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Compare Nursing Homes around Troy
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Click column headers to sort
| Troy 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. | Troy | 150
Facility
150
MO AVG
97
Rank
#50 / 454 |
64.7%
Facility
64.7%
MO AVG
66.6%
Rank
#234 / 428 | -3% | - | -44% | - | $104.7k
Facility
$104.7k
MO AVG
$76.9k
Rank
#270 / 283 | 74
Facility
74
MO AVG
36.5
Rank
#264 / 281 | 6.7
Facility
6.7
MO AVG
5.7
Rank
#211 / 281 | 8 | 103 | A+ |
68
Facility
68
MO AVG
45
Rank
#92 / 563 | Janice Conover | $6.4M
Facility
$6.4M
MO AVG
$8.4M
Rank
#140 / 286 | $4.6M
Facility
$4.6M
MO AVG
$3.3M
Rank
#87 / 286 | 71.6%
Facility
71.6%
MO AVG
45.6%
Rank
#26 / 286 | 265702 | ||||
| Lincoln County Nursing &Amp; Rehab |
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. | Troy | 90
Facility
90
MO AVG
97
Rank
#230 / 454 |
88.9%
Facility
88.9%
MO AVG
66.6%
Rank
#50 / 428 | +33% | 3.53
Facility
3.53
MO AVG
3.74
Rank
#168 / 276 | -25% | -5% | $235.4k
Facility
$235.4k
MO AVG
$76.9k
Rank
#272 / 283 | 113
Facility
113
MO AVG
36.5
Rank
#278 / 281 | 12.6
Facility
12.6
MO AVG
5.7
Rank
#280 / 281 | 8 | 78 | - |
68
Facility
68
MO AVG
45
Rank
#92 / 563 | N & R Of Lincoln County, Inc. | $4.8M
Facility
$4.8M
MO AVG
$8.4M
Rank
#210 / 286 | $3.4M
Facility
$3.4M
MO AVG
$3.3M
Rank
#156 / 286 | 70.2%
Facility
70.2%
MO AVG
45.6%
Rank
#33 / 286 | 265433 |
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.
Lincoln County Nursing & Rehab is a nursing home in Troy, MO, offering rehabilitation and skilled nursing. Promoting a nurturing and welcoming environment, the community ensures older adults are well-cared for throughout their stay. Excellent services, including 24-hour professional care, housekeeping, laundry, and nutritious meals, are also provided to improve residents’ quality of life. The community is also committed to helping residents recover and return to their routines, providing personalized care plans.
Social events, light exercises, and various games provide residents with more opportunities to learn and interact with friends. Top-notch rehabilitation equipment and lively gathering areas are also available, so residents can rest and focus on their wellness. Set along the highway in the thriving neighborhood of Troy, the community guarantees accessibility and convenience. This nursing home is a great choice for senior living in Missouri, especially with its exceptional quality of care.
Mercy Skilled Nursing – Lincoln is a nursing home in Troy, MO, offering rehabilitation and skilled nursing. The community’s nurturing setting ensures older adults can experience the utmost comfort. With comprehensive therapy programs, wound care, and infusion therapy, residents can focus on their recovery and rehabilitation. Along with a multidisciplinary team, personalized care plans are also provided to help residents regain their independence.
Educational programs and emotional support also ensure residents will not feel lonely during their stay. As it is located within a hospital, residents can still freely move around and rest comfortably. The community also guarantees accessibility with its ideal location near highways, restaurants, and shops in Troy. Providing dedicated care for older adults in their later years, this nursing home is a great choice for senior living in Missouri.
Ranking Methodology
How we rank these nursing homes
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
Weighting overview
- 35%Care Quality
- 20%Staffing
- 20%Regulatory
- 20%Operational
- 5%Environment
01
Care Quality 35%
The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.
- Includes
- Overall Rating
- Health Inspection
- QM Rating
- Long-Stay QM
- Short-Stay QM
02
Staffing Adequacy 20%
The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.
- Includes
- Nurse Hrs/Res/Day
- RN vs State
- Total Nurse Staff Hrs vs State
- RN Turnover
03
Regulatory & Safety Record 20%
Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.
- Includes
- Citations
- Citations/Inspection
- Severe Citations
- Fines
- Accreditations
04
Operational & Financial Stability 20%
Stable operations and sound finances are leading indicators of consistent care over time.
- Includes
- Occupancy vs State
- Avg Length of Stay
- Revenue
- Payroll %
- Years in Operation
- Admin Tenure
05
Environment & Accessibility 5%
Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.
- Includes
- Walk Score
- BBB Rating
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Frequently Asked Questions about Nursing Homes in Troy, MO
What's the difference between assisted living and a nursing home in Missouri?
Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Missouri Medicaid cover nursing home care?
Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 3 nursing homes in Troy, MO. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Troy, MO?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Troy, MO, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Troy, MO?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
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