full report (PDF) - Actual harm
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 Deficiencies · Oct 3, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 3, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Oct 3, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Oct 3, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 3, 2024 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 3, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 3, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Oct 3, 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
- 200 Thompson Drive
Troy, MO 63379 - CMS certification #
- 265702
- Ownership
- For profit - Limited Liability company
- Certified beds
- 130
- Avg residents/day
- 105.2
- Provider type
- Medicare and Medicaid
- First certified
- 2000-02-22
- Chain
- James & Judy Lincoln (58 facilities)
- Setting
- Urban
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 Troy Manor (Skilled Nursing) using Google Maps.
Other public records
- Website says Works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Troy 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.
We have registered nurses and certified nursing assistants as well as visits from psychiatrists, podiatrists, dentists and hospice.
(page, checked Oct 15, 2026) - Provides transportation.
To ensure your loved one does not miss an appointment, our home offers facility transportation through handicapped accessible vans.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Semi-Private & Private Rooms
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Hospital Lincoln, Troy. 1.3 miles away, straight line.
- Nearest Medicare nursing home
- Lincoln County Nursing & Rehab, Troy. 0.4 miles away, straight line.
- Nearest home health agency office
- Calhoun County Health Department, Hardin. 22.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63379 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Fmc Dialysis Services Of Lincoln County, Troy, 2.2 miles away, straight line (CMS rating 2 of 5 stars)
Fmc - Wentzville, Wentzville, 11.7 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 17 Medicare hospices tell CMS they serve ZIP code 63379.
Ssm Health At Home Hospice, office in Wentzville, 11.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Community Loving Care Hospice, office in Wentzville, 12.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Solace Hospice Care, LLC, office in O'Fallon, 16.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Ssm Health Care Group, Saint Charles. 28.1 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 low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively high, earthquake relatively low. 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 | Nothing on record |
| 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 Troy Manor (Skilled Nursing) a good nursing home?
CMS gives Troy Manor (Skilled Nursing) an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Troy Manor (Skilled Nursing) staffed?
Troy Manor (Skilled Nursing) reports 2.20 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Troy Manor (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does Troy Manor (Skilled Nursing) have?
Troy Manor (Skilled Nursing) is certified for 130 beds.