Total health inspections
9
Missouri average 6.6
Last Health inspection on Nov 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Troy
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Lincoln County Nursing &Amp; Rehab
Nursing Home in Troy
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Lincoln County Nursing &Amp; Rehab
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.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
90
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
71.1%
Residents per day (avg)
67
Occupancy rate
71.1%
Residents per day (avg)
67
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
12% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
41% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
47% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.8M
Operating loss
-$910.4K
Privately-owned community
Operated by a business corporation.
Home revenue
$4,824,248.00
Operating loss
$-910,402.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.7M
90-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeSnf
CountyLINCOLN
CMS Certification Number265433
Certification TypeMedicare/Medicaid
Lincoln County Nursing &Amp; Rehab is administrated by Denise Thorsden.
Owner NameN & R OF LINCOLN COUNTY, INC
Accept Medicaid
Accept Medicare
Rehabilitation Services
Short-Term Rehab
Physical Therapy
Occupational Therapy
Speech Therapy
Doctor on Staff
Skilled Nursing
24-Hour Staffing
Skilled Nursing Care
Professional Medical Care
Rehab Services
Social Services
Van Transportation
Daily Activities
Complete Dining Services
Pharmaceutical Services
Religious Services
Beauty & Barber Services
Housekeeping & Laundry
Specific ProgramsProfessional Medical Care, Rehab Services, Social Services, Daily Activities, Complete Dining Services, Pharmaceutical Services, Religious Services, Beauty & Barber Services, Housekeeping & Laundry
Religious ServicesYes
Food DescriptionComplete dining services with a variety of nutritious meals and snacks based on individual preferences.
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health citations
113
Missouri average 36.5
Citations per inspection
12.56
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
95 of 113 citations resulted from standard inspections; 16 of 113 resulted from complaint investigations; and 2 of 113 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
43% worse than Missouri averageMissouri average: 0.7
Serious Health citations
7
7
600% worse than Missouri averageMissouri average: 1
1 critical citation
7 serious citations
98 moderate citations
7 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 17, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 17, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 17, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 08, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 08, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Troy The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
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
61.2%
-8%
-
-
3
74
6.7
8
95
A+
Conover, Janice
$6.0M
$3.2M
52.9%
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
71.1%
+7%
3.53
-5%
3
113
12.6
8
67
-
N & R Of Lincoln County, Inc.
$4.6M
$1.7M
37.8%
265433
Places of interest near Lincoln County Nursing &Amp; Rehab
0.0 miles from city center
1145 EAST CHERRY STREET, TROY, MO 63379-1520
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
82
Employees
66
Contractors
16
Staff to resident ratio
1.22:1
29% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
28
Average shift
8.2 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
20,915
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
7.3%
1,518 contractor hours this quarter
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 3
Qualified Social Worker: 2
Physical Therapy Aide: 2
Occupational Therapy Aide: 2
Registered Nurse: 1
Occupational Therapy Assistant: 1
Speech Language Pathologist: 1
Clinical Nurse Specialist: 1
Staff by category
| Nurse Aide in Training | 24 | 0 | 24 | 5,837 | 91 | 100% | 8.1 |
| Certified Nursing Assistant | 13 | 0 | 13 | 3,925 | 91 | 100% | 9.1 |
| Medication Aide/Technician | 10 | 0 | 10 | 3,523 | 91 | 100% | 9.7 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,414 | 91 | 100% | 9.4 |
| RN Director of Nursing | 2 | 0 | 2 | 779 | 73 | 80% | 7.4 |
| Dental Services Staff | 1 | 0 | 1 | 558 | 62 | 68% | 9 |
| Registered Nurse | 2 | 1 | 3 | 510 | 55 | 60% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 66 | 73% | 7.3 |
| Administrator | 1 | 0 | 1 | 425 | 53 | 58% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 389 | 67 | 74% | 5.1 |
| Dietitian | 1 | 0 | 1 | 351 | 38 | 42% | 9.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 337 | 77 | 85% | 3.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 228 | 56 | 62% | 3.9 |
| Qualified Social Worker | 0 | 2 | 2 | 98 | 60 | 66% | 1.6 |
| Occupational Therapy Aide | 0 | 2 | 2 | 38 | 6 | 7% | 6.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
| Clinical Nurse Specialist | 0 | 1 | 1 | 3 | 1 | 1% | 3 |
| Speech Language Pathologist | 0 | 1 | 1 | 1 | 1 | 1% | 1.2 |
24 Nurse Aide in Training
% of Days
100%
13 Certified Nursing Assistant
% of Days
100%
10 Medication Aide/Technician
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
2 RN Director of Nursing
% of Days
80%
1 Dental Services Staff
% of Days
68%
3 Registered Nurse
% of Days
60%
1 Nurse Practitioner
% of Days
73%
1 Administrator
% of Days
58%
3 Physical Therapy Assistant
% of Days
74%
1 Dietitian
% of Days
42%
3 Respiratory Therapy Technician
% of Days
85%
2 Physical Therapy Aide
% of Days
62%
2 Qualified Social Worker
% of Days
66%
2 Occupational Therapy Aide
% of Days
7%
1 Occupational Therapy Assistant
% of Days
3%
1 Clinical Nurse Specialist
% of Days
1%
1 Speech Language Pathologist
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
67 residents
Residents by payment source
Medicare
1 resident (1.5%)
Medicaid
53 residents (79.1%)
Private pay or other
13 residents (19.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.1
10% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.4
5% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
6% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.9%
Percent of long-stay residents whose ability to move independently worsened
17.9%
13% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.8%
In line with Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
8.7%
Percent of long-stay residents experiencing one or more falls with major injury
8.7%
114% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.6%
Percent of long-stay high risk residents with pressure ulcers
9.6%
91% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.0%
Percent of long-stay residents with a urinary tract infection
4.0%
46% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.5%
Percent of long-stay residents who lose too much weight
5.5%
In line with Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.2%
Percent of long-stay residents who have depressive symptoms
4.2%
67% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.3%
Percent of long-stay residents who received an antipsychotic medication
15.3%
30% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.4%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.9%
19% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
18% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
53.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
53.3%
16% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$235K
222% higher than Missouri averageMissouri average: $73K
Number of fines
3
23% more fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$235K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2024
$152K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 23, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 23, 2024
21 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 29, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 29, 2024
$31K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2023
$53K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Lincoln County Nursing &Amp; Rehab based on CMS SNF Cost Reports.
Occupancy Rate
71.1%
↓ 3.8pp vs 2022
Net Income
-$910,402
↓ ~$378K vs 2022
Total Payroll
$3,384,575
↑ ~$348K vs 2022
Profit Margin
-20.0%
↓ 9.4pp vs 2022
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