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SOURCE DATA AUG 2026

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 on official state lookup (opens in a new tab)

NPI 1285646208. Look this up in the CMS NPPES registry (opens in a new tab)

Are you the operator? Claim this profile. Corrections are free, always.

About Troy Manor

Troy Manor is an assisted living community in Troy, Missouri, in Lincoln County. The MO licensing record lists its status as "LICENSED". Public records list 20 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to James & Judy Lincoln. We hold 71 inspection citations for this listing, the most recent dated 14 May 2025. CMS also lists 4 fine or payment denial actions against it. Reported staffing works out to 2.57 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare (nursing home rating))Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

2.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

59

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare (nursing home rating))Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

59

1.0(CMS Care Compare (nursing home rating))Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

2.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

59

Inspection history (71)

Records from January 2019 to May 2025.

  • October 28, 2020 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal 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 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2021-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0849

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0849 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · G

    Citation F0604

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0604 (CMS scope/severity G: isolated, actual harm) for Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · D

    Citation F0698

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0806

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0806 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0625

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0625 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0730

    Federal surveyors cited this nursing home on 2020-10-28 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 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · D

    Citation F0800

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0800 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0656

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0725

    Federal surveyors cited this nursing home on 2020-10-28 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 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · F

    Citation F0804

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0804 (CMS scope/severity F: widespread, 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 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0880 (CMS scope/severity E: pattern, 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 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0759

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0658

    Federal surveyors cited this nursing home on 2020-10-28 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 2021-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0688

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0688 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · F

    Citation F0814

    Federal surveyors cited this nursing home on 2020-10-28 under CMS tag F0814 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • October 28, 2020 · E

    Citation F0700

    Federal surveyors cited this nursing home on 2020-10-28 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 2020-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2020-10-28.GOV
  • January 15, 2019 · E

    Citation F0686

    Federal surveyors cited this nursing home on 2019-01-15 under CMS tag F0686 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2019-02-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-01-15.GOV

Penalties (4)

Total fines on file: $104,685

  • October 3, 2024 · Payment Denial

    Citation PAYDEN-2024-11-13

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-11-13, lasting 33 days (triggered by inspection on 2024-10-03). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-03.GOV
  • October 3, 2024 · Fine

    Citation FINE-90651

    CMS recorded a civil money penalty of $84,256 against this nursing home on 2024-10-03 (Fine ID: 90651). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-03.GOV
  • April 9, 2024 · Payment Denial

    Citation PAYDEN-2024-05-15

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-05-15, lasting 5 days (triggered by inspection on 2024-04-09). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-09.GOV
  • April 9, 2024 · Fine

    Citation FINE-90613

    CMS recorded a civil money penalty of $20,429 against this nursing home on 2024-04-09 (Fine ID: 90613). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-09.GOV

Staffing

Latest: 2.57 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q42.46 hrs/resident/day
  2. 2026-06-012.46 hrs/resident/day
  3. 2026-07-012.57 hrs/resident/day
  4. 2026-08-012.57 hrs/resident/day
  5. 2026Q12.57 hrs/resident/day

Most recent period is higher than 2025Q4 (+0.11 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

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: 2.8
  • Chain average staffing rating: 2.2
  • Chain average quality measure rating: 2.4

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 2, 2026Listed capacity changed

    Listed capacity changed from 130 to 20 beds.

    Reported by Missouri DHSS

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  3. Sep 1, 2026Listed capacity changed

    Listed capacity changed from 20 to 130 beds.

    Reported by CMS nursing homes (provider info)

  4. Aug 10, 2026Listed capacity changed

    Listed capacity changed from 130 to 20 beds.

    Reported by Missouri DHSS

  5. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

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 CareScout Cost of Care Survey · 2025

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.

Assisted Living

Median · MO$5,400/mo
See full MO cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nursing Homes

Median · MO$6,741/mo
See full MO cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Troy, with their own public records.

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A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

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

Check availability and pricing at Troy Manor

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

Missouri DHSSas of August 2026
Care types, City, County, License lookup link, License number, License status, Licensed capacity, Licensing state, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, CMS Special Focus status, Map location, Medicare certification number
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.

Troy Manor in Troy, MO · Inspections page 3 · ElderCareCosts