St Francois Manor

Nursing Home in Farmington

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
St Francois Manor

Nursing Home in Farmington

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of St Francois Manor

St. Francois Manor is a long-term care facility located in Farmington, MO. It provides a wide range of services including professional medical care, rehabilitation services, and complete dining services. The facility is committed to meeting the needs of residents aged 18 and up, ensuring their physical, mental, and psychosocial well-being.
(573) 760-1700

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
4/5 ▲ 1.4 Missouri average: 2.6/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5 ▲ 1.1 Missouri average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
1/5 ▼ 1.2 Missouri average: 2.2/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5 ▲ 2.2 Missouri average: 2.8/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 6th out of 251 homes in Missouri.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 58m per day
Rank #6 / 251Nurse hours — state benchmarkedThis home is ranked 6th out of 251 homes in Missouri.Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 251 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Missouri avg (3h 48m per day)
vs Missouri avg
+57%
Staff typeHours / dayvs state avg
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 41m per day

Capacity and availability

Avg. Length of Stay
219 days

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

2% of new residents, usually for short-term rehab.

Typical stay 22 - 23 years

Private pay

8% of new residents, often for short stays.

Typical stay 2 - 3 years

Medicaid

91% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$5.4M
Operating loss
-$956.2K
Privately-owned community Operated by a business corporation.
Home revenue
$5.4M Rank #165 / 258Revenue — state benchmarkedThis home is ranked 165th out of 258 homes in Missouri.Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$956.2K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #155 / 258Payroll — state benchmarkedThis home is ranked 155th out of 258 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$2.4M
43.9% of revenue Rank #89 / 258Payroll % — state benchmarkedThis home is ranked 89th out of 258 homes in Missouri.Shows payroll as a percentage of revenue versus the Missouri average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
Total costs $6.4M
Bed community size
29-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
12 years in operation
A community with a solid operating history and experience delivering ongoing care.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
307%
Rank #143 / 257Occupancy rate — state benchmarkedThis home is ranked 143rd out of 257 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its statewide rank out of 257. Higher occupancy signals strong local demand and financial stability.
Higher than the Missouri average: 66.6%
Occupied beds
89 / 29
Average residents 72 per day

License Details

Facility TypeSnf
CountySaint Francois
CMS Certification Number265674
Certification TypeMedicare/Medicaid

Ownership & Operating Entity

St Francois Manor is legally operated by N & R Of Farmington, Llc, and administrated by Kelley Williams.

Owner NameN & R OF FARMINGTON, LLC

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

5 services
Skilled Nursing Care
Physical And Occupational Therapies
Behavioral And Alzheimer’s Care
Activities
Hospice

Additional Policies & Features

Minimum Age18

Amenities & Lifestyle

Professional Medical Care
Mental Health Facility
Rehab Services
Secured Units
Complete Dining Services
Medicaid
Private And Most Insurances
Behavioral Health Services
Specific ProgramsAbout Us, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us

Dining & Nutrition

Food DescriptionComplete Dining Services with a variety of nutritious meals and snacks based on individual preferences.
Meals IncludedYes

Contact St Francois Manor

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

6 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date November 17, 2025
Complaint Investigation

19 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Missouri average: 35 deficiencies

Health Inspection History

Inspections
Total health inspections 5

Missouri average 6.6


Last Health inspection on Nov 2025

Total health citations
19 Rank #65 / 255Health citations — state benchmarkedThis home is ranked 65th out of 255 homes in Missouri.Shows this facility's total health deficiency citations benchmarked to the Missouri state average, with a ranking across all 255 MO SNFs. Lower citation counts earn a better rank.

Missouri average 36.5

Citations per inspection
3.8

Missouri average 5.67


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

16 of 19 citations resulted from standard inspections; and 3 of 19 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0
100% better than Missouri average

Missouri average: 0.7


Serious Health citations More info 0
100% better than Missouri average

Missouri average: 1

0 critical citations More info Missouri average: 0.7

0 serious citations More info Missouri average: 1

19 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Nov 17, 2025

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Nov 17, 2025

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Jun 13, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Jun 13, 2025
Corrected

Compare Nursing Homes around Farmington The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

2 facilities compared · CMS & MO Dept. of Health data · Updated Apr 2026

Filter by care type
St Francois Manor
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Farmington29 65.2% -2%5.97 -8%+60%0193.8077A+-Simpson, Jennifer$5.4M$2.4M43.9%265674
Community Manor
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Farmington99 95.1% +43%2.68 -8%-28%0287.0096--Missouri Nursing & Rehab, Llc$8.5M$3.4M39.8%265798

Financial Assistance for
Nursing Home in Missouri

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+
General unemployed, low-income, Missouri resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
MO

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near St Francois Manor

Address 0.0 miles from city center Info Estimated distance in miles from FARMINGTON's city center to St Francois Manor's address, calculated via Google Maps.

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 138
Employees 64
Contractors 74
Staff to resident ratio 1.79:1
5% better than Missouri average

Missouri average ratio: 1.71:1

Avg staff/day 31
Average shift 9.2 hours
14% better than Missouri average

Missouri average: 8.1 hours

Total staff hours (quarter) 25,893
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.2 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 45
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

19.5%

5,060 contractor hours this quarter

Certified Nursing Assistant: 26 Licensed Practical Nurse: 23 Medication Aide/Technician: 15 Registered Nurse: 6 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant1926458,99391100%9.5
Nurse Aide in Training200204,9818998%9.8
Medication Aide/Technician715223,12591100%10.4
Licensed Practical Nurse423272,74991100%9.4
Dental Services Staff2021,1827886%8.5
RN Director of Nursing2021,1497886%8.4
Diagnostic X-ray Services Staff3031,1257886%8.1
Registered Nurse46101,0608391%11.2
Dietitian1015366673%8.1
Administrator1014595965%7.8
Nurse Practitioner1014095459%7.6
Occupational Therapy Aide0116289%7.7
Respiratory Therapy Technician011323538%0.9
Occupational Therapy Assistant0112655%5.3
Qualified Social Worker011578%0.7
45 Certified Nursing Assistant
% of Days 100%
20 Nurse Aide in Training
% of Days 98%
22 Medication Aide/Technician
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
2 Dental Services Staff
% of Days 86%
2 RN Director of Nursing
% of Days 86%
3 Diagnostic X-ray Services Staff
% of Days 86%
10 Registered Nurse
% of Days 91%
1 Dietitian
% of Days 73%
1 Administrator
% of Days 65%
1 Nurse Practitioner
% of Days 59%
1 Occupational Therapy Aide
% of Days 9%
1 Respiratory Therapy Technician
% of Days 38%
1 Occupational Therapy Assistant
% of Days 5%
1 Qualified Social Worker
% of Days 8%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 77
Medicaid
76
98.7% of residents
Private pay or other
1
1.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 1.2
89% better than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 0.7
96% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 0.0%
100% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 2.2%
90% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 0.0%
100% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.9%
52% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.3%
53% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.9%
65% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.8%
71% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 77.9%
254% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
17% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
10% better than Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
46% better than Missouri average

Missouri average: 66.6%

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