Nursing homeFAID #7294
Troy Manor
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
130
State license
052742
CMS facility ID
265702
Care type
Nursing home
Facility name
Troy Manor
Street address
200 THOMPSON DRIVE
City / state / ZIP
Troy, MO 63379
Phone
(636) 528-8446
Website
State license #
052742
About this facility — Troy Manor
Troy Manor is a Medicare/Medicaid-certified skilled nursing facility in Troy, Missouri. It is licensed for 130 beds — above the median for skilled nursing facilities in Missouri (97 beds).
It is one of 9 senior care facilities in Troy and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Troy Manor 113 times across 13 inspections in the last three years, including 13 food-safety citations, and CMS has imposed $104,685 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Operator / owner
N & R of Troy, Llc
Parent company
James & Judy Lincoln
Ownership type
For profit - Limited Liability company
Administrator
Dylan Hagler
Registered owners & officers
Lincoln, James
Direct owner · Operational control — 50% stake — since 2008
Lincoln, Judy
Direct owner — 50% stake — since 2008
Conover, Janice
Managing employee — since 2004
Ltc Management Services Llc
Operational control — since 2008
Regulatory standing
Licensed / certified since
2000-02-22
License expires
2027-05-31
CMS overall rating
1 of 5 stars
Health deficiencies
17 at the last standard inspection
Federal fines
$104,685 total
Last standard inspection
2024-04-09
Nurse staffing
2.6 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$180 per day (≈ $5,470/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
87% Medicaid · 2% Medicare · 12% private/other
Occupancy
61% (fiscal year 2023)
Vs. state median
30% below the MO median of $257/day — full state cost breakdown
Services & coverage
Licensed beds
130
Licensed as
ALF
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 13 food-safety citations on its three-year record — flagged below among the inspections.
2025-05-14Health inspectionComplaint-triggered3 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-05
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-05
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-06-11
2024-11-19Health inspectionComplaint-triggered1 citation
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-12-16
9 earlier / fire-safety inspections (109 citations)
2024-10-03Health inspectionComplaint-triggered8 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-11-11
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-11-11
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-11
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-11
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-11-11
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-11
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-12-16
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-12-16
2024-04-09Health inspectionComplaint-triggered17 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-20
F-0561
E · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-05-20
F-0623
B · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-05-20
F-0625
B · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-05-20
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-20
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-20
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-05-20
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-20
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-20
F-0700
E · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-05-20
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-05-20
F-0728
E · No harm found
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2024-05-20
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-05-20
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-05-20
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-20
F-0880
K · Immediate jeopardy
Provide and implement an infection prevention and control program.
Corrected 2024-05-20
F-0909
E · No harm found
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2024-05-20
2023-09-20Health inspectionComplaint-triggered1 citation
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-12
2023-08-31Health inspectionComplaint-triggered2 citations
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-10-10
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-10-10
2020-10-28Health inspection27 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2020-12-10
F-0600
K · Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2020-12-10
F-0604
G · Actual harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2020-12-10
F-0609
E · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2020-12-10
F-0610
E · No harm found
Respond appropriately to all alleged violations.
Corrected 2020-12-10
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-12-10
F-0625
E · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2020-12-10
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-12-10
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-01-27
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-12-10
F-0688
E · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2020-12-10
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-12-10
F-0692
G · Actual harm
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-12-10
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2020-12-10
F-0700
E · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2020-12-10
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2020-12-10
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2020-12-10
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-12-10
F-0800
D · No harm foundFood safety
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2020-12-10
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2020-12-10
F-0804
F · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-12-10
F-0806
E · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2020-12-10
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-01-27
F-0814
F · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2020-12-10
F-0849
E · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2020-12-10
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2020-12-10
F-0909
E · No harm found
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2020-12-10
2019-01-15Health inspection12 citations
F-0584
E · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2019-02-26
F-0585
E · No harm found
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2019-02-26
F-0640
B · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-02-26
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-02-26
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-02-26
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-02-26
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2019-02-26
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-02-26
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2019-02-26
F-0809
E · No harm foundFood safety
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2019-02-26
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-02-26
F-0924
E · No harm found
Put firmly secured handrails on each side of hallways.
Corrected 2019-02-26
2024-04-09Fire-safety inspection15 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-05-20
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-05-20
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-05-20
K-0100
E · No harm found
Meet other general requirements.
Corrected 2024-05-20
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-05-20
K-0311
E · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2024-05-20
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-20
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-20
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-05-20
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-20
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-05-20
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-05-20
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-05-20
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-20
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-20
2020-10-28Fire-safety inspection15 citations
E-0036
C · No harm found
Establish emergency prep training and testing.
Corrected 2020-12-10
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2020-12-10
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2020-12-10
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-12-10
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-12-10
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-12-10
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2020-12-10
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-12-10
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-12-10
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2020-12-10
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-12-10
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-12-10
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2020-12-10
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2020-12-10
K-0932
D · No harm found
Meet other general requirements.
Corrected 2020-12-10
2019-01-15Fire-safety inspection12 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2019-02-26
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-02-26
K-0281
D · No harm found
Install proper backup exit lighting.
Corrected 2019-02-26
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-02-26
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2019-02-26
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-02-26
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-02-26
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-02-26
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2019-02-26
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-02-26
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-02-26
K-0932
E · No harm found
Meet other general requirements.
Corrected 2019-02-26
Federal penalties
2024-10-03Fine$84,256
2024-04-09Fine$20,429
2024-10-03Medicare payment denial — 33 days
2024-04-09Medicare payment denial — 5 days
Total fines$104,685
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265702.
Visitor reviews
What people say on Google.
2.5★★★★★24 ratings on Google
★Norma Meier · 2026-01-24 · via Google“This place is a disgrace to the residents thar live there. I would've given it 0 stars if I could as soon as you walk through the door you are hit with the smell of urine and feces in the air enhancing as you go further down the hall. Short staffing as usual with administration that probably just stays in their office with the door shut with no touch of reality. If you truly love your family membe…”
★Christine Berg · 2024-11-28 · via Google“My dad was here for quite some time. In the last 3m of his stay he was in and out of the hospital for psych issues. Each time I would beg and plead them to do a UTI test. They insisted he was being unruly and needed to go to the hospital. They gave him multiple haldol shots even after I showed them proof that he was allergic to the shots. When he'd get to the hospital they would test him for a UT…”
★★★★★Janet McCarty · 2022-08-15 · via Google“The care, love, and attention given to my husband mother, Dona, was amazing at Troy Manor. The food and selections were delicious. We even enjoyed a few meals with her just to taste them. Every staff member we ever saw or encountered was always working hard and we realize it's a hard and thankless job for most of the employees at a skilled nursing facility. We want to thank everyone at Troy M…”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 113 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered