Missouri average 6.6
Last Health inspection on Nov 2025

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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.
St Francois Manor is legally operated by N & R Of Farmington, Llc, and administrated 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
| 104 | 35 | This facility has 197% more total deficiencies than a typical Missouri nursing home (104 vs. MO avg 35).↑ 197% worse |
|
Deficiencies per year
| 13 | 4.4 | This facility has 195% more deficiencies per year than a typical Missouri nursing home (13 vs. MO avg 4.4).↑ 195% worse |
|
Deficiencies per inspection
| 5 | 5 | This facility has deficiencies per inspection in line with the Missouri average (5 vs. MO avg 5).— At avg |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 21 | 7 | This facility has 200% more total inspections than a typical Missouri nursing home (21 vs. MO avg 7).↑ 200% worse |
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.
Missouri average: 0.7
Missouri average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
4,338 contractor hours this quarter
| 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.
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)
Residents 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.
Historical financial and operational data for St Francois Manor based on CMS SNF Cost Reports.
Most residents stay for extended periods and receive ongoing daily care.
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
St Francois Manor is located in FARMINGTON, 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.
| St Francois 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. | Farmington | 158
Facility
158
MO AVG
97
Rank
#44 / 454 | - | - | 5.97
Facility
5.97
MO AVG
3.74
Rank
#6 / 276 | -34% | +60% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 19
Facility
19
MO AVG
36.5
Rank
#72 / 281 | 3.8
Facility
3.8
MO AVG
5.7
Rank
#66 / 281 | - | 17 | A+ |
77
Facility
77
MO AVG
45
Rank
#53 / 563 | Jennifer Simpson | $5.4M
Facility
$5.4M
MO AVG
$8.4M
Rank
#184 / 286 | $3.7M
Facility
$3.7M
MO AVG
$3.3M
Rank
#140 / 286 | 68.1%
Facility
68.1%
MO AVG
45.6%
Rank
#43 / 286 | 265674 | ||||
| Farmington Presbyterian 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Farmington | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
| Community 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. | Farmington | 99
Facility
99
MO AVG
97
Rank
#186 / 454 |
98.0%
Facility
98.0%
MO AVG
66.6%
Rank
#11 / 428 | +47% | 2.68
Facility
2.68
MO AVG
3.74
Rank
#248 / 276 | +4% | -28% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 28
Facility
28
MO AVG
36.5
Rank
#124 / 281 | 7.0
Facility
7.0
MO AVG
5.7
Rank
#220 / 281 | - | 93 | - |
77
Facility
77
MO AVG
45
Rank
#53 / 563 | Missouri Nursing & Rehab, LLC | $8.5M
Facility
$8.5M
MO AVG
$8.4M
Rank
#92 / 286 | $5.1M
Facility
$5.1M
MO AVG
$3.3M
Rank
#75 / 286 | 60.2%
Facility
60.2%
MO AVG
45.6%
Rank
#94 / 286 | 265798 |
The legal owner and operator of St Francois Manor is N & R Of Farmington, Llc.
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%.
Kelley Shaunta Williams is the administrator of St Francois Manor.
St Francois Manor has 158 beds.
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