🛡️ Free for Families  ·  No Spam Calls  ·  No Referral Fees  ·  Built on Official Records

FindSeniorLivingNow

🏠 Is this your community?

Families are searching for a community like yours right now. Make sure they find you.

Claim This Community
🏡
State licensedAssisted LivingSkilled Nursing

Troy Manor

(636) 528-8446

About Troy Manor

Troy Manor is an assisted living community in Troy, MO. It is licensed by the Missouri Department of Health and Senior Services as an assisted living or residential care facility for up to 20 residents. Call the community to ask about availability, pricing and tours.

Community at a glance

Capacity

20 residents

State license

#052742, Licensed

Location

Troy, MO

Status

Listed in a public registry

Care & services offered

Assisted LivingSkilled Nursing

Contact & location

200 Thompson Dr, Troy, Missouri 63379

(636) 528-8446

Medicare record for the nursing home on this campus

Troy Manor includes Troy Manor, a Medicare-certified nursing home at the same address. Everything below is Medicare's record for that nursing home. It does not rate Troy Manor's other levels of care, which the state licenses and inspects separately.

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on June 4, 2026, state inspectors cited 10 health deficiencies (the Missouri average is 11.4).

Nurses and nurse aides spend 2 hours 34 minutes with each resident a day, below the Missouri average of 3 hours 26 minutes.

Medicare fined Troy Manor 2 times in the last three years, $104,685 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day2 hours 34 minutesBelow the Missouri average
Registered nurse time per resident, per day11 minutesBelow the Missouri average
Nursing staff who left in the past year38%Below the Missouri average

2 administrators have left the home in the past year.

Inspections

39 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 4, 2026 · Standard inspection · 10 citations

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 15, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Jul 15, 2026
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 15, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 15, 2026
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 15, 2026
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 15, 2026
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 15, 2026
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 15, 2026
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 15, 2026
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Jul 15, 2026

May 14, 2025 · Complaint investigation · 3 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by May 5, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 11, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by May 5, 2025
November 19, 2024 · Complaint investigation · 1 citation+
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Dec 16, 2024
October 3, 2024 · Complaint investigation · 8 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 11, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Nov 11, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Dec 16, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Dec 16, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 11, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 11, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 11, 2024
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 11, 2024
April 9, 2024 · Standard inspection · 17 citations+
  • Provide and implement an infection prevention and control program.

    Immediate danger to residents, a pattern (level K)Infection ControlCorrected May 20, 2024
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected May 20, 2024
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 20, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 20, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected May 20, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected May 20, 2024
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 20, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected May 20, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 20, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected May 20, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 20, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 20, 2024
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 20, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 20, 2024
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 20, 2024
  • 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.

    Minimal harm or risk, a pattern (level B)Resident RightsCorrected May 20, 2024
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Minimal harm or risk, a pattern (level B)Resident RightsCorrected May 20, 2024

Fines and payment denials

2 fines totaling $104,685 and 2 Medicare payment denials in the last three years.

  • October 3, 2024Payment denial, 33 days
  • October 3, 2024Fine: $84,256
  • April 9, 2024Fine: $20,429
  • April 9, 2024Payment denial, 5 days

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
N & R of Troy LLC
Medicare-certified beds
130
Average residents per day
100
Accepts
Medicare and Medicaid
First certified
February 22, 2000
Part of a chain
James & Judy Lincoln, 56 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
265702

Location

Loading map…

200 Thompson DrTroy, MO 63379

6 other communities within 10 miles

Senior living near Troy

Questions about Troy Manor

Does Troy Manor have a nursing home?+

Yes. Troy Manor is a Medicare-certified nursing home on the same campus. Its Medicare record of inspections, staffing and fines is below. That record covers the nursing home only, not Troy Manor's other levels of care.

How did Troy Manor do on its last inspection?+

State inspectors visited on June 4, 2026 and cited 10 health deficiencies. The Missouri average is 11.4.

How much nursing care does each resident get at Troy Manor?+

Nurses and aides spend 2 hours 34 minutes with each resident per day, including 11 minutes from registered nurses. 38% of nursing staff left over the past year.

Has Troy Manor been fined by Medicare?+

Yes. Medicare fined Troy Manor 2 times in the last three years, totaling $104,685.

How much does assisted living cost?+

The national median is around $6,200 per month, though it ranges from roughly $4,500 to $11,800 depending on location, apartment size, and level of care.

Does Medicare pay for assisted living?+

Medicare does not cover the room-and-board cost of assisted living. Medicaid may help in many states through waivers, and VA benefits can offset costs for eligible veterans.

What's the difference from a nursing home?+

Assisted living is for people who need help with daily tasks but are largely independent. Nursing homes (skilled nursing) provide 24-hour medical and rehabilitative care.

Senior living in Troy Assisted Living in Missouri Assisted Living guide Information last updated October 2026