Troy Manor

Nursing Home
Overview of Troy Manor
Troy Manor is a long-term care facility located in Troy, MO. It offers comprehensive care services under physician supervision, focusing on the physical, mental, and psychosocial well-being of residents. The facility provides skilled nursing care, rehabilitation services, and memory care.
(636) 528-8446

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Missouri average: 2.5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Missouri average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Missouri average: 2.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
2/5
Missouri average: 2.7/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 130

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 61.2%
Residents per day (avg) 95
Occupancy rate
61.2%
Residents per day (avg)
95

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

9% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

21% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

70% of new residents, often for long-term daily care.

Typical stay 9 months

Finances and operations

Proprietary home
Corporation
Home revenue
$6.4M
Operating loss
-$1.1M
Proprietary home Corporation
Home revenue
$6,441,445.00
Operating loss
$-1,139,846.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
49.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.4M
Total costs $7.6M
Bed community size
130-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265702
Certification type: Medicare/Medicaid
County: LINCOLN

Ownership & operating entity

Troy Manor is administrated by DYLAN HAGLER.

Owner name: N & R OF TROY, LLC

Care Services

Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

All Levels of Care

Skilled Nursing Care
Memory Care
Rehabilitation Services

Amenities & Lifestyle

Skilled Nursing Care
Physical and Occupational Therapies
Dietitians
Behavioral and Alzheimer’s Care
Activities
Hospice

Programs & Activities

Specific Programs
About Us, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us

Compare Nursing Homes around Troy

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Troy Manor
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63379-2308
150
No
-
CONOVER, JANICE
61.2%
$6,031,252.00
$3,190,455.00
52.9%
94.60
1/5
-
1/5
1/5
2/5
3
74
8
-23%
-
-8%
Lincoln County Nursing &Amp; Rehab
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63379-1520
90
No
-
N & R OF LINCOLN COUNTY, INC.
71.1%
$4,561,206.00
$1,724,272.00
37.8%
67.10
1/5
3.5342
1/5
1/5
1/5
3
113
8
-53%
-5%
+7%
Sugar Creek Senior Living
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

RC

Respite Care

Troy
60
Yes
23
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Troy Manor

Address 0.0 miles from city center

Address TROY, MO 63379-2308

Calculate Travel Distance to Troy Manor

Add your location

Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

84
Total Staff
74
Employees
10
Contractors
23,894
Total Hours (Quarter)
34
Avg Staff/Day
7.7
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse 5 7.3 No
Licensed Practical Nurse 14 8.1 No
Certified Nursing Assistant 20 7.9 No
Staff by Category
Administration
2 staff
7.9hs shift avg
Nursing Staff
66 staff
8hs shift avg
Physicians & Practitioners
1 staff
7.4hs shift avg
Therapy Services
8 staff
3.6hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
1.8hs shift avg
Dietary Services
3 staff
6.8hs shift avg
Other Services
2 staff
7.2hs shift avg
Contractor Analysis
2.6%
of total hours from contractors
623 contractor hours this quarter
Physical Therapy Aide: 1 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 1 Qualified Social Worker: 2 Occupational Therapy Assistant: 1 Speech Language Pathologist: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant 20 0 20 6,731 91 100% 7.9
Nurse Aide in Training 14 0 14 4,160 91 100% 8.5
Licensed Practical Nurse 14 0 14 4,134 91 100% 8.1
Medication Aide/Technician 11 0 11 3,670 91 100% 8.3
Registered Nurse 5 0 5 1,503 89 98% 7.3
RN Director of Nursing 2 0 2 869 69 76% 7.5
Dental Services Staff 2 0 2 543 53 58% 7.2
Administrator 2 0 2 518 61 67% 7.9
Nurse Practitioner 1 0 1 391 53 58% 7.4
Dietitian 1 0 1 382 54 59% 7.1
Other Dietary Services Staff 2 0 2 371 53 58% 6.5
Physical Therapy Aide 0 1 1 240 58 64% 4.1
Physical Therapy Assistant 0 2 2 134 44 48% 3
Respiratory Therapy Technician 0 2 2 105 37 41% 2.8
Occupational Therapy Aide 0 1 1 55 8 9% 6.9
Qualified Social Worker 0 2 2 50 27 30% 1.8
Occupational Therapy Assistant 0 1 1 31 6 7% 5.2
Speech Language Pathologist 0 1 1 10 5 5% 1.9

Health Inspection History

Inspections
Total health inspections 11

Missouri average 6.6


Last Health inspection on May 2025

Total health citations 74
Citations per inspection
6.73

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

54 of 74 citations resulted from standard inspections; 18 of 74 resulted from complaint investigations; and 2 of 74 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 4
471% worse than Missouri average

Missouri average: 0.7


Serious Health citations More info 4
300% worse than Missouri average

Missouri average: 1

4 critical citations More info Missouri average: 0.7

4 serious citations More info Missouri average: 1

63 moderate citations More info Missouri average: 33.6

3 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Abuse/Neglect moderate citation May 14, 2025
Corrected

Abuse/Neglect moderate citation May 14, 2025
Corrected

Abuse/Neglect moderate citation May 14, 2025
Corrected

Nutrition moderate citation Nov 19, 2024
Corrected

Facility Characteristics

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

Ownership: For-Profit LLC
Part of: HEALTH SYSTEMS
Resident Census by Payment Source
95 Total Residents
Medicaid 78 (82.1%)
Private Pay/Other 17 (17.9%)
Specialized Care Beds
18 Total Specialty Beds
12% of Bed Capacity
18
Alzheimer's / Dementia Beds
12%
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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. 9.6
12% better 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. 15.5
20% 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 20.1%
In line with Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.7%
29% 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 11.7%
36% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.6%
14% 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 7.8%
56% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
79% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.9%
83% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.9%
54% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.1%
14% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
16% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
9% better than 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 92.1%
38% better than Missouri average

Missouri average: 66.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $208K
185% 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. 2
191% more payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $208K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 3, 2024
$84K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Oct 3, 2024
33 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 9, 2024
$20K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Apr 9, 2024
5 days

Last updated: Jan 2026

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

Financial Aid for Missouri Seniors

Get financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

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

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

Tour Icon
Planning a tour? Check our touring checklist.
Chat Icon
Thinking of living here? We can help you speak to a current resident