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.
