Nursing home report
TROY, MO · Medicare-certified · 90 beds
Overall rating: not rated. This nursing home has special-focus facility status, reported nurse staffing is below the federal benchmark (2.45 vs 4.1 hours per resident per day), and it had $24,195 in fines over the last 24 months; recent inspection issues included pressure ulcer care, accident hazards/supervision, and abuse prevention.
Health inspections
Staffing
2.4509 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.4509.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — limited pattern, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2026 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2024 — isolated incident, actual harm.
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited May 2024 — isolated incident, actual harm.
F-Tag 742 — 42 CFR §483.40 — S/S: G
A federal payment denial was recorded.
A federal fine of $24,195 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 2 health deficiencies.
A federal payment denial was recorded.
A federal fine of $151,801 was recorded.
On record with Medicare: 4 fines · $259,609 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Apr 16, 2026
Federal fine
Apr 16, 2026
Medicare/Medicaid payment denial
May 23, 2024
Federal fine
May 23, 2024
Federal fine
Mar 29, 2024
Federal fine
Oct 17, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
