Assisted Living
Troy Manor
Cost data not yet available
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UPDATED JUL 2026
Nursing Homes · Medicare certified
Lincoln County Nursing & Rehab
1145 East Cherry Street · Troy, MO 63379 · 90 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
CMS designation
Special Focus Facility (CMS)
CMS lists this nursing home in the Special Focus Facility program. CMS places facilities in this program when they have a history of serious quality issues and require focused oversight. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
2
Cited deficiencies
98
Inspection history (115)
April 16, 2026 · G
Citation F0600Federal surveyors cited this nursing home on 2026-04-16 under CMS tag F0600 (CMS scope/severity G: isolated, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2026-03-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-16.GOVApril 16, 2026 · E
Citation F0584Federal surveyors cited this nursing home on 2026-04-16 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-05-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-16.GOVNovember 17, 2025 · D
Citation F0744Federal surveyors cited this nursing home on 2025-11-17 under CMS tag F0744 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. The deficiency was recorded as corrected on 2025-11-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-17.GOVJanuary 17, 2025 · E
Citation F0725Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOVJanuary 17, 2025 · E
Citation F0677Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOVOctober 8, 2024 · E
Citation F0761Federal surveyors cited this nursing home on 2024-10-08 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-11-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-08.GOVOctober 8, 2024 · E
Citation F0804Federal surveyors cited this nursing home on 2024-10-08 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2024-11-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-08.GOVMay 23, 2024 · F
Citation F0945Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0945 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0637Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0637 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0730Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0730 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · F
Citation F0949Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0949 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide behavior health training consistent with the requirements and as determined by a facility assessment. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · G
Citation F0697Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0697 (CMS scope/severity G: isolated, actual harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · F
Citation F0725Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0725 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0758Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0909Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0909 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0644Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0658Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · H
Citation F0689Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0689 (CMS scope/severity H: pattern, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · F
Citation F0726Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0726 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · F
Citation F0880Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOV
Penalties
Total fines on file: $235,414
Staffing
Latest: 2.65 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q42.65 hrs/resident/day
- 2026-06-012.65 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Individual
CMS Care Compare chain: James & Judy Lincoln
Chain ID 290 · 56 facilities in chain (CMS)
- Chain average overall rating: 2.4
- Chain average health inspection rating: 2.7
- Chain average staffing rating: 2.1
- Chain average quality measure rating: 2.6
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: N & R Of Lincoln County, INC.
parent · PAC 2365617487
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · MO$6,076/moSee full MO cost breakdownSource: Genworth Cost of Care Survey · Updated 2024
Nursing Homes
Median · MO$6,741/moSee full MO cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
Nearby alternatives
Other licensed providers in Troy, with their own public records.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Lincoln County Nursing & Rehab
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Your number goes only to facilities you choose. No call blitz. Ever.