(888) 927-9409
Pricing Call
(888) 927-9409
Lincoln County Nursing &Amp; Rehab
Nursing Home, Hospice Care & Skilled Nursing · Troy, MO

Lincoln County Nursing &Amp; Rehab

Nursing Home, Hospice Care & Skilled Nursing · Troy, MO
1145 East Cherry Street, Troy, MO 63379-1520 View map Calculator: See prices in your area
Lincoln County Nursing &Amp; Rehab accepts Medicaid, Medicare, and private pay.
Contact Us Explore Open Rooms
Calculator: See prices in your area
Lincoln County Nursing &Amp; Rehab accepts Medicaid, Medicare, and private pay.

Overview of Lincoln County Nursing & Rehab

Operated by N & R of Lincoln County, Inc, Lincoln County Nursing & Rehab is a skilled nursing facility in Troy, Missouri, under the administration of Denise Thorsden. The 90-bed facility accepts Medicare, Medicaid, and private pay, providing residents with flexible coverage options to access short-term rehabilitation and longer-term nursing care. The facility’s occupancy rate is 89%. Most stay for an average of 285 days, including post-acute rehab patients and those requiring ongoing skilled care.

The facility focuses on comprehensive rehabilitation services. There are in-house physical, occupational, and speech therapy to support recovery from surgery, stroke, or hospitalization. A doctor is on staff, with round-the-clock nursing oversight.

Total nurse staffing averages 3 hours and 32 minutes per resident daily. Registered nurses provide approximately 7 minutes per resident daily, nurse aides contribute 1 hour 51 minutes, and LPN/LVN staff provide 41 minutes. These staffing levels show the intensity of care for a nursing home population.

The facility is on East Cherry Street, a moderately walkable neighborhood with a Walk Score of 68. This means residents and visiting family can do some errands on foot, but most trips require a short drive. They can conveniently access local services and transportation within the area.

Residents have access to dining services with varied, preference-based meal planning, pharmaceutical services on-site, beauty and barber services, housekeeping and laundry support, and van transportation for outings. Religious services are also available for those who wish to observe their faith.

The Department of Health and Senior Services’ state inspections identified areas for ongoing attention. These include specialized care protocols, medication oversight, staff training, and facility maintenance standards. Families touring the facility should ask how staff manage and support these areas.

Facility Direct Line (636) 528-5712
Facility Direct Line (636) 528-5712

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Missouri averages

Rank #204 / 268Nurse hours — State benchmarkedThis home is ranked 204th out of 268 homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 268 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities 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.

Total nursing care Info This home is ranked 204th out of 268 homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 6m

17% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
20m
−27% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
48m
+17% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
1h 58m
−15% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
2h 48m
−8% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
3m
+61% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
10m
−51% State avg: 20m per day · National avg: 28m per day

4 of 6 metrics below state avg

Standout metric: Physical Therapist is +61% above Missouri average

Capacity and availability

Residents per day
80
Avg. Length of Stay Info 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.
285 days
Bed community size
90-bed community Rank #225 / 450Bed count — State benchmarkedThis home is ranked 225th out of 450 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 cover every community we track in Missouri that reports data for that category. Communities 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.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
2 years in operation Rank #96 / 226Years in operation — State benchmarkedThis home is ranked 96th out of 226 homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities 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.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 68 / 100 Rank #92 / 545Walk Score — State benchmarkedThis home is ranked 92nd out of 545 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 cover every community we track in Missouri that reports data for that category. Communities 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.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
89%
Rank #42 / 407Occupancy rate — State benchmarkedThis home is ranked 42nd out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities 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.
Higher than the Missouri average: 66.6%
Occupied beds
80 / 90
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeSkilled Nursing Facility
IssuanceJuly 22, 2024
CountyLincoln
License Number052014
CMS Certification Number265433
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

Lincoln County Nursing &Amp; Rehab is legally operated by N & R Of Lincoln County, Inc, and administered by Denise Thorsden.

Corporate EntityN & R OF LINCOLN COUNTY, INC
Owner NameN & R Of Lincoln County, Inc

Type Of Units

Skilled Nursing Facility
90 units
Total beds
90 units

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

5 services
Rehabilitation Services
Short-Term Rehab
Physical Therapy
Occupational Therapy
Speech Therapy

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

1 service
Skilled Nursing Care

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Transportation
Specific ProgramsProfessional Medical Care, Rehab Services, Complete Dining Services, Pharmaceutical Services, Religious Services, Beauty & Barber Services, Housekeeping & Laundry
Religious Services

Contact Lincoln County Nursing &Amp; Rehab

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 2019 · 7 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 84 deficiencies 9 inspections

Inspection Scorecard Info 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 2019 vs. Missouri state average
Overall vs. MO average 2 Worse Metrics worse than Missouri average:
• Total deficiencies (31% above)
• Deficiencies per inspection (75% above) 0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 8464 This facility has 31% more total deficiencies than a typical Missouri nursing home (84 vs. MO avg 64).↑ 31% worse
Deficiencies per inspection Info Average deficiencies per inspection. 9.35.3 This facility has 75% more deficiencies per inspection than a typical Missouri nursing home (9.3 vs. MO avg 5.3).↑ 75% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 912 This facility has had 25% fewer total inspections than the Missouri average (9 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2024 · 2 years of data
Total health inspections 9

Missouri average 6.6

Last Health inspection on Nov 2025

Total health citations
113 Rank #271 / 274Health citations — State benchmarkedThis home is ranked 271st out of 274 homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities 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.

Missouri average 36.5

Citations per inspection
12.56 Rank #273 / 274Citations per inspection — State benchmarkedThis home is ranked 273rd out of 274 homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities 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.

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 2 years)
Critical health citations
1
43% worse than Missouri average

Missouri average: 0.7

Serious health citations
7
600% worse than Missouri average

Missouri average: 1

1 critical citation Missouri average: 0.7
7 serious citations Missouri average: 1
98 moderate citations Missouri average: 33.6
7 minor citations Missouri average: 1.2
Citations history (last 2 years)
Quality of Care moderate citation Nov 17, 2025
Corrected
Nursing Services moderate citation Jan 17, 2025
Corrected
Quality of Care moderate citation Jan 17, 2025
Corrected
Nutrition moderate citation Oct 08, 2024
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 86
Employees 74
Contractors 12
Staff to resident ratio 1.28 : 1
24% fewer staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 29
Average shift 7.9 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 21,054

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 5 total: 4 full-time employees and 1 contractor. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 15 LPN Staff are full-time employees. No contractors work on this role. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 22 CNA Staff are full-time employees. No contractors work on this role. 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

4.5%

946 contractor hours this quarter

Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 2 Physical Therapy Aide: 1 Qualified Social Worker: 1 Clinical Nurse Specialist: 1 Registered Nurse: 1 Speech Language Pathologist: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant220226,01192100%8.6
Nurse Aide in Training170173,89592100%8.5
Licensed Practical Nurse150153,84392100%8.2
Medication Aide/Technician100103,35792100%8.1
RN Director of Nursing2029858087%7.8
Dental Services Staff1014635863%8
Administrator1014625762%8.1
Nurse Practitioner1014295863%7.4
Registered Nurse4154244953%6.1
Dietitian1013324549%7.4
Respiratory Therapy Technician0222777379%3.7
Physical Therapy Aide0112616874%3.8
Physical Therapy Assistant0221324347%2.9
Qualified Social Worker011783942%2
Occupational Therapy Aide0223655%7.1
Occupational Therapy Assistant0112778%3.8
Clinical Nurse Specialist0112133%7.1
Speech Language Pathologist0112155%4.2
22 Certified Nursing Assistant
% of Days 100%
17 Nurse Aide in Training
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
10 Medication Aide/Technician
% of Days 100%
View All Staffing Data in Troy

Penalties and fines

Includes penalties issued in 2023-2024

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 Rank #270 / 276Federal fines — State benchmarkedThis home is ranked 270th out of 276 homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 276 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities 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.
222% higher than Missouri average

Missouri average: $73K

Number of fines 3
23% more fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
45% more payment denials than Missouri average

Missouri 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.

4 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 23, 2024
$152K
Payment Denial Info 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 29, 2024
$31K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 17, 2023
$53K

Last updated: Jan 2026

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 Info 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 average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.4
5% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 18.6%
6% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.9%
13% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.8%
In line with Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.7%
114% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.6%
91% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.0%
46% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.5%
In line with Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.2%
67% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.3%
30% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.4%
In line with Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.8%
In line with Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 53.9%
19% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.8%
18% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 53.3%
16% worse than Missouri average

Missouri average: 63.5%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 67
Medicare
1
1.5% of residents
Medicaid
53
79.1% of residents
Private pay or other
13
19.4% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Individual
Net patient revenue Info Net 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."
$4.3M
Net patient income Info Net 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."
-$1.2M
For-profit Individual
Net patient revenue Info Net 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."
$4.3M Rank #188 / 251Net patient revenue — State benchmarkedThis home is ranked 188th out of 251 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 cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net 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."
-$1.2M
Other income Info Money 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.
$263.0K
Payroll costs Info Staff 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 #211 / 251Payroll costs — State benchmarkedThis home is ranked 211th out of 251 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 cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$1.9M 45.6% of net patient revenue Info 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 #203 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 203rd out of 251 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 cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything 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).
$3.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.4M
How we calculate these figures

This home is administered by Denise Thorsden.

This home is owned by N & R Of Lincoln County, Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265433

Show certification details

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 (47% of admissions), and a typical Medicaid stay runs around 8 - 9 months.

Admissions
149 total

Coverage residents most often arrive under.

Medicare 12%
Private pay 41%
Medicaid 47%
Discharges
82 total

Coverage residents most often leave under.

Medicare 11%
Private pay 27%
Medicaid 62%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Lincoln County Nursing &Amp; Rehab

Address 0.0 miles from city center Info Estimated distance in miles from Troy's city center to Lincoln County Nursing &Amp; Rehab's address, calculated via Google Maps.

Calculate Travel Distance to Lincoln County Nursing &Amp; Rehab

Add your location

Address

Compare Nursing Homes around Troy

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 to lowest based on our ranking 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.
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 96
Rank #49 / 450
64.7%
Facility 64.7%
MO AVG 66.5
Rank #232 / 407
-3%
3.41
Facility 3.41
MO AVG 3.74
Rank #163 / 268
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -44%-9%
$104.7k
Facility $104.7k
MO AVG $76.9k
Rank #251 / 276
74
Facility 74
MO AVG 36.5
Rank #258 / 274
6.7
Facility 6.7
MO AVG 5.7
Rank #203 / 274
897A+
68
Facility 68
MO AVG 46
Rank #92 / 545
Janice Conover
$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 96
Rank #225 / 450
88.9%
Facility 88.9%
MO AVG 66.5
Rank #42 / 407
+34%
3.10
Facility 3.10
MO AVG 3.74
Rank #204 / 268
----25%-17%
$235.4k
Facility $235.4k
MO AVG $76.9k
Rank #270 / 276
113
Facility 113
MO AVG 36.5
Rank #271 / 274
12.6
Facility 12.6
MO AVG 5.7
Rank #273 / 274
880-
68
Facility 68
MO AVG 46
Rank #92 / 545
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
Nursing Home Explorer

Financial Assistance for
Nursing Home in Missouri

Lincoln County Nursing &Amp; Rehab is located in TROY, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age —
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Lincoln County Nursing &Amp; Rehab

Who is the owner of Lincoln County Nursing &Amp; Rehab?

Lincoln County Nursing &Amp; Rehab is legally operated by N & R Of Lincoln County, Inc, and administered by Denise Thorsden.

Is Lincoln County Nursing &Amp; Rehab in a walkable area?

Lincoln County Nursing &Amp; Rehab has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Lincoln County Nursing &Amp; Rehab?

According to MO state health department records, Lincoln County Nursing &Amp; Rehab's license number is 052014.

What is the occupancy rate at Lincoln County Nursing &Amp; Rehab?

Lincoln County Nursing &Amp; Rehab's occupancy is 89%.

How long has Lincoln County Nursing &Amp; Rehab been in business?

Lincoln County Nursing &Amp; Rehab has been operating for approximately 2 years, based on available licensing and registration records.

Are pets allowed at Lincoln County Nursing &Amp; Rehab?

No, Lincoln County Nursing &Amp; Rehab has a no-pet policy.

Does Lincoln County Nursing &Amp; Rehab operate as a for-profit or non-profit?

Lincoln County Nursing &Amp; Rehab is registered as a for-profit in MO.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Updated on
Pricing
More
More Actions
Contact Contact Map Book a Tour Let's Chat