Troy Manor
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 24 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (20 vs median 10)
- High staff turnover (54%)
Bottom 25% in MO · Critically understaffed (RN) · Significantly below average staffing · Worst in JAMES & JUDY LINCOLN chain · $207,902 in fines · Abuse citation
What this means for your family
Given the serious reports of medical negligence and poor communication, we strongly advise families to conduct an unscheduled tour to check for cleanliness and speak directly with current staff. If you choose to proceed, ensure you have a clear plan for monitoring your loved one's medical care, as multiple families reported that their concerns regarding infections and medication were ignored.
Google Reviews
Google Reviews
24 reviews on Google“Troy Manor receives highly polarized feedback, with several families reporting severe concerns regarding medical negligence, poor communication, and unsanitary conditions. While a few reviewers praise the facility for its food and staff attentiveness, these positive experiences are heavily outweighed by reports of residents suffering from untreated infections and a lack of transparency during health crises.”
Quality Themes
Tap a score for detailsStrengths
- Appreciated by some for tasty food options
- Occasional reports of professional and caring staff
Concerns
- Unsanitary facility conditions and strong odors (mentioned by 2 reviewers)
- Poor communication with families regarding medical status (mentioned by 2 reviewers)
- Understaffing and lack of administrative oversight (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 27 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the current staffing levels, how does the team ensure consistent, personalized attention for each resident throughout the day?
- 2What specific protocols are in place to maintain high standards of cleanliness and odor control throughout the common areas and resident rooms?
- 3Could you walk me through your process for updating families on a resident's medical status, and how do you ensure that communication remains proactive and clear?
- 4With 130 residents, what steps are taken to ensure that medication management is handled accurately and without delays?
- 5I understand you have some popular menu options; how do you incorporate resident feedback into your meal planning and daily activity schedule?
- 6How does your administrative team provide oversight to ensure that the quality of care remains consistent across all shifts?
Personalized based on this facility's data
Key Review Excerpts
“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.”
“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.”
“As soon as you walk through the door you are hit with the smell of urine and feces in the air enhancing as you go further down the hall. Short staffing as usual with administration that probably just stays in their office with the door shut with no touch of reality.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
5
measures
3
measures
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Troy Manor has faced persistent complaints from families over multiple years, with serious issues in abuse prevention, infection control, and food service recurring across surveys. The facility has had 19 complaint-triggered deficiencies spanning resident protection, medication management, wound care, and facility cleanliness. While all violations show correction dates, the pattern of repeated problems in critical areas like abuse prevention and infection control, combined with ongoing family complaints as recent as 2024-2025, suggests systemic challenges that prospective families should carefully evaluate during visits.
May 14, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nov 19, 2024Complaint1
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Oct 3, 2024Complaint8
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 9, 2024Routine30
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Construction Deficiencies
Meet other general requirements.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
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.
Apr 9, 2024Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 20, 2023Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal Penalties
Fine
Oct 3, 2024
$84,256
Payment Denial
Oct 3, 2024
33-day denial
Fine
Apr 9, 2024
$20,429
Payment Denial
Apr 9, 2024
5-day denial
Ownership & Operations
Who Operates This Facility
Troy Manor
for profit
Chain Affiliation
James & Judy Lincoln
56 facilities nationwide
Chain avg rating: 2.5/5 · Rank 43 of 56 (Worst)
Ownership & Management
Owners
Lincoln, James
Owner
Lincoln, Judy
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
24 reviews from families & visitors
Official Website
Visit visittroymanor.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.