Poor family communication and transfer coordination
Limited variety in activity programming and social engagement
Gaps in incident-response documentation and informed-consent processes
Allegations of financial misconduct and medication diversion
Summary of reviews
The reviews for Troy Manor present a polarized picture: several families describe attentive caregivers, good food, and meaningful activities, while other accounts raise significant safety, communication, and maintenance concerns. Strengths most consistently cited include dedicated, hardworking staff members, a pleasant front-entrance and sitting area, generally appealing meals delivered accurately, and an active transportation and activities program. Some reviewers also noted that newer or recently updated portions of the facility appeared clean and well maintained.
Care quality and staffing show considerable variability. Positive comments emphasize compassionate, professional staff who provide individualized attention; contrasting comments describe lapses in clinical practice such as medication-administration errors, failure to follow two-person transfer protocols, and delays in responding to resident needs. Several reviews raise concerns about staff training, supervision, and adherence to safety procedures. One review described an incident involving a staff arrest related to medication dispensing; alongside that, there are multiple references to medication and documentation lapses that families found troubling.
Dining and activities are generally viewed as strengths but with caveats. Many families praised meal taste, accurate orders, and selection. Activity offerings and transportation services are available and appreciated; however, some reviewers described repetitive programming and limited opportunities for meaningful social engagement, which contributed to feelings of loneliness among certain residents.
Facility condition and management-related issues are mixed. While some areas are described as clean and comfortable, other accounts point to odor concerns in common areas and carpets, episodic maintenance problems (including backups), and inconsistent housekeeping or incontinence-care practices. Management and administrative practices drew criticism for poor communication around transfers and facility closure, confusion during resident moves, and concerns about how advance-care decisions and DNR discussions were handled. These operational gaps contributed to family frustration during transitions and after clinical incidents.
Notable patterns: (1) a clear split between families who are satisfied with day-to-day caregiving and those who report safety or sanitation lapses; (2) recurring themes around medication controls, transfer safety, and communication deficits; and (3) a handful of serious allegations relating to financial and medication-handling practices that amplify other clinical concerns. Prospective residents and family members should request detailed information about medication-management policies, staff training and ratio standards, transfer and fall-prevention protocols, recent maintenance or infection-control records, and how the facility handles transfers or closures. Observing dining service, the activities calendar, and touring living areas for signs of odor or maintenance issues during a visit can help clarify which aspects of care are consistent and which may require ongoing monitoring.
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Medicare Ratings
1·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Troy Manor is located at 200 Thompson Dr, Troy, MO, 63379.
About Troy Manor
Troy Manor sits at 200 Thompson Dr in Troy, MO, and is what folks would call a medium-sized community since there are 20 beds, and you'll find skilled nursing care, rehabilitation with physical, occupational, and speech therapy, and services for folks who have dementia or Alzheimer's, plus there's assisted living and end-of-life palliative care, and the staff, who work under Ms. Janice Conover the Administrator, show compassion and try to make sure residents' lives feel meaningful and comfortable while still focusing on each person's preferences and needs. Rooms come in a few layouts like shared or companion style, semi-private spaces, and even studios, and the community gives residents a bit of everything for long-term or short-term nursing, aging in place, and some independent living if you just want social opportunities without needing much help but like not worrying about home upkeep. There's memory care programming designed to help keep people safe who may wander, and assisted living means you'll get support with things like bathing, getting dressed, and remembering to take your medicine-for those who need to, there's standby help when moving from bed to wheelchair, and the staff can check blood sugar though they can't give insulin shots, so residents with diabetes will need to be able to manage their own injections. There's no outdoor amenities or parking, and while pets aren't allowed, inside there's common areas for relaxing, along with an enclosed courtyard and a beauty salon for residents, and the place has group activities, though what those are isn't spelled out, and there's a focus on trips and outings which can help folks stay active. Nutritious meals come with the stay, which helps everyone keep up their strength, and the staff, who are awake 24 hours a day, can lend a hand during emergencies or just offer standby support if someone needs to shift from one spot to another. People 55 and older live here, and there's a real mix-some rely on independent living, some get assisted living, others need more advanced care either on a short or long-term basis, and residents can stay as their needs increase thanks to the levels of care and physician oversight, which helps them stay in a familiar place as things change. There's devotional activities both onsite and offsite if spiritual life is a priority for you, and the facility manages transportation with handicapped-accessible vans, which is good for getting to appointments or outings. Details like garage, parking, interior features, air conditioning, and utilities aren't available. Besides all that, Troy Manor doesn't have BBB accreditation, but it does include LGBTQ and source of income protections in its policies, offers rental options like townhomes, condos, single-family homes, and apartments in Troy, and still tries to meet people where they are in life, whether it's memory care needs, therapy after hospitalization, or just a friendly, supportive environment for the aging years.
People often ask...
Troy Manor offers assisted living, memory care, and skilled nursing.
The full address for this community is 200 Thompson Dr, Troy, MO 63379.
No, Troy 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
lincoln-troy-troy-manor
Facility type
Assisted Living Facility Option 1
Capacity
130 residents
Licensee
N & R OF TROY, LLC
Inspection Reports
37
Reports
565
Citations
1
Complaints
7
Years
19 May 2025Licensure
19 May 2025Licensure
Found no deficiencies.
14 May 2025
14 May 2025
Identified deficiencies in preventing abuse and in reporting and investigating allegations of abuse, neglect, exploitation, and mistreatment.
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03 Apr 2025Licensure
03 Apr 2025Licensure
Identified multiple deficiencies related to fire safety, training, hazardous areas, combustible storage, and electrical wiring.
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11 Dec 2024Complaint
11 Dec 2024Complaint
Found a violation of transfer and discharge notification requirements. The rule requires 30 days' advance notice and involvement of the resident, next of kin or authorized representative, attending physician, and the responsible agency, with Ombudsman's office notification if no next of kin is known.
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03 Oct 2024
03 Oct 2024
Found deficiencies in resident rights, environmental safety, abuse prevention, and infection control with potential for harm to residents.
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19 CSR 20-20.020
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16 Apr 2024Licensure
16 Apr 2024Licensure
Identified multiple deficiencies related to safety devices, medical oversight, record-keeping, and discharge procedures. The findings covered safety equipment for deaf residents, TB screening, personnel records, assessments, and discharge-notice practices.
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19 CSR 20-20.100
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19 CSR 30-82.050
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09 Apr 2024
09 Apr 2024
Identified deficiencies in emergency preparedness, including failure to maintain required emergency plan update intervals and testing requirements across applicable service lines.
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19 CSR 30-85.012
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09 Apr 2024
09 Apr 2024
Identified numerous deficiencies across resident rights, transfers, care planning, staffing, safety, nutrition, and infection control, with potential for harm.
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19 CSR 20-20.020
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21 Feb 2024Licensure
21 Feb 2024Licensure
Cited multiple deficiencies related to fire safety and electrical code compliance. The findings included problems with fire drill records, exit signs, fire alarm testing, dryer venting, trash-bin standards, building maintenance, and electrical wiring requirements.
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20 Sept 2023
20 Sept 2023
Found deficiencies related to preventing and treating pressure ulcers, with harm that was not immediate jeopardy.
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31 Aug 2023
31 Aug 2023
Identified deficiencies related to notice before transfer and infection control.
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19 CSR 20-20.020
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26 Apr 2023
26 Apr 2023
Found a deficiency in medication safety with immediate jeopardy to residents due to significant medication errors.
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20 Apr 2023
20 Apr 2023
Identified deficiencies in comprehensive care planning and nursing care, with services not meeting professional standards.
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16 Mar 2023Licensure
16 Mar 2023Licensure
Found no deficiencies cited after the complaint investigation. The record indicated no state licensure deficiencies were found.
19 Jan 2023Licensure
19 Jan 2023Licensure
Found no deficiencies.
21 Dec 2022
21 Dec 2022
Identified deficiencies in accident prevention and supervision with immediate jeopardy to residents on 2022-12-22 and missing voluntary-leave inquiry procedures.
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27 Oct 2022
27 Oct 2022
Identified multiple deficiencies related to abuse prevention, reporting of allegations and investigations, resident care, safety, staffing, and policy implementation.
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28 Mar 2022Licensure
28 Mar 2022Licensure
Found no deficiencies in fire safety.
27 Dec 2021
27 Dec 2021
Found violations related to abuse prevention and reporting requirements.
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15 Apr 2021Licensure
15 Apr 2021Licensure
Found deficiencies in fire-safety separation between hazardous areas.
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06 Jan 2021
06 Jan 2021
Identified deficiencies in care planning and food safety practices that posed potential for harm.
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09 Dec 2020
09 Dec 2020
Found violations of regulatory requirements for care and safety.
17 Nov 2020
17 Nov 2020
Investigated a complaint and identified deficiencies for failing to meet required standards.
28 Oct 2020
28 Oct 2020
Found widespread regulatory deficiencies across resident rights, transfer/notice procedures, care planning, infection control, staffing, nutrition, and related operational areas.
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19 CSR 20-20.010
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13 CSR 15-18.010
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19 CSR 20-20.020
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28 Oct 2020
28 Oct 2020
Found deficiencies in emergency preparedness training and testing requirements across multiple provider types; updates were not performed per schedule.
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19 CSR 30-85.012
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10 Feb 2020Licensure
10 Feb 2020Licensure
Cited a deficiency in trash disposal for not using metal or UL- or FM-fire-resistant wastebaskets.
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22 Oct 2019
22 Oct 2019
Found failures to prevent pressure ulcers and to provide necessary treatment, resulting in avoidable pressure sores.
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09 Sept 2019Licensure
09 Sept 2019Licensure
Found no state licensure deficiencies cited after the second inspection.
28 Aug 2019
28 Aug 2019
Investigated and found no state licensure deficiencies.
20 Jun 2019
20 Jun 2019
Found deficiencies related to preventing accidents and ensuring 24-hour supervision; also noted required procedures for voluntary leaves.
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04 Apr 2019
04 Apr 2019
Found that a resident with a mental disorder, psychosocial adjustment difficulty, or trauma/PTSD history did not receive appropriate treatment and services to attain the highest practicable mental and psychosocial well-being. The deficiency was cited under the mental health requirement.
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21 Feb 2019
21 Feb 2019
Found deficiencies in quality of care where residents did not receive personal attention and nursing care consistent with their condition and professional standards.
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04 Feb 2019Licensure
04 Feb 2019Licensure
Found a fire safety separation deficiency for a building with multiple levels or tenants; separation required is two hours, or one hour if sprinklered.
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31 Jan 2019Monitoring
31 Jan 2019Monitoring
Found violations of the required standards related to resident safety and care.
15 Jan 2019Licensure
15 Jan 2019Licensure
Observed deficiencies related to emergency lighting, medication orders, resident records, and food temperature controls.
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15 Jan 2019
15 Jan 2019
Identified multiple deficiencies related to safe environment, grievances, data processing, nutrition, infection control, and resident care practices.
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19 CSR 20-20.010
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19 CSR 20-20.020
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15 Jan 2019
15 Jan 2019
Found multiple life-safety deficiencies in construction type/height, means of egress, illumination and emergency lighting, fire protection systems, cooking facilities, fire drills, and electrical systems.
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19 CSR 30-83.010
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Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Troy Manor. The information above has not been verified or approved by the owner or operator. For exact information, please contact Troy Manor directly. There is no cost for this service. We are compensated by the community you select.
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