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Assisted Living, Nursing Homes · Medicare certified

Troy Manor

200 Thompson Dr · Troy, MO 63379 · Lic. #052742 (MO) · 20 certified beds

(636) 528-8446

Licensed · Verify with the state (opens in a new tab)

NPI 1285646208 (opens in a new tab)

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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

1.0

Staffing

1.0

Quality measures

3.0

CMS Care Compare (nursing home rating), October 2026.

Inspection history (71)

Records from January 2019 to May 2025.

  • October 28, 2020

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 27, 2021.

  • October 28, 2020

    Tag F0849

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0604

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Severity G: isolated, actual harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0698

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0806

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0625

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0730

    Observe each nurse aide's job performance and give regular training.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0800

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0656

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0725

    Provide 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 December 10, 2020.

  • October 28, 2020

    Tag F0804

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0759

    Ensure medication error rates are not 5 percent or greater.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0580

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 27, 2021.

  • October 28, 2020

    Tag F0688

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0814

    Dispose of garbage and refuse properly.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • October 28, 2020

    Tag F0700

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2020.

  • January 15, 2019

    Tag F0686

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 26, 2019.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Assisted Living

Missouri median$5,400/mo

Nursing Homes

Missouri median$6,741/mo

Nearby alternatives

Other licensed providers in Troy.

Deciding between options? Complete Guide to Assisted Living (2026)

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