Troy Manor in Troy, MO has a 1-out-of-5 overall rating, with a 1-star health inspection rating and 2-star staffing; reported nurse staffing is 2.57 hours per resident per day versus the 4.1-hour federal benchmark. It also has $84,256 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns cited for infection control, resident abuse protection, and pressure ulcer care.
Last inspection: May 14, 2025Penalties, last 24 months: $84,256recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.5704.
Staffing detail
Registered nurses
0.18
Licensed practical nurses
0.68
Nurse aides
1.71
Weekend nursing
2.28
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20.3%22.1%Worsening
Residents with a fall causing major injury
4.6%3.1%Improving
Residents with pressure ulcers (bedsores)
4.5%5.6%Worsening
Residents with a urinary tract infection
0%3.1%Worsening
Residents who lost too much weight
1.2%2.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.1%17.9%Improving
Residents whose ability to walk got worse
15.3%14.2%Improving
Long-stay residents on antianxiety or sleep medication
31.7%28.6%Improving
Residents with a long-term catheter
1.8%0.8%Improving
Residents with new or worsening incontinence
22.1%13.7%Improving
Residents with depressive symptoms
6.4%4.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.9%—
Long-stay residents given the pneumonia vaccine
100%99%Worsening
Short-stay residents given the pneumonia vaccine
—95%—
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2020 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited October 2020 — isolated incident, actual harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited October 2020 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $84,256 was recorded.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $104,685 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Oct 3, 2024
33 days
Federal fine
Oct 3, 2024
$84,256
Medicare/Medicaid payment denial
Apr 9, 2024
5 days
Federal fine
Apr 9, 2024
$20,429
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of JAMES & JUDY LINCOLN · 56 homes · 2.4 stars avg
Occupancy
99.5 residents on an average day (77% of 130 beds)
Resident voice
Resident council
Medicare history
Certified for 26 years
The most recent standard health inspection was more than two years ago.
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.