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Troy Manor

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About Troy Manor

General Information

Legal Business NameN & R Of Troy LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 22, 2000 (17 years)
Capacity130
Residents119
Percent Occupied92%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Troy Manor

Troy Manor
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Missouri Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 27, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide timely notification to the resident before transfer or discharge.

June 1, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care for each resident in a way that maintains or improves their quality of life.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

February 3, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
FManyPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
FManyPotential for HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
FManyPotential for HarmFire Safety InspectionProper backup exit lighting.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
GFewActual HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmFire Safety InspectionProper construction of ducts through walls designed to prevent smoke passage.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
CManyPotential for Minimal HarmHealth InspectionMaintain 15 months of resident assessments in the resident's active clinical record.
CManyPotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmHealth InspectionHire a qualified full-time social worker in a facility with more than 120 beds.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
BSomePotential for Minimal HarmHealth InspectionProvide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
BSomePotential for Minimal HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

December 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintStore, cook, and serve food in a safe and clean way.

August 27, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

April 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
BSomePotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Troy Manor require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 35min
2hr 10min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
20min
55min
ReportedExpected
RN
3hr 30min
3hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.4%
90.7%
90.7%
95.2%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Seasonal Influenza Vaccine
93.6%
92.5%
93.4%
90.7%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Pneumococcal Vaccine
29.6%
41.0%
44.1%
32.9%
Q1 2015Q2 2015Q3 2015MO
Low Risk Residents Who Lose Control of Their Bowel or Bladder
22.5%
15.9%
16.2%
20.0%
Q1 2015Q2 2015Q3 2015MO
Received an Antipsychotic Medication
21.6%
28.7%
16.5%
15.4%
Q1 2015Q2 2015Q3 2015MO
Need for Help with ADLs has Increased
2.4%
8.8%
8.1%
8.9%
Q1 2015Q2 2015Q3 2015MO
Self Report Moderate to Severe Pain
7.6%
8.0%
5.6%
7.0%
Q1 2015Q2 2015Q3 2015MO
Lose Too Much Weight
14.0%
7.4%
8.2%
5.9%
Q1 2015Q2 2015Q3 2015MO
High Risk Residents With Pressure Ulcers
1.0%
0.0%
1.2%
4.3%
Q1 2015Q2 2015Q3 2015MO
Have Depressive Symptoms
6.7%
4.0%
2.2%
5.6%
Q1 2015Q2 2015Q3 2015MO
With a Urinary Tract Infection
6.4%
6.6%
8.8%
4.0%
Q1 2015Q2 2015Q3 2015MO
Experiencing One or More Falls with Major Injury
3.6%
3.6%
2.6%
2.9%
Q1 2015Q2 2015Q3 2015MO
With a Catheter Inserted and Left in Their Bladder
2.8%
1.9%
2.2%
0.5%
Q1 2015Q2 2015Q3 2015MO
Were Physically Restrained

Quality Measures for Short Stay Residents

61.2%
51.2%
63.5%
77.8%
Q1 2015Q2 2015Q3 2015MO
Assessed and Appropriately Given the Pneumococcal Vaccine
60.4%
58.3%
58.3%
78.1%
Q1 2015Q2 2015Q3 2015MO
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
9.4%
26.9%
35.3%
18.5%
Q1 2015Q2 2015Q3 2015MO
Self Report Moderate to Severe Pain
0.0%
-
0.0%
2.5%
Q1 2015Q2 2015Q3 2015MO
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
2.3%
1.3%
Q1 2015Q2 2015Q3 2015MO
With Pressure Ulcers That Are New or Worsened