Best Nursing Homes in Troy, MO

Troy Manor is a 150-bed skilled nursing facility and assisted living community that has operated for 31 years under a mixed-care model. The property handles a blend of long-term care and short-term rehabilitation, resulting in an average resident stay of 188 days. Admissions lean heavily toward Medicaid-dependent individuals, who account for 82% of the total census. Business records indicate notable financial and operational strain, highlighted by a declining 65% occupancy rate and a net operating loss of $1.1 million.

Official health department and licensing databases show severe, long-standing compliance issues alongside substantial staffing shortages. Over the past seven years, regulators have documented 71 total deficiencies, creating an annual average of 10.1 citations that doubles the Missouri state baseline. The facility has compiled four critical and four serious citations since 2019, including a May 2025 substantiated complaint regarding the verbal abuse of a resident and a failure to notify state authorities.

Past inspection cycles also flagged a major 97-day medication mix-up in 2023 that resulted in a resident hospitalization, as well as recurring issues with infection control, pressure ulcer management, and elopement protocols. These challenges have led to $208,000 in total federal financial fines and two separate government payment blocks that temporarily suspended admissions. Daily staffing numbers track well below average, with registered nurse hours running 61% below the state norm and certified nursing aide hours trailing by 37%.

Older adults evaluating regional long-term skilled nursing or assisted living options can review these public tracking archives to analyze the provider’s operational history. Since the state documentation confirms significant historical financial penalties, multiple admission freezes, and thin front-line staffing volumes alongside persistent clinical care deficiencies, the files show a care environment facing heavy administrative and safety challenges.

Operated by N & R of Lincoln County, Inc, Lincoln County Nursing & Rehab is a skilled nursing facility in Troy, Missouri, under the administration of Denise Thorsden. The 90-bed facility accepts Medicare, Medicaid, and private pay, providing residents with flexible coverage options to access short-term rehabilitation and longer-term nursing care. The facility’s occupancy rate is 89%. Most stay for an average of 285 days, including post-acute rehab patients and those requiring ongoing skilled care.

The facility focuses on comprehensive rehabilitation services. There are in-house physical, occupational, and speech therapy to support recovery from surgery, stroke, or hospitalization. A doctor is on staff, with round-the-clock nursing oversight.

Total nurse staffing averages 3 hours and 32 minutes per resident daily. Registered nurses provide approximately 7 minutes per resident daily, nurse aides contribute 1 hour 51 minutes, and LPN/LVN staff provide 41 minutes. These staffing levels show the intensity of care for a nursing home population.

The facility is on East Cherry Street, a moderately walkable neighborhood with a Walk Score of 68. This means residents and visiting family can do some errands on foot, but most trips require a short drive. They can conveniently access local services and transportation within the area.

Residents have access to dining services with varied, preference-based meal planning, pharmaceutical services on-site, beauty and barber services, housekeeping and laundry support, and van transportation for outings. Religious services are also available for those who wish to observe their faith.

The Department of Health and Senior Services’ state inspections identified areas for ongoing attention. These include specialized care protocols, medication oversight, staff training, and facility maintenance standards. Families touring the facility should ask how staff manage and support these areas.