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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 168th out of 276 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 7m per day | ▼ 74% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 41m per day | ■ Avg State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
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 51m per day | ▼ 20% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 22m per day | ▼ 23% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 2m per day | ▲ 16% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 3m per day | ▼ 83% State avg: 20m per day · National avg: 28m per day |
Higher than the Missouri average: 66.6%Lincoln County Nursing &Amp; Rehab is legally operated by N & R Of Lincoln County, Inc, and administrated by Denise Thorsden.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 84 | 35 | This facility has 140% more total deficiencies than a typical Missouri nursing home (84 vs. MO avg 35).↑ 140% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 12 | 5 | This facility has 140% more deficiencies per year than a typical Missouri nursing home (12 vs. MO avg 5).↑ 140% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 9.3 | 5 | This facility has 86% more deficiencies per inspection than a typical Missouri nursing home (9.3 vs. MO avg 5).↑ 86% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 9 | 7 | This facility has 29% more total inspections than a typical Missouri nursing home (9 vs. MO avg 7).↑ 29% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Nov 2025
Missouri average 36.5
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).
43% worse than Missouri averageMissouri average: 0.7
600% worse than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
24% fewer staff per resident than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
5 total: 4 full-time employees and 1 contractor.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.1 hoursAssists with medical care and medications.
All 15 LPN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 22 CNA Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
946 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 22 | 0 | 22 | 6,011 | 92 | 100% | 8.6 |
| Nurse Aide in Training | 17 | 0 | 17 | 3,895 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 15 | 0 | 15 | 3,843 | 92 | 100% | 8.2 |
| Medication Aide/Technician | 10 | 0 | 10 | 3,357 | 92 | 100% | 8.1 |
| RN Director of Nursing | 2 | 0 | 2 | 985 | 80 | 87% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 463 | 58 | 63% | 8 |
| Administrator | 1 | 0 | 1 | 462 | 57 | 62% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 429 | 58 | 63% | 7.4 |
| Registered Nurse | 4 | 1 | 5 | 424 | 49 | 53% | 6.1 |
| Dietitian | 1 | 0 | 1 | 332 | 45 | 49% | 7.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 277 | 73 | 79% | 3.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 261 | 68 | 74% | 3.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 132 | 43 | 47% | 2.9 |
| Qualified Social Worker | 0 | 1 | 1 | 78 | 39 | 42% | 2 |
| Occupational Therapy Aide | 0 | 2 | 2 | 36 | 5 | 5% | 7.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 27 | 7 | 8% | 3.8 |
| Clinical Nurse Specialist | 0 | 1 | 1 | 21 | 3 | 3% | 7.1 |
| Speech Language Pathologist | 0 | 1 | 1 | 21 | 5 | 5% | 4.2 |
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)
222% higher than Missouri averageMissouri average: $73K
23% more fines than Missouri averageMissouri average: 2.4
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
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 23, 2024
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.
Oct 17, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
6% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
17.9%
13% better than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
8.7%
114% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
9.6%
91% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
4.0%
46% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
5.5%
In line with Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
4.2%
67% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
15.3%
30% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.4%
In line with Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
In line with Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.9%
19% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
18% better than Missouri averageMissouri average: 2.2%
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.
12% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
47% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
67Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Lincoln County Nursing &Amp; Rehab based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #156 / 286Payroll — State benchmarkedThis home is ranked 156th out of 286 homes in Missouri for payroll. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Troy's city center to Lincoln County Nursing &Amp; Rehab's address, calculated via Google Maps.
Add your location
Lincoln County Nursing &Amp; Rehab is located in TROY, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Troy Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Troy | 150
Facility
150
MO AVG
97
Rank
#50 / 454 | 64.7% | -3% | - | -44% | - | $104.7k | 74 | 6.7 | 8 | 103 | A+ |
68
Facility
68
MO AVG
45
Rank
#92 / 563 | Janice Conover | $6.4M | $4.6M | 71.6% | 265702 | ||||
| Lincoln County Nursing &Amp; Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Troy | 90
Facility
90
MO AVG
97
Rank
#230 / 454 | 88.9% | +33% | 3.53 | -25% | -5% | $235.4k | 113 | 12.6 | 8 | 80 | - |
68
Facility
68
MO AVG
45
Rank
#92 / 563 | N & R Of Lincoln County, Inc. | $4.8M | $3.4M | 70.2% | 265433 |
The legal owner and operator of Lincoln County Nursing &Amp; Rehab is N & R Of Lincoln County, Inc.
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.
According to MO state health department records, Lincoln County Nursing &Amp; Rehab's license number is 052014.
According to MO state health department records, Lincoln County Nursing &Amp; Rehab's license expires on July 21, 2026.
Lincoln County Nursing &Amp; Rehab's occupancy is 89%.
Denise Thorsden is the administrator of Lincoln County Nursing &Amp; Rehab.
Lincoln County Nursing &Amp; Rehab has 90 beds.
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