Troy Manor
Nursing Home · Troy, MO
CMS certification number265702
Contact & location
200 Thompson DriveTroy, MO 63379
Lincoln County
- Phone
- (636) 528-8446
- ZIP code
- 63379 – all care providers
Facility details
- Certified beds
- 130
- Residents per day
- 99.5 (77% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- N & R of Troy LLC
- Chain
- James & Judy Lincoln (56 facilities, avg 2.4★)
- Medicare certified since
- February 22, 2000
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.57 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.18 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.68 (state 0.68 · U.S. 0.86)
- Nurse aides
- 1.71 (state 2.29 · U.S. 2.32)
- Weekend total
- 2.28 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 38.3 (state 56.0 · U.S. 45.8)%
- RN turnover
- 20.0 (state 47.8 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- April 9, 2024
- Health deficiencies (last cycle)
- 17.0 (state 11.5 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 59 health · 21 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-05-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-05 |
| 2025-05-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-05 |
| 2025-05-14 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-11 |
| 2024-11-19 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-16 |
| 2024-10-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-11-11 |
| 2024-10-03 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-11 |
| 2024-10-03 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-16 |
| 2024-10-03 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-16 |
| 2024-10-03 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-11 |
| 2024-10-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-11 |
| 2024-10-03 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-11 |
| 2024-10-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-11 |
| 2024-04-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2024-05-20 |
| 2024-04-09 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Ensure 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. F0728 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | 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. F0909 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-05-20 |
| 2024-04-09 | Notify 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. F0625 · Resident Rights Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-05-20 |
| 2023-09-20 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-10-12 |
| 2023-08-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-10 |
| 2023-08-31 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-10 |
| 2020-10-28 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2020-12-10 |
| 2020-10-28 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
G Actual harm |
Corrected 2020-12-10 |
| 2020-10-28 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2020-12-10 |
| 2020-10-28 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2021-01-27 |
| 2020-10-28 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Notify 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. F0625 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-01-27 |
| 2020-10-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
| 2020-10-28 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2020-12-10 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $104,685 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-10-03 | Payment Denial | 33 days payment denial |
| 2024-10-03 | Fine | $84,256 |
| 2024-04-09 | Payment Denial | 5 days payment denial |
| 2024-04-09 | Fine | $20,429 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Lincoln, James (individual) | 5%+ Direct Ownership Interest · 50% | |
| Lincoln, Judy (individual) | 5%+ Direct Ownership Interest · 50% | |
| Lincoln, James (individual) | Operational/managerial Control · NOT APPLICABLE | |
| LTC Management Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Conover, Janice (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Troy Manor?
Troy Manor has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Troy Manor have?
It has 130 certified beds and cares for about 100 residents per day.
Has Troy Manor been fined?
Yes. CMS lists 4 penalties totaling $104,685 in the last three years.
Who owns Troy Manor?
It is part of James & Judy Lincoln and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Troy Manor?
(636) 528-8446. The facility is located at 200 Thompson Drive, Troy, MO 63379.
Other nursing homes in Troy
-
Lincoln County Nursing & Rehab
Nursing Home · Troy, MO · 90 beds
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.