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Festus Manor
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Festus, MO
Festus Manor accepts Medicare, Medicaid, and private pay.
Overview of Festus Manor
Festus Manor, located in Festus, Missouri, supplies general nursing home care, skilled nursing support, hospice care, and short-term respite stays. End-of-life care programs focus on comfort and resident support, while respite services offer temporary admissions for primary caregivers needing scheduled relief.
Festus Mo Opco operates the 150-bed residence alongside administrator Amberlee Zykan Finkelstein. Physical rehabilitation programs help individuals work toward regaining daily physical independence. Accepted payment arrangements include Medicare, Medicaid, and direct private funding options.
Prospective individuals exploring nursing support or rehabilitation options can reach out to Festus Manor to check current bed availability, discuss payment methods, or schedule a campus visit.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.150Rank#45 / 289Bed count — State benchmarkedThis nursing home is ranked 45th out of 289 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.Rank#102 / 299Walk Score — State benchmarkedThis nursing home is ranked 102nd out of 299 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
60/ 100
Residents per day The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
8
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
130days
About this community
License Details
Facility TypeSkilled Nursing Facility
StatusActive
IssuanceDecember 4, 2025
ExpirationDecember 3, 2027
CountyJefferson
License Number053200
CMS Certification Number265401
Ownership & Operating Entity
Festus Manor is legally operated by Festus Mo Opco, LLC, and administered by Amberlee Zykan-Finkelstein.
Corporate EntityFESTUS MO OPCO, LLC
Owner NameFestus Mo Opco, LLC
Type Of Units
Skilled Nursing Facility
150 units
Total beds
150 units
Therapy & Rehabilitation
1 service
Rehabilitation Services
Additional Policies & Features
Pets not allowed
Amenities & Lifestyle
Touring HoursMon - Fri 8:00 am – 8:00 pm; Sat - Sun 9:00 am – 8:00 pm
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.
Since 2024 · 2 years of dataThese figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability. Includes all inspection records for this property, which could include management/ownership changes.3 deficiencies2 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2024 vs. Missouri state average
Overall vs. MO average
0 Worse
No metrics in this bucket.
2 Better
Metrics better than Missouri average:
• Total deficiencies (95% below)
• Deficiencies per inspection (70% below)
Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.
This Facility
MO Average
vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.
3
64.0
This facility has 95% fewer total deficiencies than a typical Missouri nursing home (3 vs. MO avg 64).↓ 95% better
Deficiencies per inspection Average deficiencies per inspection.
1.5
5.0
This facility has 70% fewer deficiencies per inspection than a typical Missouri nursing home (1.5 vs. MO avg 5).↓ 70% better
Inspections State inspections evaluate whether the facility meets health and safety standards.
This Facility
MO Average
vs. MO Avg
Total inspections Combined count of all inspections conducted at this facility.
2
12.0
This facility has had 83% fewer total inspections than the Missouri average (2 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 83% fewer
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines)
and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Breakdown by payment type
Medicare
16% of new residents, usually for short-term rehab.
Typical stay1 months
Private pay
38% of new residents, often for short stays.
Typical stay2 - 3 months
Medicaid
46% of new residents, often for long-term daily care.
Typical stay5 - 6 months
Financial Trends
Historical financial and operational data for Festus Manor from 2011–2023, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2023.
Net Patient Income-$472.2K↑ ~$1.4M vs 2021
Payroll Costs$5.4M↓ ~$124.3K vs 2021
Operating Margin-4.5%↑ 17.8pp vs 2021
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2017
2018
2020
2021
2023
Occupancy %
95.5%
95.3%
91.4%
96.7%
96.2%
97.3%
95.6%
96.6%
79.1%
74.6%
78.3%
Beds
120
120
150
150
150
150
150
150
150
150
150
Net Income
$382,330
$375,411
$609,145
$353,385
$140,200
$442,468
-$44,041
$228,591
-$414,678
-$1,624,430
-$472,118
Gross Revenue
$7,339,349
$7,486,415
$10,435,068
$11,593,842
$11,528,138
$11,932,768
$12,043,181
$11,497,513
$11,563,990
$11,612,939
$9,341,927
Operating Expenses
$6,657,468
$6,720,510
$7,705,130
$8,598,544
$8,847,286
$8,998,867
$9,548,672
$9,252,700
$11,190,219
$10,467,343
$11,060,699
Net Patient Income
$367,954
$362,723
$599,328
$325,279
$94,928
$412,479
-$70,024
$194,492
-$2,177,937
-$1,903,854
-$472,218
Net Patient Revenue
$7,025,422
$7,083,233
$8,304,458
$8,923,823
$8,942,214
$9,411,346
$9,478,648
$9,447,192
$9,012,282
$8,563,489
$10,588,481
Payroll Costs
$3,655,503
$3,752,321
$4,395,128
$4,874,869
$5,007,153
$5,020,207
$5,307,609
$5,165,629
$6,196,495
$5,485,282
$5,360,974
Operating Margin %
5.2%
5.1%
7.2%
3.7%
1.1%
4.4%
-0.7%
2.1%
-24.2%
-22.2%
-4.5%
Medicare %
16.2%
14.2%
14.2%
8.6%
8.2%
7.7%
9.2%
7.0%
10.4%
6.5%
4.5%
Medicaid %
68.1%
69.0%
70.3%
75.5%
72.0%
71.0%
73.3%
75.5%
71.4%
76.2%
72.3%
Private %
15.6%
16.8%
15.5%
15.9%
19.8%
21.2%
17.5%
17.5%
18.2%
17.4%
23.2%
Net Patient Revenue/Day
$168
$169
$175
$169
$170
$176
$181
$179
$208
$210
$247
Cost/Day
$159
$161
$162
$162
$168
$168
$182
$175
$258
$256
$258
Avg Length of Stay
97.5 days
99.4 days
106.2 days
123.4 days
117.0 days
133.5 days
120.3 days
160.3 days
107.0 days
108.0 days
129.8 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.6M
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$472.2K
Net patient revenueNet patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.6M Rank#45 / 251Net patient revenue — State benchmarkedThis nursing home is ranked 45th out of 251 nursing homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$472.2K
Other incomeMoney the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$100
Payroll costsStaff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.Rank#41 / 251Payroll costs — State benchmarkedThis nursing home is ranked 41st out of 251 nursing homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$5.4M
50.6% of net patient revenue
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.Rank#156 / 251Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 156th out of 251 nursing homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.7M
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.1M
Certification details
License Number:265401
Owner Name:Festus Mo Opco, LLC
Rural vs. Urban:Urban
County:Jefferson
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
TYPE OF STAY
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (46% of admissions), and a typical Medicaid stay runs around 5 - 6 months.
Admissions
384 total
Coverage residents most often arrive under.
Medicare16%
Private pay38%
Medicaid46%
Discharges
330 total
Coverage residents most often leave under.
Medicare10%
Private pay38%
Medicaid52%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How we calculate length of stay
We calculate length of stay separately for each payment type (Medicare, Medicaid and private) by dividing total number of nights by total number of admissions.
Places of interest near Festus Manor
0.0 miles from city center Estimated distance in miles from Festus's city center to Festus Manor's address, calculated via Google Maps.
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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 TableNH (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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative 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.
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.
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 5 on this page. See how we rank facilities