Troy Manor
200 Thompson Drive, Troy, MO, 63379
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: James & Judy Lincoln
- Certified beds
- 130 · avg 103 residents/day
- Total nursing staff turnover
- 45.2% — lower than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 42.9% — lower than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $104,685 total
- Payment denials
- 2 denials
Medicare certification
- CMS Certification Number
- 265702
- Certified beds
- 130 beds · avg 103 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- N & R Of Troy Llc
- Chain affiliation
- James & Judy Lincoln
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the James & Judy Lincoln chain — 56 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (4 on record)
- James c Lincoln
5% or Greater Direct Ownership Interest · 50% · since 2008
- Judy l Lincoln
5% or Greater Direct Ownership Interest · 50% · since 2008
- Ltc Management Services Llc
Operational/managerial Control · 100% · since 2008
- Janice Conover
W-2 Managing Employee · 100% · since 2004
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 71)
- D0609·May 14, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0600·May 14, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0610·May 14, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- E0804·Nov 19, 2024Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0880·Oct 3, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0804·Oct 3, 2024Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0689·Oct 3, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0610·Oct 3, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Federal penalties
By year
- 20242 fines · $105K · 2 payment denials
Most recent events
- Oct 3, 2024Payment denial · 33 days · starting Nov 13, 2024
- Oct 3, 2024Fine · $84K
- Apr 9, 2024Payment denial · 5 days · starting May 15, 2024
- Apr 9, 2024Fine · $20K
Largest single fine on record: $84K.
Fire-safety citations
42 Life-Safety-Code citations on file. Most recent: Apr 9, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Troy Manorinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.