5/5
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.
5/5
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.
Located on Old Jackson Rd in Farmington, Missouri, St Francois Manor is a skilled nursing home operated by N & R Of Farmington, LLC under the ownership of Jennifer Simpson and administration of Kelley Shaunta Williams. The surrounding area has a Walk Score of 77, making it convenient for family visits and nearby errands. It accepts Medicare, Medicaid, and private pay, giving families multiple options for covering short-term rehabilitation and longer-term skilled care.
The 158-bed community has been operating for 12 years. Most residents stay for an average of, including post-acute rehabilitation residents and those remaining for ongoing skilled nursing care. Daily nurse staffing averages roughly 5 hours and 58 minutes per resident. This level of staffing provides substantial hands-on support as part of the care model.
Clinically, St Francois Manor focuses on rehabilitation and skilled nursing. There are on-site therapy services, including physical and occupational therapy, as well as behavioral and Alzheimer’s care for residents with memory-related conditions. The home has a doctor on staff with 24-hour staffing, so clinical oversight and immediate nursing response are built into daily operations.
Hospice services are also available for residents receiving end-of-life care. These clinical strengths make the home suitable for patients recovering from surgery or hospitalization, or for those managing complex medical or behavioral health needs.
Residents benefit from a comprehensive dining program that offers a variety of nutritious meals and snacks tailored to their preferences. The home features secure units for behavioral and memory-care residents, on-site professional medical services, and mental health support. Additional amenities include resident transportation, so activities and off-campus appointments can be arranged with staff assistance.
State inspections conducted by the Missouri Department of Health and Senior Services have identified recurring themes in medication management and documentation accuracy, nursing coverage consistency, and environmental safety practices. Families touring the home should ask how the facility addresses these operational areas daily.
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 6th out of 270 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.
| 9m per day | ▼ 66% 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.
| 32m per day | ▼ 22% 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.
| 2h 7m per day | ▼ 9% 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 29m per day | ▼ 19% 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.
| 0m per day | ▼ 100% 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.
| 9m per day | ▼ 57% State avg: 20m per day · National avg: 28m per day |
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.
St Francois Manor is legally operated by N & R Of Farmington, LLC, and administered by Kelley Shaunta Williams.
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, 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 104 | 35 | This facility has 197% more total deficiencies than a typical Missouri nursing home (104 vs. MO avg 35).↑ 197% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5 | 2.9 | This facility has 72% more deficiencies per inspection than a typical Missouri nursing home (5 vs. MO avg 2.9).↑ 72% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 21 | 12 | This facility has had 75% more total inspections than the Missouri average (21 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 75% more |
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.
16 of 19 citations resulted from standard inspections; and 3 of 19 resulted from complaint investigations.
100% better than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
20% more staff per resident than Missouri average
11% better than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
8 total: 3 full-time employees and 5 contractors.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.3 hoursAssists with medical care and medications.
43 total: 8 full-time employees and 35 contractors.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
44 total: 21 full-time employees and 23 contractors.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,338 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 21 | 23 | 44 | 8,762 | 92 | 100% | 8.9 |
| Nurse Aide in Training | 19 | 0 | 19 | 5,556 | 92 | 100% | 10.1 |
| Licensed Practical Nurse | 8 | 35 | 43 | 3,329 | 92 | 100% | 9.1 |
| Medication Aide/Technician | 10 | 19 | 29 | 2,910 | 92 | 100% | 8.5 |
| Diagnostic X-ray Services Staff | 3 | 0 | 3 | 1,246 | 70 | 76% | 7.4 |
| RN Director of Nursing | 2 | 0 | 2 | 1,034 | 75 | 82% | 8.4 |
| Registered Nurse | 3 | 5 | 8 | 823 | 67 | 73% | 11.3 |
| Dental Services Staff | 3 | 0 | 3 | 623 | 69 | 75% | 8.5 |
| Dietitian | 1 | 0 | 1 | 547 | 66 | 72% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 454 | 61 | 66% | 7.4 |
| Administrator | 1 | 0 | 1 | 428 | 54 | 59% | 7.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 67 | 9 | 10% | 7.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 29 | 7 | 8% | 4.2 |
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.
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.
1.2
89% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
0.7
96% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
0.0%
100% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
2.2%
90% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
0.0%
100% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
52% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.3%
53% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
1.9%
65% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
3.8%
71% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
77.9%
254% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.44
31% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
6.85
191% worse than Missouri averageMissouri average: 2.35
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
46% better than Missouri averageMissouri average: 66.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
2% of new residents, usually for short-term rehab.
8% of new residents, often for short stays.
91% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 St Francois Manor from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #143 / 277Payroll — State benchmarkedThis home is ranked 143rd out of 277 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #45 / 277Payroll % — State benchmarkedThis home is ranked 45th out of 277 homes in Missouri for payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (91% of admissions), and a typical Medicaid stay runs around 5 - 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Farmington's city center to St Francois Manor's address, calculated via Google Maps.
Add your location
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.
| St Francois Manor | NH HOS SNF | Farmington | 158
Facility
158
MO AVG
96
Rank
#43 / 450 | - | - | 5.97
Facility
5.97
MO AVG
3.74
Rank
#6 / 270 | -34% | +60% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 19
Facility
19
MO AVG
36.5
Rank
#67 / 274 | 3.8
Facility
3.8
MO AVG
5.7
Rank
#60 / 274 | - | 17 | A+ |
77
Facility
77
MO AVG
45
Rank
#53 / 563 | Jennifer Simpson | $5.2MFiscal year ending 12/2023
Facility
$5.2MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#182 / 277 | $2.6MFiscal year ending 12/2023
Facility
$2.6MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#143 / 277 | 50.8%Fiscal year ending 12/2023
Facility
50.8%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#45 / 277 | 265674 | ||||
| Camelot Nursing & Rehab Center | NH AL SNF | Farmington (Sleepy Hollow Run) | 97
Facility
97
MO AVG
96
Rank
#195 / 450 |
73.1%
Facility
73.1%
MO AVG
65.1
Rank
#160 / 418 | +12% | 3.29
Facility
3.29
MO AVG
3.74
Rank
#196 / 270 | -16% | -12% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 12
Facility
12
MO AVG
36.5
Rank
#27 / 274 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#70 / 274 | - | 71 | - |
55
Facility
55
MO AVG
45
Rank
#189 / 563 | Camelot Snf Investments, LLC | $7.4MFiscal year ending 12/2023
Facility
$7.4MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#80 / 277 | $3.4MFiscal year ending 12/2023
Facility
$3.4MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#134 / 277 | 46.4%Fiscal year ending 12/2023
Facility
46.4%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#236 / 277 | 265348 | ||||
| Farmington Presbyterian Manor | NH AL IL MC SNF | Farmington | 90
Facility
90
MO AVG
96
Rank
#225 / 450 |
74.4%
Facility
74.4%
MO AVG
65.1
Rank
#147 / 418 | +14% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#41 / 270 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#170 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | 1 | 67 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $8.7MFiscal year ending 06/2024
Facility
$8.7MFiscal year ending 06/2024
MO AVG
$8.4M
Rank
#66 / 277 | $4.7MFiscal year ending 06/2024
Facility
$4.7MFiscal year ending 06/2024
MO AVG
$3.3M
Rank
#46 / 277 | 53.6%Fiscal year ending 06/2024
Facility
53.6%Fiscal year ending 06/2024
MO AVG
45.6%
Rank
#72 / 277 | 265583 | ||||
| Southbrook | NH HOS SNF | Farmington | 104
Facility
104
MO AVG
96
Rank
#164 / 450 |
83.7%
Facility
83.7%
MO AVG
65.1
Rank
#81 / 418 | +29% | 4.33
Facility
4.33
MO AVG
3.74
Rank
#64 / 270 | +22% | +16% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 14
Facility
14
MO AVG
36.5
Rank
#38 / 274 | 7.0
Facility
7.0
MO AVG
5.7
Rank
#211 / 274 | - | 87 | - |
39
Facility
39
MO AVG
45
Rank
#329 / 563 | - | $5.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG
$8.4M
Rank
#193 / 277 | $3.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$3.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG
$3.3M
Rank
#172 / 277 | 60.3%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
60.3%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MO AVG
45.6%
Rank
#90 / 277 | 265389 | ||||
| Community Manor | NH HOS MC PC RC SNF | Farmington | 99
Facility
99
MO AVG
96
Rank
#184 / 450 |
98.0%
Facility
98.0%
MO AVG
65.1
Rank
#7 / 418 | +51% | 2.68
Facility
2.68
MO AVG
3.74
Rank
#241 / 270 | +4% | -28% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 28
Facility
28
MO AVG
36.5
Rank
#119 / 274 | 7.0
Facility
7.0
MO AVG
5.7
Rank
#211 / 274 | - | 97 | - |
77
Facility
77
MO AVG
45
Rank
#53 / 563 | Miss Ouri Nursing & Rehab, LLC | $8.1MFiscal year ending 12/2023
Facility
$8.1MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#87 / 277 | $4.1MFiscal year ending 12/2023
Facility
$4.1MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#73 / 277 | 50.7%Fiscal year ending 12/2023
Facility
50.7%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#90 / 277 | 265798 |
St Francois Manor is located in FARMINGTON, Missouri.
Here are the financial assistance programs available to residents in Missouri.
St Francois Manor is legally operated by N & R Of Farmington, LLC, and administered by Kelley Shaunta Williams.
St Francois Manor has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to MO state health department records, St Francois Manor's license number is 053461, 053462, 053463.
According to MO state health department records, St Francois Manor's license expires on March 11, 2028.
St Francois Manor's occupancy is 65.2%.
St Francois Manor has been operating for approximately 12 years, based on available licensing and registration records.
No, St Francois Manor has a no-pet policy.
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