Warrenton Manor

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Wright City, MO

CMS overall rating

65 State Highway Aa, Wright City, MO 63383-3301 View map

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Warrenton Manor accepts Medicaid, Medicare, and private pay.

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Warrenton Manor accepts Medicaid, Medicare, and private pay.

Overview of Warrenton Manor

Warrenton Manor is a skilled nursing home in Wright City, Missouri, providing services such as comprehensive post-acute rehabilitation or longer-term nursing care. The facility is operated by N & R Of Warrenton, Inc., owned by Brandon Bysor. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to access coverage. With 120 beds and a 74% occupancy rate, the home operates to support individualized attention.

Residents stay for an average of 98 days, including short-term rehabilitation stays and residents transitioning to longer-term placement. From a clinical standpoint, the home has a full range of rehabilitation services, including short-term rehab, respite care, and on-site medical support with a doctor on staff and 24-hour nursing coverage. Residents recovering from surgery, an acute illness, or a hospital stay who need structured nursing support and therapy services will find this facility a good fit.

Total nurse staffing averages 4 hours and 9 minutes per resident daily, so there’s substantial hands-on support throughout the day. The home also provides dialysis and IV therapy services, so residents won’t have to leave the facility for specialized care. The van is available to residents who need to attend appointments and community outings.

Amenities available on-site include complete dining services with meals to accommodate individual preferences, beauty and barber services, housekeeping and laundry support, and on-site pharmacy services. The home also supports religious and community involvement, and families can participate. Its location in the Wright City area has a walkability score of 34; the setting is best for residents who prefer a quieter, more rural environment where most trips are by transportation rather than on foot.

Facility Direct Line (636) 456-8700

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 9m per day

vs avg

6 of 6 metrics below state avg

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.	16m per day	▼ 41% 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.	25m per day	▼ 38% 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 15m per day	▼ 3% 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 48m per day	▼ 8% 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.	1m per day	▼ 35% 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.	11m per day	▼ 43% State avg: 20m per day · National avg: 28m per day

Capacity and availability

98 days

120-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 34 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

74%

Higher than the Missouri average: 66.6%

Occupied beds

89 / 120

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceDecember 1, 2025

ExpirationNovember 30, 2027

CountyWarren

License Number053181

CMS Certification Number265181

Certification TypeMedicare / Medicaid

Warrenton Manor is legally operated by N & R Of Warrenton, Inc., and administered by Janice Conover.

Corporate EntityN & R OF WARRENTON, INC

Owner NameN & R Of Warrenton, Inc

Skilled Nursing Facility

120 units

Total beds

120 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Dedicated Alzheimer's Unit

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

Medicare & Medicaid Approved

Iv Therapy

Dialysis

Professional Medical Care

Van Transportation

On-Site Maintenance

Rehab Services

Pharmaceutical Services

Complete Dining Services

Religious Services

Since 2018 · 8 years of data 132 deficiencies 15 inspections

Inspection Scorecard 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.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection January 15, 2026 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	132	35	This facility has 277% more total deficiencies than a typical Missouri assisted living residence (132 vs. MO avg 35).↑ 277% worse
Deficiencies per year Average deficiencies per year since 2018.	16.5	4.4	This facility has 275% more deficiencies per year than a typical Missouri assisted living residence (16.5 vs. MO avg 4.4).↑ 275% worse
Deficiencies per inspection Average deficiencies per inspection.	8.8	2.9	This facility has 203% more deficiencies per inspection than a typical Missouri assisted living residence (8.8 vs. MO avg 2.9).↑ 203% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	15	12	This facility has had 25% more total inspections than the Missouri average (15 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

January 15, 2026 complaint investigation found failure to timely report two resident-to-resident abuse incidents to the Department of Health and Senior Services.
November 25, 2025 complaint investigation identified inconsistent shiftly controlled drug counts with two staff, leading to missing medications; staff received training and audits began.
March 21, 2025 routine inspection cited 13 deficiencies including infection control lapses, unsafe medication practices, incomplete care plans, and inadequate personal hygiene assistance.

Show Inspection Reports

Inspections since 2022

Total health inspections 5

State average N/A

Last Health inspection on Mar 2025

Total health citations

State average N/A

Citations per inspection

8.2

State average N/A

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 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

40 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 4 years)

Infection Control moderate citation Mar 21, 2025

Corrected

Infection Control moderate citation Mar 21, 2025

Corrected

Nursing Services moderate citation Mar 21, 2025

Corrected

Nursing Services moderate citation Mar 21, 2025

Corrected

Total staff 117

Employees 94

Contractors 23

Staff to resident ratio 1.41 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 27,730

Nursing staff breakdown

10.1 hours

9.6 hours

8 hours

Contractor staffing

1,322 contractor hours this quarter

Physical Therapy Aide: 7 Respiratory Therapy Technician: 6 Physical Therapy Assistant: 3 Qualified Social Worker: 3 Speech Language Pathologist: 2 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1

Staff by category


Certified Nursing Assistant	29	0	29	7,715	92	100%	8
Nurse Aide in Training	29	0	29	7,447	92	100%	8.4
Medication Aide/Technician	12	0	12	3,572	92	100%	8.1
Licensed Practical Nurse	8	0	8	2,654	92	100%	9.6
Registered Nurse	6	0	6	1,692	90	98%	10.1
RN Director of Nursing	2	0	2	858	72	78%	9.5
Dental Services Staff	1	0	1	515	63	68%	8.2
Other Dietary Services Staff	2	0	2	512	66	72%	7
Nurse Practitioner	2	0	2	490	64	70%	7.7
Speech Language Pathologist	0	2	2	464	64	70%	7.1
Administrator	1	0	1	460	57	62%	8.1
Dietitian	1	0	1	394	57	62%	6.9
Physical Therapy Aide	0	7	7	314	53	58%	5.8
Respiratory Therapy Technician	0	6	6	179	39	42%	4.4
Qualified Social Worker	0	3	3	150	42	46%	3.6
Physical Therapy Assistant	0	3	3	134	37	40%	3.5
Clinical Nurse Specialist	1	0	1	100	30	33%	3.3
Occupational Therapy Aide	0	1	1	55	9	10%	6.1
Occupational Therapy Assistant	0	1	1	28	3	3%	9.3

29 Certified Nursing Assistant

% of Days 100%

29 Nurse Aide in Training

% of Days 100%

12 Medication Aide/Technician

% of Days 100%

8 Licensed Practical Nurse

% of Days 100%

6 Registered Nurse

% of Days 98%

2 RN Director of Nursing

% of Days 78%

1 Dental Services Staff

% of Days 68%

2 Other Dietary Services Staff

% of Days 72%

2 Nurse Practitioner

% of Days 70%

2 Speech Language Pathologist

% of Days 70%

1 Administrator

% of Days 62%

1 Dietitian

% of Days 62%

7 Physical Therapy Aide

% of Days 58%

6 Respiratory Therapy Technician

% of Days 42%

3 Qualified Social Worker

% of Days 46%

3 Physical Therapy Assistant

% of Days 40%

1 Clinical Nurse Specialist

% of Days 33%

1 Occupational Therapy Aide

% of Days 10%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 12.0

10% worse than State average

State average: 10.9

Functional decline score 18.1

7% better than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 20.6%

In line with State average

State average: 19.8%

Walking Ability Worsened 20.7%

In line with State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 13.1%

28% better than State average

State average: 18.1%

Falls with Major Injury 3.4%

17% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 7.0%

39% worse than State average

State average: 5.0%

Urinary Tract Infection 3.1%

13% worse than State average

State average: 2.7%

Lost Too Much Weight 8.6%

54% worse than State average

State average: 5.6%

Depressive Symptoms 2.7%

79% better than State average

State average: 12.8%

Antipsychotic Use 18.3%

17% better than State average

State average: 22.0%

Pneumococcal Vaccine 86.8%

In line with State average

State average: 85.2%

Influenza Vaccine 91.6%

In line with State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 62.0%

7% worse than State average

State average: 66.6%

Antipsychotic medication increase 2.7%

24% worse than State average

State average: 2.2%

Influenza Vaccine 83.3%

31% better than State average

State average: 63.5%

Successful return to home or community 42.3%

16% worse than State average

State average: 50.6%

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

Total residents 83

Medicare

2.4% of residents

Medicaid

71.1% of residents

Private pay or other

26.5% of residents

Programs & Services

Nurse Aide Training

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

Financial Trends

Historical financial and operational data for Warrenton Manor from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 64.0% ↑ 6.1pp vs 2022

Net Patient Income -$663.8K ↑ ~$130.8K vs 2022

Payroll Costs $3.1M ↑ ~$219.4K vs 2022

Operating Margin -13.1% ↑ 3.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	59.0%	57.4%	61.0%	62.7%	65.9%	70.5%	67.8%	66.5%	68.4%	66.9%	58.5%	57.9%	64.0%
Beds	120	120	120	120	120	120	120	120	120	120	120	120	120
Net Income	$207,113	$25,897	$265,461	$29,104	-$115,599	-$73,688	$255,608	$147,728	$180,313	$872,501	-$109,011	-$645,172	-$511,391
Gross Revenue	$4,544,276	$4,772,272	$5,407,171	$5,781,677	$5,748,762	$6,265,474	$6,027,891	$6,569,868	$6,517,863	$6,236,965	$5,126,474	$4,983,893	$5,510,161
Operating Expenses	$3,917,346	$4,048,512	$4,503,061	$4,933,270	$5,075,826	$5,227,836	$5,293,844	$5,404,320	$5,561,142	$5,691,172	$5,209,430	$5,484,432	$5,741,545
Net Patient Income	$200,865	$25,338	$263,347	$24,814	-$120,212	-$83,595	$245,770	$139,235	$172,102	-$83,580	-$523,434	-$794,603	-$663,802
Net Patient Revenue	$4,118,211	$4,073,850	$4,766,408	$4,958,084	$4,955,614	$5,144,241	$5,539,614	$5,543,555	$5,733,244	$5,607,592	$4,685,996	$4,689,829	$5,077,743
Payroll Costs	$1,637,039	$1,729,120	$1,799,613	$2,027,709	$2,121,135	$2,188,577	$2,202,266	$2,303,450	$2,547,690	$2,640,113	$2,564,478	$2,851,912	$3,071,317
Operating Margin %	4.9%	0.6%	5.5%	0.5%	-2.4%	-1.6%	4.4%	2.5%	3.0%	-1.5%	-11.2%	-16.9%	-13.1%
Medicare %	6.8%	7.7%	9.3%	9.1%	7.3%	7.5%	7.2%	8.9%	5.6%	5.4%	2.5%	2.0%	1.8%
Medicaid %	69.2%	72.3%	72.0%	66.3%	66.5%	68.5%	60.3%	61.4%	67.1%	69.8%	72.4%	66.1%	68.9%
Private %	24.0%	20.1%	18.7%	24.6%	26.2%	24.0%	32.5%	29.7%	27.4%	24.9%	25.1%	31.9%	29.3%
Net Patient Revenue/Day	$159	$162	$178	$180	$172	$166	$187	$190	$191	$191	$183	$185	$181
Cost/Day	$152	$161	$169	$180	$176	$169	$178	$186	$186	$194	$203	$216	$205
Avg Length of Stay	84.2 days	178.7 days	185.6 days	131.5 days	171.7 days	170.2 days	147.7 days	202.3 days	119.3 days	134.1 days	120.8 days	117.5 days	98.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$5.1M

Net patient income

-$663.8K

For-profit Corporation

Net patient revenue

$5.1M

Net patient income

-$663.8K

Other income

$152.4K

Payroll costs

$3.1M 60.5% of net patient revenue

Other operating costs

$2.7M

Total costs

$5.7M

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.

Most new residents arrive under private pay (52% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 11%

Private pay 52%

Medicaid 38%

Coverage residents most often leave under.

Medicare 4%

Private pay 58%

Medicaid 38%

0.0 miles from city center Estimated distance in miles from Wright City's city center to Warrenton Manor's address, calculated via Google Maps.

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


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Warrenton Manor	NH HOS RC SNF	Wright City	-	120	-	34	-

Nursing Home Explorer

What neighborhood is Warrenton Manor in?

Warrenton Manor is in the USA neighborhood of WRIGHT CITY.

Who is the owner of Warrenton Manor?

Warrenton Manor is legally operated by N & R Of Warrenton, Inc., and administered by Janice Conover.

Is Warrenton Manor in a walkable area?

Warrenton Manor has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Warrenton Manor?

According to MO state health department records, Warrenton Manor's license number is 053181.

When does Warrenton Manor's license expire?

According to MO state health department records, Warrenton Manor's license expires on November 30, 2027.

What is the occupancy rate at Warrenton Manor?

Warrenton Manor's occupancy is 74%.

Are pets allowed at Warrenton Manor?

No, Warrenton Manor has a no-pet policy.

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Warrenton Manor

Overview of Warrenton Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Warrenton Manor

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

29 Certified Nursing Assistant

29 Nurse Aide in Training

12 Medication Aide/Technician

8 Licensed Practical Nurse

6 Registered Nurse

2 RN Director of Nursing

1 Dental Services Staff

2 Other Dietary Services Staff

2 Nurse Practitioner

2 Speech Language Pathologist

1 Administrator

1 Dietitian

7 Physical Therapy Aide

6 Respiratory Therapy Technician

3 Qualified Social Worker

3 Physical Therapy Assistant

1 Clinical Nurse Specialist

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Nurse Aide Training

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Warrenton Manor

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