Troy Manor: Staffing, Turnover, and Inspection Record
Troy Manor is a 130-bed for-profit nursing home in Troy, Missouri, part of James & Judy Lincoln. In the CMS August 2026 release it reported 1.71 nurse aide hours per resident per day, 25% below the Missouri average of 2.29, and 38.3% nursing staff turnover (Missouri average 56.0%).
Troy Manor
200 Thompson DriveTroy, MO 63379
Lincoln County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Troy Manor, nurse aides logged 1.71 hours per resident per day, 25% below the Missouri average. With about 100 residents a day, that works out to roughly 170 aide hours a day, or about 21 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.71 | 2.29 | 2.32 |
| Licensed practical nurses | 0.68 | 0.68 | 0.86 |
| Registered nurses | 0.18 | 0.46 | 0.69 |
| All nursing staff | 2.57 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.28 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.3% of nursing staff at Troy Manor left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 20.0%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 9, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Missouri average 11.5). CMS lists 2 fines totaling $104,685 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 3, 2024 | Fine | $84,256 |
| Oct 3, 2024 | Payment Denial | 33 days from Nov 13, 2024 |
| Apr 9, 2024 | Fine | $20,429 |
| Apr 9, 2024 | Payment Denial | 5 days from May 15, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Troy Manor holds 1 of 5 overall; the Missouri average is 2.5.
About Troy Manor
- Ownership: For profit - Limited Liability company
- Chain: James & Judy Lincoln, 56 homes
- Legal name: N & R of Troy LLC
- Medicare and Medicaid certified since: Feb 22, 2000
- Councils: resident council
- Area: urban
Nursing homes near Troy Manor
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Lincoln County Nursing & Rehab Troy · Special Focus Facility · abuse citation | 0.4 | 90 | 1.55 | 2.45 | 74.2% | — | $259,609 |
| Elsberry Missouri Health Care Center Elsberry | 13.3 | 56 | 2.15 | 3.05 | 38.6% | 4 | $28,704 |
| Warrenton Manor Wright City | 13.9 | 120 | 2.31 | 3.07 | 43.2% | 1 | None |
| Cottages of Lake St Louis Lake Saint Louis | 17.4 | 60 | 3.92 | 6.03 | 57.5% | 4 | $17,696 |
| Abbey Senior Health O Fallon · abuse citation | 18.3 | 55 | 2.94 | 4.74 | 35.6% | 3 | None |
| Sunterra Springs Dardenne Prairie Dardenne Prairie | 18.6 | 38 | 2.20 | 4.46 | 76.1% | 2 | $49,722 |
| Garden View Care Center O Fallon · abuse citation | 19.4 | 80 | 3.37 | 4.67 | 62.1% | 1 | None |
| Aspire Senior Living Jonesburg Jonesburg | 20.0 | 81 | 0.92 | 1.79 | 50.0% | 1 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.