Assisted Living, Nursing Homes · Medicare certified
Troy Manor
200 Thompson Dr · Troy, MO 63379 · Lic. #052742 (MO) · 20 certified beds
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About Troy Manor
Troy Manor is an assisted living community in Troy, Missouri. Its capacity is 20 beds, below the Lincoln County median of 23 for assisted living communities. The MO licensing record lists its status as "LICENSED". It is run by a for-profit operator and is part of James & Judy Lincoln. It is Medicare certified. Its public inspection record shows 71 citations, the most recent on May 14, 2025. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 2.46 hours per resident per day. It is one of 3 assisted living communities listed in Troy. Complaints about assisted living communities in Missouri go to the Missouri Department of Health and Senior Services at 1-800-392-0210. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
3.0CMS Care Compare (nursing home rating), October 2026.
Inspection history (71)
Records from January 2019 to May 2025.
April 9, 2024
Tag F0728Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2024.
April 9, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2024.
April 9, 2024
Tag F0700Try 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2024.
April 9, 2024
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2024.
April 9, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity K: pattern, immediate jeopardy. Corrected May 20, 2024.
April 9, 2024
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2024.
April 9, 2024
Tag F0679Provide activities to meet all resident's needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2024.
April 9, 2024
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected May 20, 2024.
April 9, 2024
Tag F0625Notify 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.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected May 20, 2024.
September 20, 2023
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected October 12, 2023.
August 31, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 10, 2023.
August 31, 2023
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2023.
October 28, 2020
Tag F0610Respond appropriately to all alleged violations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.
October 28, 2020
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.
October 28, 2020
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity G: isolated, actual harm. Corrected December 10, 2020.
October 28, 2020
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity K: pattern, immediate jeopardy. Corrected December 10, 2020.
October 28, 2020
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.
October 28, 2020
Tag F0909Regularly 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.
October 28, 2020
Tag F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.
October 28, 2020
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.
Penalties (4)
Total fines: $104,685
October 3, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting November 13, 2024, lasting 33 days (triggered by inspection on October 3, 2024).
October 3, 2024 · Fine
CMS recorded a civil money penalty of $84,256 against this nursing home on October 3, 2024.
April 9, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting May 15, 2024, lasting 5 days (triggered by inspection on April 9, 2024).
April 9, 2024 · Fine
CMS recorded a civil money penalty of $20,429 against this nursing home on April 9, 2024.
Staffing
2.46 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of James & Judy Lincoln, a chain of 55 nursing homes.
Average CMS star ratings across the chain: 2.6 overall, 2.7 for health inspections, 2.3 for staffing, 2.7 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
Nearby alternatives
Other licensed providers in Troy.
Lincoln County Nursing & Rehab
Sugar Creek Assisted Living
Deciding between options? Complete Guide to Assisted Living (2026)
Check availability and pricing at Troy Manor
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