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St Francois Manor

⌖ Farmington, MO · St. Francois County
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Medicare overall rating 4 of 5 stars
Certified beds118
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)

About St Francois Manor

St Francois Manor is a 118-bed for-profit nursing home in Farmington, MO. Medicare rates it 4 out of 5 stars overall (above average); the average in Missouri is 2.5. At its last full inspection (Jun 2025), inspectors found 11 problems, close to the Missouri average of 11.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 2 hr 57 min a day with each resident, less than the Missouri average of 3 hr 26 min. About 63% of its nursing staff left in the past year. It has had no federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameSt Francois Manor
LocationSt. Francois County, Missouri
Address1180 Old Jackson Road, Farmington, MO 63640 · St. Francois County
CMS provider number265674
Ownership typeFor-profit (limited liability company)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 5, 1997 (29 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating4 of 5Above average
Health inspections4 of 5Above average
Quality measures4 of 5Above average
Staffing3 of 5Average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jun 2025.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength

About average

  • Health citations at last inspection11 (Jun 2025)Missouri average: 11.4. Most citations are minor and corrected within weeks.
    About average
  • Nursing staff turnover63% a yearMissouri average: 56%
    About average

Things to ask about

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  • Nurse staffing per resident2 hr 57 min a dayMissouri average: 3 hr 26 min
    Worse than state average
  • Registered nurse time per resident10 min a dayMissouri average: 28 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury1.5%State average: 4.1%
    Better than average
  • Pressure sores (bedsores)0.0%State average: 4.5%
    Better than average
  • Given antipsychotic drugs78.5%State average: 23.5%
    Worse than average
  • Hospital stays per 1,000 resident days2.0State average: 2.1
    About average

Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Missouri, Medicaid pays for 65% of resident days at a typical home.

  • 76% Medicaid
  • 0% Medicare
  • 24% Private pay, insurance and other
Beds in use, on average60%Missouri typical: 71%
Cost of care per resident day$201Missouri typical: $254

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 4 stars now, up from 2 stars in January 2019. It has ranged from 2 to 5 stars and changed 12 times.

Overall rating4★
Health inspections4★
Staffing3★
Quality of care4★
Nurse hours per resident per day3.0
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201921433.4
Jan 202033343.4
Jan 202132433.3
Jan 202243252.7
Jan 202333443.0
Jan 202433443.6
Feb 202544153.3
Feb 202644152.9
Sep 202644343.0

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.