Best Nursing Homes in Troy, MO

Why trust this guide? Our editorial team analyzed 3 nursing homes in Troy, MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
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We analyzed These are the facilities in Troy, MO our team has analyzed — not a count of every nursing home provider in Troy, MO.
3 homes
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Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Troy Manor
NH
AL
MC
SNF
Troy
150
Facility 150
MO AVG 111
Rank #45 / 289
64.7%
Facility 64.7%
MO AVG 68%
Rank #161 / 273
-5%
3.41
Facility 3.41
MO AVG 3.74
Rank #163 / 268
D- -44%-9%
$104.7k
Facility $104.7k
MO AVG $76.9k
Rank #254 / 276
71
Facility 71
MO AVG 36.5
Rank #259 / 275
8.9
Facility 8.9
MO AVG 5.7
Rank #258 / 275
697A+
68
Facility 68
MO AVG 50
Rank #61 / 299
N & R Of Troy, LLC
$5.9MFiscal year ending 12/2023
Facility $5.9MFiscal year ending 12/2023
MO AVG $7.4M
Rank #121 / 251
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
MO AVG $3.9M
Rank #107 / 251
61.8%Fiscal year ending 12/2023
Facility 61.8%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #61 / 251
265702
Lincoln County Nursing &Amp; Rehab-
NH
HOS
SNF
Troy
90
Facility 90
MO AVG 111
Rank #188 / 289
88.9%
Facility 88.9%
MO AVG 68%
Rank #28 / 273
+31%
3.10
Facility 3.10
MO AVG 3.74
Rank #204 / 268
D----25%-17%
$235.4k
Facility $235.4k
MO AVG $76.9k
Rank #269 / 276
115
Facility 115
MO AVG 36.5
Rank #275 / 275
11.5
Facility 11.5
MO AVG 5.7
Rank #272 / 275
980-
68
Facility 68
MO AVG 50
Rank #61 / 299
N & R Of Lincoln County, Inc
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
MO AVG $7.4M
Rank #188 / 251
$1.9MFiscal year ending 12/2023
Facility $1.9MFiscal year ending 12/2023
MO AVG $3.9M
Rank #211 / 251
45.6%Fiscal year ending 12/2023
Facility 45.6%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #203 / 251
265433

Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 3 analyzed for Troy. See how we rank facilities

Overview of Troy Manor

Troy Manor offers nursing home, assisted living, memory care, and skilled nursing in Troy, MO. Assisted living includes help with daily tasks such as dressing, bathing, and taking medication while supporting a resident’s ability to live in their own space.

Memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home and skilled nursing provide licensed nursing care on site around the clock.

Having several care levels in one community may suit a resident whose needs grow over time, since changing care needs may not require leaving the community. Troy Manor has 150 beds, with Dylan Hagler serving as the administrator, and N & R Of Troy operating the community.

Physical and occupational therapies provide rehabilitation focused on movement and daily function. A salon and spa gives residents access to personal grooming at the community, while the Resident Transportation program provides transportation arranged through Troy Manor.

Medicare, Medicaid, and private pay are accepted. Total nurse staffing is 3 hours and 25 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.

A Walk Score of 68 means the area is somewhat walkable, with some errands possible on foot. A resident who no longer drives may be able to handle some nearby errands independently.

Contact Troy Manor

Overview of Lincoln County Nursing & Rehab

A physician on staff is not standard equipment in a nursing home. At Lincoln County Nursing & Rehab in Troy, one works inside the building, and licensed nurses hold the floor at every hour besides.

Ninety beds fall under that arrangement. Rehabilitation, beauty and barber services, and religious services are all handled on site.

A long medical admission with no surgery in it still costs a person their legs. Weeks in a hospital bed take the strength out of them, and a temporary rehabilitation stay is where that strength gets rebuilt.

Hospice means the care changes while the address holds. A resident already living here is not sent somewhere else once comfort becomes the goal.

Medicaid, Medicare, and private pay are all accepted. Which one applies depends on who ends up paying. A program covers a long stay once savings run low. Medicare covers the weeks after a hospital admission, and a family can also pay directly.

Nursing time totals 3 hours and 6 minutes per resident each day. N & R of Lincoln County operates the home, and Denise Thorsden is the administrator.

Contact Lincoln County Nursing &Amp; Rehab

Overview of Mercy Skilled Nursing – Lincoln

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.

Contact Mercy Skilled Nursing – Lincoln

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

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
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Nursing Homes in Troy at a glance

Avg Overall CMS Rating: 1.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Troy, MO. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Troy, MO. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 1.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Troy, MO. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5
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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.