Warrenton Manor

Nursing Home in Missouri

CMS overall rating Info 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.
Warrenton Manor

Nursing Home in Missouri

CMS overall rating Info 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.

Overview of Warrenton Manor

Warrenton Manor is a long-term care facility located in Wright City, MO. It provides a wide range of services including skilled nursing care, rehabilitation services, and complete dining services. The facility is committed to meeting the needs of its residents through quality care and a homelike environment.
(636) 456-8700

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5 ▼ 1.6 Missouri average: 2.6/5
Health Inspection Info 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.
2/5 ▼ 0.9 Missouri average: 2.9/5
Staffing Info 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.
1/5 ▼ 1.2 Missouri average: 2.2/5
Quality Measures Info 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.
2/5 ▼ 0.8 Missouri average: 2.8/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 76th out of 251 homes in Missouri.

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.
4h 9m per day
This facility Missouri avg (3h 48m per day)
vs Missouri avg
+9%

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 120
Avg. Length of Stay
98 days

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

11% of new residents, usually for short-term rehab.

Typical stay 21 days

Private pay

52% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

38% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$5.7M
Operating loss
-$511.4K
Privately-owned community Operated by a business corporation.
Home revenue
$5.7M
Operating loss
-$511.4K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
48.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.4M
Total costs $6.2M
Bed community size
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
BBB Rating
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

About this community

Occupancy

Occupancy rate
74%
In line with Missouri average
Occupied beds
89 / 120
Average residents 72 per day

License Details

Facility TypeSnf
CountyWarren
CMS Certification Number265181
Certification TypeMedicare/Medicaid

Ownership & Operating Entity

Warrenton Manor is legally operated by N & R Of Warrenton, Inc., and administrated by Ms JANICE CONOVER.

Owner NameN & R OF WARRENTON, INC

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

3 services
Doctor on Staff
Skilled Nursing
24-Hour Staffing

Additional Services

6 services
Skilled Nursing Care
Physical And Occupational Therapies
Dietitians
Behavioral And Alzheimer’s Care
Activities
Hospice

Amenities & Lifestyle

14 amenities
Medicare & Medicaid Approved
Iv Therapy
Dialysis
Professional Medical Care
Respite
Van Transportation
On-Site Maintenance
Rehab Services
Pharmaceutical Services
Religious Services
Community Involvement
Complete Dining Services
Beauty & Barber Services
Housekeeping & Laundry
Specific ProgramsResident Transportation, Community Involvement, Religious Services, Beauty & Barber Services, Housekeeping & Laundry
Religious ServicesYes

Pricing & Financial Information

Dining & Nutrition

Food DescriptionComplete dining services with a variety of nutritious meals and snacks based on individual preferences.
Meals IncludedYes

Contact Warrenton Manor

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare Long-term care insurance

Inspection History

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.

8 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date January 15, 2026
Complaint Investigation

46 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Missouri average: 35 deficiencies

Health Inspection History

Inspections
Total health inspections 5

Missouri average 6.6


Last Health inspection on Mar 2025

Total health citations 41

Missouri average 36.5

Citations per inspection
8.2

Missouri average 5.67


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

38 of 41 citations resulted from standard inspections; 2 of 41 resulted from complaint investigations; and 1 of 41 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Missouri average

Missouri average: 0.7


Serious Health citations More info 0
100% better than Missouri average

Missouri average: 1

0 critical citations More info Missouri average: 0.7

0 serious citations More info Missouri average: 1

40 moderate citations More info Missouri average: 33.6

1 minor citation More info Missouri average: 1.2
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 21, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 21, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Mar 21, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Mar 21, 2025
Corrected

Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

5 facilities compared · CMS & MO Dept. of Health data · Updated Apr 2026

Filter by care type
Aberdeen Heights
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.

Kirkwood38 92.6% +39%5.18 -32%+39%092.3034--Ashfield Active Living And Wellness Communities, Inc.$27.3M$7.2M26.3%265841
Bertrand Nursing And Rehab Center
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.

Bertrand60 78.8% +18%3.65 +42%-2%0103.3054- 5 Chance, Don$5.1M$2.3M44.1%265678
Warrenton 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.

Wright City (Usa)120 64.0% -4%4.15 -55%+11%0418.2086A+-Bysor, Brandon$5.5M$2.7M49.5%265181
Good Shepherd Care Community -
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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.

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).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Concordia20--------000.00-- 38 Good Shepherd Nursing Home District----
Abbey Senior Health -
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.

O'fallon10--------000.00---Mount Carmel Communities - O'fallon, Llc----

Financial Assistance for
Nursing Home in Missouri

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

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

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+
General unemployed, low-income, Missouri resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
MO

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Warrenton Manor

Address 64.6 miles from city center Info Estimated distance in miles from WRIGHT CITY's city center to Warrenton Manor's address, calculated via Google Maps.

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 113
Employees 90
Contractors 23
Staff to resident ratio 1.36:1
20% worse than Missouri average

Missouri average ratio: 1.71:1

Avg staff/day 39
Average shift 8.1 hours
0% compared with Missouri average

Missouri average: 8.1 hours

Total staff hours (quarter) 28,736
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

5.5%

1,568 contractor hours this quarter

Respiratory Therapy Technician: 9 Speech Language Pathologist: 4 Physical Therapy Aide: 3 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Occupational Therapy Aide: 2 Occupational Therapy Assistant: 1
Staff by category
Nurse Aide in Training330338,45391100%8.4
Certified Nursing Assistant220227,17791100%8.1
Medication Aide/Technician100103,61891100%8.4
Licensed Practical Nurse110113,26091100%9.1
Registered Nurse4041,7818593%10.5
RN Director of Nursing1017317279%10.2
Speech Language Pathologist0445977481%6.2
Dental Services Staff1015546571%8.5
Administrator2025196673%7.9
Physical Therapy Aide0334716571%7.1
Dietitian1014506268%7.3
Nurse Practitioner2024105459%7.6
Clinical Nurse Specialist1011603134%5.2
Respiratory Therapy Technician0991543538%3.7
Qualified Social Worker0221516066%2.5
Physical Therapy Assistant0221314145%3.2
Other Dietary Services Staff202551516%3.4
Occupational Therapy Aide0224089%5
Occupational Therapy Assistant0112633%8.6
33 Nurse Aide in Training
% of Days 100%
22 Certified Nursing Assistant
% of Days 100%
10 Medication Aide/Technician
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
4 Registered Nurse
% of Days 93%
1 RN Director of Nursing
% of Days 79%
4 Speech Language Pathologist
% of Days 81%
1 Dental Services Staff
% of Days 71%
2 Administrator
% of Days 73%
3 Physical Therapy Aide
% of Days 71%
1 Dietitian
% of Days 68%
2 Nurse Practitioner
% of Days 59%
1 Clinical Nurse Specialist
% of Days 34%
9 Respiratory Therapy Technician
% of Days 38%
2 Qualified Social Worker
% of Days 66%
2 Physical Therapy Assistant
% of Days 45%
2 Other Dietary Services Staff
% of Days 16%
2 Occupational Therapy Aide
% of Days 9%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

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

Total residents 83
Medicare
2
2.4% of residents
Medicaid
59
71.1% of residents
Private pay or other
22
26.5% of residents
Programs & Services
Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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. 12.0
10% worse 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. 18.1
7% 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 20.6%
In line with Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.7%
In line with 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 13.1%
28% 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 3.4%
17% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.0%
39% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.1%
13% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.6%
54% worse than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.7%
79% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.3%
17% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.8%
In line with Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.6%
In line with 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 62.0%
7% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.7%
24% worse than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 83.3%
31% better than Missouri average

Missouri average: 63.5%

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