TROY MANOR

Lincoln · MO · For profit - Limited Liability company · JAMES & JUDY LINCOLN chain · 130 certified beds · CCN 265702 · N & R OF TROY LLC


TROY MANOR operates 130 certified beds in TROY, Missouri. Its Medicare and Medicaid certification dates to 2000-02-22. It averages 99.5 residents a day.

What harm was found in the violations cited at TROY MANOR?

CMS lists 71 health-inspection deficiencies for TROY MANOR since 2019-01-15, 32 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-05-14.

Survey dateTagDeficiencySeverity
2025-05-14F0600, F0609, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2024-11-19F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-10-03F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-10-03F0584, F0804, F0880Honor 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.E
2024-10-03F0557, F0609, F0610, F0689Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-04-09F0880Provide and implement an infection prevention and control program.K
2024-04-09F0561, F0677, F0679, F0689, F0700, F0725, F0728, F0812, F0909Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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.E
2024-04-09F0558, F0656, F0695, F0760, F0805Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2024-04-09F0623, F0625Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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.B
2023-09-20F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2023-08-31F0880Provide and implement an infection prevention and control program.F
2023-08-31F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D
2020-10-28F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K
2020-10-28F0604, F0692Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide enough food/fluids to maintain a resident's health.G
2020-10-28F0804, F0812, F0814Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly.F
2020-10-28F0609, F0610, F0623, F0625, F0656, F0658, F0677, F0688, F0700, F0725, F0730, F0759, F0803, F0806, F0849, F0880, F0909Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / 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. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / Ensure medication error rates are not 5 percent or greater. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / 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. / Provide and implement an infection prevention and control program. / 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.E
2020-10-28F0580, F0689, F0698, F0800Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D
2019-01-15F0584, F0585, F0677, F0686, F0689, F0804, F0809, F0880, F0924Honor 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. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. / Provide and implement an infection prevention and control program. / Put firmly secured handrails on each side of hallways.E
2019-01-15F0760, F0806Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2019-01-15F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B

Why was TROY MANOR fined 2 times?

DateTypeAmount
2024-10-03Fine$84,256
2024-04-09Fine$20,429

Has TROY MANOR had payment denied by Medicare more than once?

Payment denial startLength in days
2024-11-1333
2024-05-155

How is TROY MANOR staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day2.570363.43324
Total nursing staff turnover (%)38.356.0
Average number of residents per day99.573.0

Who owns TROY MANOR, and what chain is it in?

TROY MANOR is registered with CMS as For profit - Limited Liability company, operates under the legal business name N & R OF TROY LLC and belongs to the JAMES & JUDY LINCOLN chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLINCOLN, JAMES, LINCOLN, JUDYsince 01/01/2008
W-2 MANAGING EMPLOYEECONOVER, JANICEsince 06/01/2004
OPERATIONAL/MANAGERIAL CONTROLLTC MANAGEMENT SERVICES LLC, LINCOLN, JAMESsince 01/01/2008

Were you or a family member harmed at TROY MANOR?