Troy Manor
200 Thompson Drive · Troy, MO · 63379 · 6365288446
130 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $84,256 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$84,256 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.46 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.19 | 0.55–0.75 |
| Weekend hours / resident-day | 2.14 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 2 · $104,685 |
Inspection citations (71 in the current record)
-
Potential for harm · D May 14, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 14, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 19, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 16, 2024 · Nutrition and Dietary
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Actual harm · G October 3, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 3, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected November 11, 2024 · Resident Rights
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Potential for harm · E October 3, 2024 · found via complaint
Honor 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.
Corrected November 11, 2024 · Resident Rights
-
Potential for harm · D October 3, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 3, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 11, 2024 · Quality of Life and Care
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Potential for harm · E October 3, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 16, 2024 · Nutrition and Dietary
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Potential for harm · E October 3, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 16, 2024 · Infection Control
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Immediate jeopardy · K April 9, 2024
Provide and implement an infection prevention and control program.
Corrected May 20, 2024 · Infection Control
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Potential for harm · D April 9, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected May 20, 2024 · Resident Rights
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Potential for harm · E April 9, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 20, 2024 · Resident Rights
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Potential for harm · D April 9, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 9, 2024
Provide activities to meet all resident's needs.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · D April 9, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · E April 9, 2024
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.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · E April 9, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 20, 2024 · Nursing and Physician Services
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Potential for harm · E April 9, 2024
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.
Corrected May 20, 2024 · Nursing and Physician Services
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Potential for harm · D April 9, 2024
Ensure that residents are free from significant medication errors.
Corrected May 20, 2024 · Pharmacy Service
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Potential for harm · D April 9, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 20, 2024 · Nutrition and Dietary
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Potential for harm · E April 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 20, 2024 · Nutrition and Dietary
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Potential for harm · E April 9, 2024
Regularly 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.
Corrected May 20, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 3, 2024 | Fine | $84,256 |
| October 3, 2024 | Payment Denial | 33 days |
| April 9, 2024 | Fine | $20,429 |
| April 9, 2024 | Payment Denial | 5 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265702 · certified since February 22, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.