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)
May 23, 2024 · E
Citation F0565Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0565 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. 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 F0585Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. 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 F0865Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. 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 F0835Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0835 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. 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 F0610Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. 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 F0700Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. 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 · C
Citation F0732Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. 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 F0760Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. 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 F0882Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0882 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. 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 F0947Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0947 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. 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 F0728Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0728 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. 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 F0804Federal surveyors cited this nursing home on 2024-05-23 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 2024-07-05. 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 F0867Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. 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 · C
Citation F0582Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0582 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 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 F0680Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0680 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure the activities program is directed by a qualified professional. 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 F0727Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. 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 F0801Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0801 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2024-07-08. 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 F0868Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0868 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. 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 F0944Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0944 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement 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 · C
Citation F0847Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0847 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. 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
Request info and we'll pass it directly to Lincoln County Nursing & Rehab, or call them at 6365285712 if you'd rather talk now.
Your number goes only to facilities you choose. No call blitz. Ever.