Nursing HomeInspections

Troy Manor

Nursing home in Troy, MO

Medicare & Medicaid certified1★ overall (CMS)

Call (636) 528-8446Send a messageMap ↗

Public-record details

Address
200 Thompson Drive, Troy, MO 63379
Phone
(636) 528-8446
Listed under
For-profit
Medicare CCN
265702
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
130
Average residents per day
100
Ownership
For-profit, limited Liability company
Legal business name
N & R of Troy LLC
Chain
James & Judy Lincoln (56 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 22, 2000
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265702. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 9, 2024. CMS lists 71 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 15, 2019 to May 14, 2025): 17 from complaint inspections, 6 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
May 14, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 14, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 14, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 19, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 3, 2024Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2024Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 3, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 3, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
Oct 3, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 71. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $104,685 and 2 denials of Medicare payment for new admissions in the last three years.

Oct 3, 2024Fine: $84,256
Oct 3, 2024Payment denial for 33 days from Nov 13, 2024
Apr 9, 2024Fine: $20,429
Apr 9, 2024Payment denial for 5 days from May 15, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.57 hours
Registered nurse (RN) time per resident per day
0.18 hours
Nurse aide time per resident per day
1.71 hours
Total nurse staffing on weekends
2.28 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
20%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Troy

Lincoln County Nursing & Rehab1145 East Cherry Street · Troy, MO 63379 · (636) 528-5712 · For-profit111 health citations in 3 inspection cycles · last standard inspection Apr 16, 2026 · $259,609 in CMS fines (3 yrs)Medicare & Medicaid certifiedSpecial Focus Facility (CMS)CMS abuse icon

All 2 in Troy →