Troy Manor
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.
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
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.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 177 other nursing homes in St. Louis, MO-IL
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
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
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
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
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
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)
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)
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
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in TROY
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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.
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.
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.
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.
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.
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