private apartments with full bathrooms and walk-in showers
encouragement of resident independence
comfortable, home-like atmosphere
pleasant activities and programming
caring nursing and caregiving teams
well-maintained rear apartment area
families willing to recommend
Cons
Staff conduct and responsiveness
high staff turnover and inconsistent staffing assignments
privacy-protection lapses
inconsistent dining and meal-service reliability
odor and cleanliness concerns in some areas
limited transportation options
limited activity and program variety
allegations of staff misconduct and billing irregularities
aging facility infrastructure and maintenance issues
poor family–staff communication practices
Summary of reviews
Reviewer input about St Francois Manor is mixed, showing distinct strengths alongside several operational concerns. Positive comments consistently highlight the living environment: private apartments with full bathrooms and walk-in showers, parts of the building that are described as well maintained (particularly rear apartments), and an overall home-like atmosphere. Multiple accounts praise caring, attentive staff and caregiving teams who encourage independence and provide supportive recovery assistance for residents after acute events.
At the same time, reviewers identified a range of staff- and management-related concerns. Several accounts raised questions about staff conduct and responsiveness, and others described inconsistent staffing patterns or what appears to be frequent staff turnover; these issues are linked to uneven day-to-day care experiences. There are also specific concerns about privacy protections and family communication practices, including examples of poor phone communication and at least one asserted privacy breach. More serious assertions have been made regarding staff behavior and billing practices; these allegations, if verified, would be material and should be checked against regulatory records and inspection reports.
Dining and activities present a mixed picture. Some families reported pleasant activities and engaged programming, while others described limited variety and program opportunities. Dining service appears inconsistent for some residents, with reports indicating occasional meal-service reliability problems. Transportation options are described as limited, which may affect outpatient appointments, family visits, and off-site programs.
Facility condition is similarly mixed. Private living spaces receive favorable comments, but reviewers also flagged aging infrastructure and maintenance needs in parts of the building, along with odor and cleanliness concerns in certain areas. Operational themes include staff favoritism and unequal treatment perceptions, and gaps in behavior-management or resident-conflict resolution processes.
For prospective residents and families: the facility offers clear positives—private units, a supportive approach to independence, and staff who many families find caring—but also exhibits operational weaknesses that merit direct inquiry. When evaluating St Francois Manor, visitors should ask to review recent state inspection reports, request information on staffing levels and turnover, clarify billing and financial policies, observe mealtime operations and activity schedules, and confirm privacy and complaint-resolution procedures. These steps will help determine whether the facility’s strengths align with a prospective resident’s needs and expectations.
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Medicare Ratings
5·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
St Francois Manor is located at 1180 Old Jackson Rd, Farmington, MO, 63640.
About St Francois Manor
St Francois Manor sits on a historic estate with a charming ambiance and pretty surroundings, and you'll quickly see the building's been there a long time, yet still feels inviting and safe for everyone searching for a peaceful living space with care. The staff provide care around the clock, and it doesn't matter if it's a Sunday or the middle of the night, since nurses and therapists are always nearby, available to give medical help, support, and sometimes even a kind word or gentle assistance with daily tasks like bathing, dressing, and taking medicine. You can choose between private and semi-private rooms, including studio apartments designed for comfort and convenience, and the building features a library, a salon and barber shop, a garden, walking paths, and a comfortable community lounge where folks often gather to visit or just pass the time. Meals come served in communal dining areas, which makes it easier for residents to make friends and keep their routines, and housekeeping plus transportation services are free for those who need them.
Residents have plenty of support options here, ranging from independent living and assisted living to skilled nursing, memory care, adult care home services, and even short-term rehabilitation for those who need a place to heal a bit after a hospital stay before heading home. The staff includes mental health care workers, trained to help with complex needs, and there are always nurses on call and therapists ready for scheduled occupational or physical therapy visits if someone's recovering or just wants to stay active. Those facing dementia or Alzheimer's can get specialized help in well-protected spaces with personalized brain-boosting routines and safe, gentle encouragement. The entire place operates under state licenses, so there's oversight to make sure residents' needs get met, including medication management and full assistance when it comes to bathing, dressing, or moving about.
Social events and daily activities fill the calendar, with some programs even run by residents themselves, and there are bigger gatherings like weddings or corporate retreats from time to time, making the estate lively and interesting all year long. The manor maintains a focus on dignity and comfort, with nurses, home care aides, and even hospice available if needed, aiming to create a worry-free environment. For anyone with questions, there's a way to get in touch or schedule a tour, and they've even set up a virtual tour, a calendar of events, and a simple "Pay My Bill" feature, which makes things easier for residents and their families. Everything at St Francois Manor tries to meet the physical, mental, and social needs of the people who live there, with care that continues under a doctor's supervision to help folks stay comfortable, active, and connected.
People often ask...
St Francois Manor offers assisted living and skilled nursing.
There are 8 photos of St Francois Manor on Mirador.
The full address for this community is 1180 Old Jackson Rd, Farmington, MO 63640.
No, St Francois Manor does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Missouri, the Department of Health & Senior Services licenses assisted living and long-term care facilities through state licensure surveys, complaint investigations, and fire-safety reviews.
License number
saint-francois-farmington-st-francois-manor
Facility type
Residential Care Facility Ii
Capacity
118 residents
Licensee
N & R OF FARMINGTON, LLC
Inspection Reports
47
Reports
178
Citations
5
Complaints
7
Years
28 Jan 2026Licensure
28 Jan 2026Licensure
Found no deficiencies related to fire safety.
15 Jan 2026Complaint
15 Jan 2026Complaint
Found deficiencies in oxygen storage, furniture and equipment maintenance, room design for resident comfort and safety, and wall- and ceiling-covering materials.
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13 Jun 2025
13 Jun 2025
Identified multiple deficiencies related to resident rights posting, bed-rail safety, nurse staffing, medication storage and labeling, and food safety.
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13 Jun 2025
13 Jun 2025
Found deficiencies related to fire door self-closing devices, sprinkler maintenance/testing, and electrical safety practices.
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04 Mar 2025Complaint
04 Mar 2025Complaint
Identified deficiencies related to daily cleanliness, carpeting restrictions, and maintenance of walls, ceilings, and lighting.
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16 Jan 2025Licensure
16 Jan 2025Licensure
Found no deficiencies.
26 Nov 2024
26 Nov 2024
Identified deficiencies in comprehensive care plans that did not meet professional standards of quality for a few residents.
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23 Jul 2024Monitoring
23 Jul 2024Monitoring
Identified violations for not meeting the required standards.
13 Jun 2024
13 Jun 2024
Identified deficiencies in privacy and confidentiality, safe environment, trauma-informed care, and pharmacy services.
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13 Jun 2024
13 Jun 2024
Found deficiencies related to hazardous-area enclosure and sprinkler system maintenance, with no actual harm but potential for more-than-minimal harm.
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31 Jan 2024Licensure
31 Jan 2024Licensure
Found no deficiencies in the fire safety review conducted by the State Fire Marshal's office.
24 Jan 2024Licensure
24 Jan 2024Licensure
Identified a fire-safety deficiency for failing to maintain a complete fire alarm system and to implement a fire watch when out of service.
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29 Aug 2023
29 Aug 2023
Found no deficiencies.
07 Feb 2023Licensure
07 Feb 2023Licensure
Found that fresh water was not available to residents at all times.
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12 Jan 2023
12 Jan 2023
Found deficiencies related to safe environment, resident mobility, and food safety. Several sub-standards were not met.
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12 Jan 2023
12 Jan 2023
Identified deficiencies in door self-closing requirements and smoking regulations, with related fire-safety provisions noted.
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08 Jul 2022
08 Jul 2022
Investigated the complaint and found no state licensure deficiencies.
28 Jun 2022Complaint
28 Jun 2022Complaint
Identified multiple deficiencies related to fire safety, emergency lighting, storage of poisonous materials, and ice handling.
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14 Jun 2022
14 Jun 2022
Found no state licensure deficiencies after the second inspection and complaint investigation.
01 Jun 2022
01 Jun 2022
Found no deficiencies after the second inspection and complaint investigation.
03 May 2022
03 May 2022
Investigated the second inspection and complaint; found no state licensure deficiencies cited.
05 Apr 2022
05 Apr 2022
Found no state licensure deficiencies after the second inspection and complaint investigation.
24 Mar 2022
24 Mar 2022
Found no licensure deficiencies after the second investigation.
28 Dec 2021
28 Dec 2021
Found no state licensure deficiencies during the second assessment and complaint investigation.
07 Dec 2021
07 Dec 2021
Found no deficiencies.
10 Nov 2021Licensure
10 Nov 2021Licensure
Found no deficiencies.
26 Oct 2021
26 Oct 2021
Found no state licensure deficiencies after a second inspection and complaint investigation.
30 Sept 2021
30 Sept 2021
Found no deficiencies cited during a second inspection and complaint investigation.
12 Aug 2021
12 Aug 2021
Found no deficiencies.
18 Dec 2020
18 Dec 2020
Found deficiencies for failing to meet the required standards.
27 May 2020
27 May 2020
Found deficiencies in the infection prevention and control program, with missing required policies and procedures for surveillance, isolation, hand hygiene, linens, and annual review.
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19 CSR 20-20.020
23 Jan 2020
23 Jan 2020
Identified multiple deficiencies across safe environment, care planning, infection control, and support services.
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19 CSR 20-20.010
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19 CSR 20-20.020
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23 Jan 2020
23 Jan 2020
Investigated fire safety concerns identified multiple deficiencies, including missing smoking regulations, combustible decorations not properly controlled, unsafe electrical practices, and improper storage of combustibles.
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08 Jan 2020
08 Jan 2020
Found no deficiencies.
05 Dec 2019Licensure
05 Dec 2019Licensure
Found no deficiencies cited following a fire safety inspection.
04 Dec 2019Licensure
04 Dec 2019Licensure
Found deficiencies in ice dispensing and handling practices.
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31 Oct 2019
31 Oct 2019
Identified deficiencies in care planning and resident nursing care; services outlined by the care plan did not meet professional standards and residents did not consistently receive personal attention and nursing care.
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08 Oct 2019
08 Oct 2019
Found no state licensure deficiencies after a second inspection and complaint investigation.
10 Sept 2019
10 Sept 2019
Found no state licensure deficiencies after a follow-up inspection and complaint investigation.
28 Aug 2019
28 Aug 2019
Found no state licensure deficiencies after a second inspection and complaint investigation.
16 Jul 2019
16 Jul 2019
Found no state licensure deficiencies as a result of the second inspection and complaint investigation.
02 Jul 2019
02 Jul 2019
Found no licensure deficiencies cited following the second inspection and complaint investigation.
10 Jun 2019Complaint
10 Jun 2019Complaint
Found no deficiencies. No state licensure deficiencies were cited.
18 Apr 2019
18 Apr 2019
Identified multiple deficiencies related to exit discharge, smoking regulations, electrical equipment, and site infrastructure.
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18 Apr 2019
18 Apr 2019
Identified deficiencies related to resident rights, advance directives, informed consent, care planning, staff screening, and medication management.
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17 Apr 2019Complaint
17 Apr 2019Complaint
Found no deficiencies.
03 Jan 2019
03 Jan 2019
Found no state licensure deficiencies after the second inspection and complaint investigation.
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of St Francois Manor. The information above has not been verified or approved by the owner or operator. For exact information, please contact St Francois Manor directly. There is no cost for this service. We are compensated by the community you select.
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