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Nursing HomeMedicaid Top Rated

St Francois Manor

Strong Medicare quality ratings; families often praise private apartment-style living quarters. Still worth an in-person visit.

1180 Old Jackson Road, Farmington, MO 63640118 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 23 Google reviews

5
4
3
2
1
St Francois Manor Nursing Home in Farmington, MO — Street View
Street View

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What this means for your family

While the facility offers private living spaces and some successful rehab outcomes, the recurring reports of sanitation issues and unprofessional staff behavior are significant red flags. We strongly recommend conducting an unannounced tour to verify the cleanliness of the environment and observing staff interactions with residents before making a decision.

Google Reviews

Google Reviews

23 reviews on Google
St. Francois Manor receives highly polarized feedback, with some families praising the private apartment-style living and recovery care, while others report severe issues. Critical concerns include persistent sanitation problems, reports of staff mistreatment or disrespect, and inconsistent communication regarding resident care.

Quality Themes

Tap a score for details
Food2.0Staff3.0Clean1.0Activities8.0MedsN/AMemory2.0Comms2.0ValueN/A

Strengths

  • Private apartment-style living quarters
  • Helpful and professional staff (noted by some)
  • Engaging activity programs

Concerns

  • Persistent foul odors (feces/urine) in the facility (mentioned by 3 reviewers)
  • Staff rudeness, arrogance, or lack of compassion (mentioned by 4 reviewers)
  • Poor communication and responsiveness to family concerns (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'17(1)'19(1)'21(2)'23(1)'25(1)'26(1)

Distribution · 26 analyzed

5
7
4
2
3
2
2
3
1
12

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's size of 118 residents, what specific steps are taken to ensure consistent cleanliness and odor control throughout the common areas and hallways?
  • 2How does your leadership team foster a culture of compassion and responsiveness among the staff to ensure families feel heard when they have concerns?
  • 3With the current staffing levels, how do you ensure that residents receive timely assistance and personalized attention throughout the day?
  • 4I noticed the facility offers private apartment-style living; how do you integrate these private spaces with the daily activity programs to keep residents socially engaged?
  • 5What is your protocol for communicating with family members regarding changes in a resident's health status or medical needs, especially during off-hours or emergencies?
  • 6Could you walk me through how the dining experience is managed to ensure that meals are both nutritious and enjoyable for the residents?

Personalized based on this facility's data


Key Review Excerpts

Each person gets their own small apartment. These all have a full bathroom and walk in shower.

Long-term resident's family · 2023★★★★

I would like to thank ALL the staff at St.Francois Manor for taking such wonderful care of my son as he finished recovering from his accident.

Rehab patient's parent · 2024★★★★★

The entire building smelled strongly of feces, creating an unbearable and unhealthy atmosphere from the moment you walked in.

Visitor/Family member · 2025☆☆☆☆
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.16hrs
21%
Registered nurses for medical care
Total Nursing
2.81hrs
69%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility83.3%
Worse than Avg
Here
83.3%
US
15.5%
MO
23.6%
St. francois
18.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility47.9%
Worse than Avg
Here
47.9%
US
19.5%
MO
25.4%
St. francois
35.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
19.4%
MO
17.9%
St. francois
18.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
14.4%
MO
19.1%
St. francois
16.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
15.3%
MO
18.9%
St. francois
19.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
MO
84.4%
St. francois
85.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
MO
65.9%
St. francois
54.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Near state avg (12.0)
5 complaint-triggered

St. Francois Manor shows recurring issues with fire safety systems, medication management, and resident rights across multiple surveys, with some problems reappearing despite reported corrections. Families have filed complaints that triggered investigations, including concerns about proper care and family notification requirements. While all deficiencies show correction dates, the pattern of repeated violations in key safety and care areas suggests potential ongoing challenges with maintaining consistent standards.

Apr 2, 2026Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Feb 23, 2026Complaint
1
0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Nov 17, 2025Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jun 13, 2025Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0575Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0727Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0909Potential for harm · IsolatedCorrected

Environmental Deficiencies

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.

Nov 26, 2024Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Jun 13, 2024Routine
7
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

St Francois Manor

Organization Type

for profit

Chain Affiliation

Chain Name

James & Judy Lincoln

Chain Size

56 facilities nationwide

Chain avg rating: 2.5/5 · Rank 9 of 56

Ownership & Management

Owners

Lincoln, James

Owner

Lincoln, Judy

Owner

50%

Key personnel

Simpson, JenniferW-2 Managing EmployeeLtc Management Services LLCManager
Source: Medicare provider data

Contact

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References & Resources

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