Occupancy rate
61%
In line with Missouri averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Nursing Home in Troy
CMS overall rating
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.
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.
Troy Manor
Nursing Home in Troy
CMS overall rating
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.
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.
Troy Manor
Troy Manor is a nursing home in Troy, MO, offering memory care, rehabilitation, and skilled nursing. The community also strives to keep older adults comfortable and safe with a nurturing and welcoming environment. Residents also receive exceptional services, including housekeeping, laundry, and well-balanced meals, ensuring a worry-free lifestyle. Focusing on residents’ welfare, the community provides care plans tailored to their unique needs and habits.
Card games, light physical exercises, and fun gatherings ensure residents can maintain their holistic wellness and have fun. Serene outdoors and spacious common areas also foster interactions and relaxation. Residents also have quick access to their necessities, as it is conveniently located near Mercy Hospital Lincoln and other local amenities. This nursing home strives to help older adults thrive in retirement, making it a good option for senior living in Illinois.
Quality ratings
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.
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.
Occupancy rate
61.2%
Residents per day (avg)
95
Occupancy rate
61.2%
Residents per day (avg)
95
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
Privately-owned community
Operated by a business corporation.
Home revenue
$6.4M
Operating loss
-$1.1M
Privately-owned community
Operated by a business corporation.
Home revenue
$6,441,445.00
Operating loss
$-1,139,846.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.6M
130-bed community
A larger shared setting that may offer more common spaces and organized community services.
31 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Missouri averageOccupied beds
80 / 130
Average residents
72 per day
Facility TypeSnf
CountyLINCOLN
CMS Certification Number265702
Certification TypeMedicare/Medicaid
Troy Manor is administrated by Dylan Hagler.
Owner NameN & R OF TROY, LLC
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Skilled Nursing Care
Skilled Nursing Care
Physical And Occupational Therapies
Dietitians
Behavioral And Alzheimer’s Care
Activities
Hospice
Specific ProgramsAbout Us, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us
Health Inspection History
Inspections
Total health inspections
11
Missouri average 6.6
Last Health inspection on May 2025
Total health citations
74
Missouri average 36.5
Citations per inspection
6.73
Missouri average 5.67
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
4
4
471% worse than Missouri averageMissouri average: 0.7
Serious Health citations
4
4
300% worse than Missouri averageMissouri average: 1
4 critical citations
4 serious citations
63 moderate citations
3 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 14, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 14, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 14, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 14, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 14, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 14, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 19, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 19, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. 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.
Compare Nursing Homes around Troy The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
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
61.2%
-8%
-
-
3
74
6.7
8
95
A+
Conover, Janice
$6.0M
$3.2M
52.9%
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
71.1%
+7%
3.53
-5%
3
113
12.6
8
67
-
N & R Of Lincoln County, Inc.
$4.6M
$1.7M
37.8%
265433
Places of interest near Troy Manor
0.0 miles from city center
200 THOMPSON DR, TROY, MO 63379-2308
Calculate Travel Distance to Troy Manor
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
84
Employees
74
Contractors
10
Staff to resident ratio
0.88:1
48% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
34
Average shift
7.7 hours
5% worse than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
23,894
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.6%
623 contractor hours this quarter
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Qualified Social Worker: 2
Physical Therapy Aide: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Speech Language Pathologist: 1
Staff by category
| 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 |
20 Certified Nursing Assistant
% of Days
100%
14 Nurse Aide in Training
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
11 Medication Aide/Technician
% of Days
100%
5 Registered Nurse
% of Days
98%
2 RN Director of Nursing
% of Days
76%
2 Dental Services Staff
% of Days
58%
2 Administrator
% of Days
67%
1 Nurse Practitioner
% of Days
58%
1 Dietitian
% of Days
59%
2 Other Dietary Services Staff
% of Days
58%
1 Physical Therapy Aide
% of Days
64%
2 Physical Therapy Assistant
% of Days
48%
2 Respiratory Therapy Technician
% of Days
41%
1 Occupational Therapy Aide
% of Days
9%
2 Qualified Social Worker
% of Days
30%
1 Occupational Therapy Assistant
% of Days
7%
1 Speech Language Pathologist
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
95 residents
Residents by payment source
Medicaid
78 residents (82.1%)
Private pay or other
17 residents (17.9%)
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.6
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 averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.5
20% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
20.1%
Percent of long-stay residents whose need for help with daily activities has increased
20.1%
In line with Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.7%
Percent of long-stay residents whose ability to move independently worsened
14.7%
29% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.7%
36% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
14% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.8%
Percent of long-stay high risk residents with pressure ulcers
7.8%
56% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
79% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.9%
Percent of long-stay residents who lose too much weight
0.9%
83% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.9%
Percent of long-stay residents who have depressive symptoms
5.9%
54% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
25.1%
Percent of long-stay residents who received an antipsychotic medication
25.1%
14% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
16% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
9% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
38% 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.
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 averageMissouri average: $73K
Number of fines
3
23% more fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
191% more payment denials than Missouri averageMissouri 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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2024
$84K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 3, 2024
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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 9, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 9, 2024
$20K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 9, 2024
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
Financial Trends
Historical financial and operational data for Troy Manor based on CMS SNF Cost Reports.
Occupancy Rate
61.2%
↓ 0.1pp vs 2022
Net Income
-$1,139,846
↑ ~$62K vs 2022
Total Payroll
$4,611,986
↓ ~$136K vs 2022
Profit Margin
-18.9%
↑ 0.7pp vs 2022
Loading trend charts...
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 guidanceContact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Troy Manor
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
