Troy Manor
Nursing home in Troy, Missouri, CMS certification number 265702
200 Thompson Drive, Troy, MO 63379 · Lincoln County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 130
- Certified for
- Medicare and Medicaid
- Last standard inspection
- June 4, 2026
- Deficiencies at that inspection
- 10
- Fines in 3 years
- $104,685 (2)
Does Troy Manor take Medicare and Medicaid?
Yes to both. Troy Manor is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Troy Manor reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.46
- Registered nurse hours
- 0.23
- Licensed practical nurse hours
- 0.64
- Nurse aide hours
- 1.59
- Weekend total hours
- 2.14
- Nursing staff turnover
- 43.5%
- Registered nurse turnover
- 50%
- Administrators who left
- 3
Health inspections and complaints
Inspectors last made a standard visit on June 4, 2026 and cited 10 deficiencies, plus 0 from complaint visits.
The visit before, on April 9, 2024, found 17.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Troy Manor 2 times in the past 3 years, for $104,685 in total.
It also had 2 payment denials, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 97.9 residents live here, about 75% of its 130 certified beds.
- Certified beds
- 130
- Average residents per day
- 97.9
- Certified since
- February 22, 2000
- Resident or family council
- Resident
Who owns Troy Manor
- Legal business name
- N & R of Troy LLC
- Ownership type
- For profit - Corporation
- Chain
- 55 homes nationally under James & Judy Lincoln, 2.6-star chain average
Other nursing homes near Troy Manor
- Lincoln County Nursing & Rehab1145 East Cherry Street, Troy 63379
- Elsberry Missouri Health Care Center1827 Hwy B, Elsberry 63343
- Warrenton Manor65 State Hwy Aa, Wright City 63390
- Cottages of Lake St Louis2885 Technology Drive, Lake St. Louis 63367
- Abbey Senior Health206 North Main Street, O Fallon 63366
Who inspects nursing homes in Missouri
Missouri's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Missouri, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Troy Manor, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Troy Manor
What is the CMS star rating of Troy Manor?
1 out of 5 stars overall.
Does Troy Manor accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Troy Manor?
10 cited at the last standard visit.
Who owns Troy Manor?
N & R of Troy LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.