Warrenton Manor
Warrenton Manor
3.7 (24 reviews)
Skilled Nursing Facility • 120 Licensed Beds
65 State Hwy Aa, Wright City, MO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Warrenton Manor

Skilled Nursing Facility • 120 Licensed Beds
65 State Hwy Aa,
Wright City, MO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Warrenton Manor – Medicare Certified Since 1983

Warrenton Manor is a Medicare and Medicaid certified skilled nursing facility located in Wright City, Missouri. This facility has been serving the community for 43 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 120 certified beds with a current occupancy rate of 72% (averaging 86 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 3.27 hours of total nursing care per resident per day (2.46 hours from CNAs, 0.51 hours from LPNs, 0.3 hours from RNs). Physical therapy staffing is 0.02 hours per resident per day.

Medicare Quality Ratings: According to CMS, Warrenton 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: 2 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.

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Local Comparison Snapshot

How Warrenton 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
2
2.4
Staffing
Nurse-to-resident ratio
1
2
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.30 hrs
0.42 hrs
LPN/LVN Hours
Licensed practical nurses
0.51 hrs
0.79 hrs
CNA Hours
Certified nursing assistants
2.46 hrs
2.27 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.27 hrs
3.47 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
6.3 %
6.5 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
10.2 %
CNA Agency Use
% of CNA hours from contractors
0 %
7.1 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
53 %
54 %
Occupancy Rate
Percentage of beds filled
72 %
71 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$196
$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.

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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
2/5
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.
Warrenton Manor
St. Louis, MO-IL Average

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

Staffing Hours per Resident Day

Warrenton Manor
St. Louis, MO-IL Average

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

Staff Turnover Rate

Warrenton Manor
St. Louis, MO-IL Average

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

Agency/Contract Staff Usage

Warrenton 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 December 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.
148
minutes/day
CNAs
Certified Nursing Assistants
31
minutes/day
LPNs
Licensed Practical Nurses
18
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.
Warrenton 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
$196
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
-13% -9% Below
Net Income
Annual profit or loss
$-511,391 $-380,757.5 Below
Staff Cost per Resident
Daily salary expense per resident
$97/day $130/day Lower
Occupancy Rate
Bed utilization percentage
72% 67% Higher
Est. Daily Rate
Average revenue per patient day
$196/day $300/day Lower
Total Beds
Licensed bed capacity
120 120 Smaller

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

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$5,077,743
Operating Expenses
Total operating costs
$5,741,545
Total Salaries
Staff compensation
$2,726,900
Contract Labor
Agency & temp staff
$357,395

Payer Mix

Medicare
2%
Medicaid
69%
Private Pay & Other
29%

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
28,051
Medicare
Short-term skilled nursing
2%
Medicaid
Long-term care residents
69%
Private Pay / Other
Self-pay, insurance, VA
29%
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
98.42
days
Medicare Stays
42.25
days
Medicaid Stays
178.96
days
Total Admissions
218
Total Discharges
285
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 WRIGHT CITY

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Reviews

3.7 (24 reviews)
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Billie Hensiek's profile photo
Billie Hensiek a year ago

My toxic family went around me and put my father in one of the worst nursing homes they could find. This one! He fell on the very first day and his hand was black and blue because no one would answer his call light and he had to go to the bathroom so he tried to take himself. He got pneumonia and no one on their nursing staff noticed until I pointed it out to them...probably from leaving him laying there in 40 degree weather with the window open with COPD/emphysema, in nothing but a diaper in October/November. No blankets or no shirt covered him when I went to visit, just a diaper. When I told my Aunt that I wanted to move my father to a better nursing home, where they actually cared for their patients, she told me she'd fight me on it, so I had to leave him in this death trap and watch him slowly be abused and neglected to death until he faded into nothing. It broke my heart. There were many times I walked in to his room for lunch or dinner, and his tray from the previous meals had not even been touched. He was too weak to lift a fork to feed himself or to hold a cup on his own and you could clearly see that he was being systematically "starved" to death by them. One day I was in his room, and overheard his roommate's wife on the phone with someone talking about how her husband had been laying in his excrement for 4-5 hours and when she went to talk to the administrator, she had found out that only one person had been on the floor ALL weekend. One person to take care of approximately 40 people? That's not possible! My dad was supposed to go to this nursing home to get therapy, not to die, but the nursing home refused to do it, so like I told my selfish family, who were concerned more about their lives and careers than the proper care of their own brother and father, he would be dead in 3 months. It took one month and one week for my hero to pass from this planet. I don't know if I can ever forgive them for betraying my father in the way that they did, but I hope my review here will prevent someone else's family member from experiencing the same fate. Love you dad and I'm so sorry this happened to you.

Gordon Kitson's profile photo
Gordon Kitson 2 years ago

My Grandfather is a resident at Warrenton Manor and he is my world. Putting him in a nursing home was a very tough decision for me to make. He has been at Warrenton Manor for 3 years now and he is doing great. Jenny Brown is the Social Worker there and she helped us get Grandpa in and registered. She continues to help him everyday and go above and beyond her job to make sure he is taken care of. The nursing staff here is amazing and they call me to let me know anytime he gets a scratch. He is 92 years and has dementia, the staff here goes above and beyond to make him comfortable and to help him when he forgets something. This is an amazing place for your lived ones.

Barb Taylor's profile photo
Barb Taylor 3 years ago

Our family member has been at Warrenton Manor since November 2020. She has had excellent care from day one. The staff has been wonderful and kept us informed as needed, always responsive when we have questions or requests. Our resident consistently remarks how pleased she is with the facility and staff and she says she would recommend Warrenton Manor to anyone. Our family totally agrees with her! Special thanks to Jenny, Donna and Raquel for all they do!

Joyce Evans's profile photo
Joyce Evans 4 years ago

Warrenton Manor doesn’t deserve a star!! They called the police on my sister . She wasn’t given her medication that day. She had been there three days. Escaping the day before. Ambulance took her to Barnes Jewish hospital for 21 days! I shutter to think of horrors she experienced. She is now at Barathaven assisted living dementia facility at O Fallon . They are well trained! My sister has been there over 3 months without incidents. Warrenton Manor staff apologized and admitted they needed more training. I know you love your loved one, so pass by Warrenton Manor !!! It isn’t a secured facility and if they got out the interstate could be deadly! Warrenton Manor Advertise they are a Dementia facility! Believe me they aren’t.

Barbara's profile photo
Barbara 3 years ago

Up date: My dad passed away this was his home for over 3 years. We went the next day to pack his things. Jennie Brown took it upon her self (without asking family) to go through his things took what she wanted & packed the rest. This is something that we wanted to do together (the family). Warrenton Manor needs to be shut down. They do not care about or take good care of residents. I would not put your loved ones in there. Jennie Brown is a wolf in sheep's clothing. Not nice to residents. Got back to Warrenton Manor he was so doped up couldn't hold his head up. Next visit they brought him up & his head had bandages & was bruised all over. Said he fell once Saturday & then on Sunday. They do not have enough staff especially on the weekends & evenings. But continue to bring in New patients. DO NOT PUT YOUR LOVED ONES IN WARRENTON MANOR!!!!!!

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