Troy Manor
Troy Manor
2.6 (21 reviews)
Skilled Nursing Facility • 130 Licensed Beds
200 Thompson Drive, Troy, MO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
Call
Claimed

Troy Manor

Skilled Nursing Facility • 130 Licensed Beds
200 Thompson Drive,
Troy, MO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Troy Manor – Medicare Certified Since 2000

Troy Manor is a Medicare and Medicaid certified skilled nursing facility located in Troy, Missouri. This facility has been serving the community for 26 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 130 certified beds with a current occupancy rate of 73% (averaging 95 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 2.71 hours of total nursing care per resident per day (1.83 hours from CNAs, 0.66 hours from LPNs, 0.22 hours from RNs). Physical therapy staffing is 0.02 hours per resident per day. Higher staffing levels are generally associated with better quality outcomes.

Medicare Quality Ratings: According to CMS, Troy Manor has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 1 stars, staffing: 1 stars, quality measures: 2 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

Show Phone

Local Comparison Snapshot

How Troy Manor compares to 177 facilities in St. Louis, MO-IL

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
1
2.1
Quality Measures
Clinical outcomes & safety
2
2.6
Health Inspections
State survey results
1
2.4
Staffing
Nurse-to-resident ratio
1
2
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.22 hrs
0.42 hrs
LPN/LVN Hours
Licensed practical nurses
0.66 hrs
0.79 hrs
CNA Hours
Certified nursing assistants
1.83 hrs
2.27 hrs
Total Nursing Hours
CNA + LPN + RN combined
2.72 hrs
3.47 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
6.5 %
LPN/LVN Agency Use
% of LPN hours from contractors
4.7 %
10.2 %
CNA Agency Use
% of CNA hours from contractors
8 %
7.1 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
53 %
54 %
Occupancy Rate
Percentage of beds filled
73 %
71 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$180
$300
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 177 facilities in St. Louis, MO-IL.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

View Other Options Near You

Claimed

Lincoln County Nursing & Rehab

1145 EAST CHERRY STREET, PO BOX 130
Troy, MO 63379 (< 1 miles away)
Skilled Nursing Facility • 90 beds
★★★★★ 1.6 (18 reviews)
Show Phone
View Listing
Claimed

Silex Rehabilitation and Health Care Center

111 DUNCAN MANSION ROAD
Silex, MO 63377 (11 miles away)
Skilled Nursing Facility • 60 beds
Show Phone
View Listing

Elsberry Missouri Health Care Center

1827 HWY B
Elsberry, MO 63343 (13 miles away)
Skilled Nursing Facility • 56 beds
Show Phone
View Listing
Claimed

Warrenton Manor

65 STATE HWY AA
Wright City, MO 63390 (14 miles away)
Skilled Nursing Facility • 120 beds
★★★★★ 3.7 (24 reviews)
Show Phone
View Listing
Claimed

Cottages of Lake St Louis

2885 TECHNOLOGY DRIVE
Lake Saint Louis, MO 63367 (17 miles away)
Skilled Nursing Facility • 60 beds
★★★★★ 3.9 (51 reviews)
Show Phone
View Listing

Abbey Senior Health

206 NORTH MAIN STREET
O Fallon, MO 63366 (18 miles away)
Skilled Nursing Facility • 55 beds
Show Phone
View Listing
Claimed

Garden View Care Center

700 GARDEN PATH
O Fallon, MO 63366 (19 miles away)
Skilled Nursing Facility • 120 beds
Show Phone
View Listing

Sunterra Springs Dardenne Prairie

7275 STATE HIGHWAY N
Dardenne Prairie, MO 63368 (19 miles away)
Skilled Nursing Facility • 38 beds
Show Phone
View Listing
Claimed

Aspire Senior Living Jonesburg

308 CEDAR AVENUE, PO BOX 218
Jonesburg, MO 63351 (20 miles away)
Skilled Nursing Facility • 90 beds
★★★★★ 2.5 (13 reviews)
Show Phone
View Listing

Delmar Gardens of O'Fallon

7068 SOUTH OUTER 364
O Fallon, MO 63368 (20 miles away)
Skilled Nursing Facility • 240 beds
Show Phone
View Listing

Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
1/5
Quality Measures
2/5
Health Inspections
1/5
Staffing
1/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 177 other nursing homes in St. Louis, MO-IL

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Troy Manor
St. Louis, MO-IL Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Troy Manor
St. Louis, MO-IL Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Troy Manor
St. Louis, MO-IL Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Troy Manor
St. Louis, MO-IL Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of June 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
110
minutes/day
CNAs
Certified Nursing Assistants
39
minutes/day
LPNs
Licensed Practical Nurses
13
minutes/day
RNs
Registered Nurses
1
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Troy Manor
St. Louis, MO-IL Average (71.2%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$180
per resident per day
Compared to 176 facilities in your area
Below local median ($300)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-26% -9% Below
Net Income
Annual profit or loss
$-1,139,846 $-380,757.5 Below
Staff Cost per Resident
Daily salary expense per resident
$95/day $130/day Lower
Occupancy Rate
Bed utilization percentage
73% 67% Higher
Est. Daily Rate
Average revenue per patient day
$180/day $300/day Lower
Total Beds
Licensed bed capacity
130 120 Larger

Local comparisons based on 176 skilled nursing facilities in the St. Louis, MO-IL metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$5,863,235
Operating Expenses
Total operating costs
$7,413,274
Total Salaries
Staff compensation
$3,190,455
Contract Labor
Agency & temp staff
$990,125

Payer Mix

Medicare
2%
Medicaid
87%
Private Pay & Other
12%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
33,523
Medicare
Short-term skilled nursing
2%
Medicaid
Long-term care residents
87%
Private Pay / Other
Self-pay, insurance, VA
12%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
187.55
days
Medicare Stays
33.25
days
Medicaid Stays
248.21
days
Total Admissions
152
Total Discharges
175
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in TROY

Looking for Caregiver or Nursing Jobs?

Create a free profile to connect with senior care employers in Troy, MO. Browse open positions, get matched with opportunities, and take the next step in your caregiving career.

Find Jobs Near Me
Create a free job seeker profile →

Reviews

2.6 (21 reviews)
Powered by Google Logo
Christine Berg's profile photo
Christine Berg a year ago

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 UTI and sure enough he'd be positive each time. The last straw was them insisting I write for him to go to a geriatric psych hospital for a full evaluation and after I agreed they didn't even tell me he had left. Once he returned they insisted I sign a DNR again and again. I refused because they refused to give me a valid reason. As I was hunting for a new facility they would call me daily "he fell trying to stand up", "he's yelling out- help me", just anything under the sun. I told them on a Monday that he'd be gone by Thursday and my plans were to put him in my car with a hoyer lift or via sit to stand transfer. When I dropped my sister off that Thursday morning to help him pack they told her, "he doesn't do the sit to stand anymore and we won't take our hoyer life ut to the car. You will need to get a wheelchair accessible transport to move him. " I was pissed they could have told me that on Monday but no they waited until moving day. I called around got transport setup and he went to the new facility. When he arrived they changed him first thing and told me. "You know he can stand with assistance and does just fine with assisted transfer. We could put him in your vehicle for you just fine." I was sooooo mad. At the new facility he us clean, cared for, does all kinds of activities and they slid the DNR away from me stating "we don't need that right now" ( I hadn't even said anything to them about the DNR situation) when I was signing his enrollment papers. As I walked out of Troy the last time I took huge note of how low the numbers were and a resident who complained about my dad yelling out asked me LOTs of questions about his new facility. This place is closing it's only a matter of time.

Janet McCarty's profile photo
Janet McCarty 3 years ago

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 Manor for the care they extend to those who need it most.

Judy Zeigler's profile photo
Judy Zeigler 3 years ago

The nursing home should be closed.my brother has been in the home about two months. I have seen things that should not be done in a home. My brother become sick while I had covid and could not check on him. No one there contacted family member to let us know he was sick. The call we got was that my brother was sent to the hospital. As a result my brother died last night. He was that sick and we knew nothing about him being sick. We even called to see how he was and was told he was fine setting up eating snakes. That was not true. Not but you love on in that place worse care ever.

Muskrat Martin's profile photo
Muskrat Martin 8 years ago

Close this place down!!! Recently had a relative that went there for physical therapy and then into the nursing home part of it after a short period time. This relative got better more so after they stop physical therapy . You walk into this place in the front door and smells like urine people's urine! It stinks. Watch the accounting practices how they shuffle money around. I was shown a local paper from from just a couple of months ago. Had a article about pain meds nurse. She's one of the nurses that dispense the medication like hydrocodone and similar drugs. She was arrested for taking these medications and charged. Let's assume innocence because that's how we are supposed to be in United States. because she's not been proven guilty by trail to my knowledge as of this time. They also took residences social security checks. Even when they did not want checks to be turnover and they were paying the bill themselves. They had sewer on multiple occasions back ups. that's raw sewage coming up through the floor drains into the hallways! They were using bath towels wadded up in front of the doors to try to keep sewage out of the rooms! I saw that personally on one visit. Reported it to the local Old age office. I'm not gonna mention that office because they may still be investigating. the government does move slow. One question. how is this place still open??? It is a hard thing to decide when your elder can cannot take care of herself. Where do you and how do you care for them? fortunately this relative has moved on. And is taking care of business on their own paying bills things. Things we take for granted every day. What and how do we care for folks when they get to the point they are the age and not the able to care for themselves. One answer is not not NOT Troy manor!!!!!! Look at the ratings. look in Illinois there's one just across the Mississippi. Also across the state in Saint Joe Missouri and just a half an hour north of this facility it is an excellent one. Beware they own three maybe five more nursing homes in the area. I don't remember the name of the corporation.It is hard to fine I apologize. Look at the ratings it tells her everything.

Albie Din's profile photo
Albie Din 6 years ago

My father was there for approximately three months before he passed on and he was very happy. I went to visit him on several different occasions and the place may not be perfect but it was a very good place was not as nasty as these other people are saying in their reviews. I thought the place was very good and they took good care of my father while he was there.

View All 21 Google Reviews

Explore Skilled Nursing Facilities Near Troy

Discover skilled nursing facilities in nearby communities

Moscow Mills

3.7 mi away

Cave

5.4 mi away

Fountain N' Lakes

6.2 mi away

Hawk Point

9.0 mi away

Flint Hill

9.4 mi away

Chain Of Rocks

9.7 mi away

Wright City

10.7 mi away

Old Monroe

11.0 mi away

Silex

11.2 mi away

Foristell

11.2 mi away

Winfield

11.9 mi away

Wentzville

12.6 mi away

Foley

12.7 mi away

Josephville

13.9 mi away

Truesdale

14.2 mi away

Find Additional Care Services in Troy

Explore additional care options and services available in your area