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Troy Manor

⌖ Troy, MO · Lincoln County
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Medicare overall rating 2 of 5 stars
Certified beds130
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)

About Troy Manor

Troy Manor is a 130-bed for-profit nursing home in Troy, MO. Medicare rates it 2 out of 5 stars overall (below average); the average in Missouri is 2.5. At its last full inspection (Jun 2026), inspectors found 10 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 34 min a day with each resident, less than the Missouri average of 3 hr 26 min. About 38% of its nursing staff left in the past year. Medicare fined it $104,685 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 nameTroy Manor
LocationLincoln County, Missouri
Address200 Thompson Drive, Troy, MO 63379 · Lincoln County
CMS provider number265702
Ownership typeFor-profit (limited liability company)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceFebruary 22, 2000 (26 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 rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures3 of 5Average
Staffing2 of 5Below average

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 3 things to ask about in Medicare's inspection, fine and staffing records for this home.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jun 2026.
    Strength
  • Nursing staff turnover38% a yearMissouri average: 56%
    Strength

About average

  • Health citations at last inspection10 (Jun 2026)Missouri average: 11.4. Most citations are minor and corrected within weeks.
    About average

Things to ask about

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  • Fines and penalties2 fines totaling $104,685; 2 Medicare payment denialsFederal penalties from the last three years, most recently in Oct 2024 (about 2 years ago). The national average is $30,972 per home.
    Ask about this
  • Nurse staffing per resident2 hr 34 min a dayMissouri average: 3 hr 26 min
    Worse than state average
  • Registered nurse time per resident11 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: 3 of 5 (average)

  • Falls with a major injury4.2%State average: 4.1%
    About average
  • Pressure sores (bedsores)4.8%State average: 4.5%
    About average
  • Given antipsychotic drugs21.0%State average: 23.5%
    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.

  • 79% Medicaid
  • 0% Medicare
  • 20% Private pay, insurance and other
Beds in use, on average65%Missouri typical: 71%
Cost of care per resident day$227Missouri 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 2 stars now, up from 1 star in January 2019. It has ranged from 1 to 2 stars and changed 1 time.

Overall rating2★
Health inspections2★
Staffing2★
Quality of care3★
Nurse hours per resident per day2.6
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201911343.0
Jan 202011232.7
Jan 202111242.6
Jan 202211232.6
Jan 202311223.1
Jan 202411343.0
Feb 202511313.5
Feb 202611122.2
Sep 202622232.6

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.

Other nursing homes near Troy

Looking at more than one home? Here are other facilities from the directory in Troy and the nearby area.

Troy · 63379

Lincoln County Nursing & Rehab

1145 East Cherry Street
Troy, MO 63379

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Elsberry · 63343

Elsberry Missouri Health Care Center

1827 Hwy B
Elsberry, MO 63343

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Wright City · 63390

Warrenton Manor

65 State Hwy Aa
Wright City, MO 63390

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Explore the area

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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.