Farmington Presbyterian Manor
500 Cayce Street, Farmington, MO 63640 · St. Francois County · 90 certified beds · avg 67 residents/day · certified since Jul 1, 1994
Part of chain: PRESBYTERIAN MANORS OF MID-AMERICA (13 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 6, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| May 6, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 6, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Nov 17, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 17, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2025 | 4 | 0 | E |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.33 | 3.66 | 3.95 | top 22% in Missouri; top 28% in the U.S. |
| Registered Nurse hours | 1.00 | 0.49 | 0.69 | top 4% in Missouri; top 16% in the U.S. |
| Weekend total nurse staffing | 3.84 | 3.22 | 3.50 | top 22% in Missouri; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.33 | 0.48 | top 33% in Missouri; bottom 39% in the U.S. |
| Total nursing staff turnover (%) | 64.4 | 56.0 | 45.8 | bottom 28% in Missouri; bottom 11% in the U.S. |
| RN turnover (%) | 55.6 | 47.8 | 42.9 | bottom 40% in Missouri; bottom 28% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.04, RN 0.94, weekend 3.59. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Presbyterian Manors INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/30/1989 |
| Bonney, Robert | Individual | Corporate Director | NOT APPLICABLE | 04/23/2019 |
| Brennecke, Gary | Individual | Corporate Director | NOT APPLICABLE | 07/01/2015 |
| Cook, James | Individual | Corporate Director | NOT APPLICABLE | 07/01/2012 |
| Goodwin, John | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Harris, Daniel | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Hind, Sherry | Individual | Corporate Officer | NOT APPLICABLE | 07/01/1989 |
| Hull, Jane | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/22/1994 |
| McKell, Elizabeth | Individual | Corporate Director | NOT APPLICABLE | 07/01/2012 |
| Miller, Joan | Individual | Corporate Officer | NOT APPLICABLE | 09/01/1997 |
| Morrison, Aaron | Individual | Corporate Director | NOT APPLICABLE | 07/01/2015 |
| Nelson, Eleanor | Individual | Corporate Director | NOT APPLICABLE | 07/01/2010 |
| Owens, Melanie | Individual | Corporate Officer | NOT APPLICABLE | 07/10/2017 |
| Presbyterian Manors of Mid-America INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/30/1989 |
| Shogren, Bruce | Individual | Corporate Officer | NOT APPLICABLE | 08/05/1996 |
| Taylor, William | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Southbrook Nursing Center | 0.7 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Camelot Nursing and Rehabilitation Center | 0.8 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Community Manor | 1.0 mi | Farmington, MO | ★★★☆☆ | 4/5 | |
| St Francois Manor | 1.9 mi | Farmington, MO | ★★★★☆ | 4/5 | |
| Country Meadows | 7.0 mi | Park Hills, MO | ★★★★★ | 5/5 | |
| NHC Healthcare, Desloge | 7.8 mi | Desloge, MO | ★★★★☆ | 4/5 | |
| St Joe Manor | 11.6 mi | Bonne Terre, MO | ★☆☆☆☆ | 3/5 | |
| Baptist Homes of Arcadia Valley | 16.7 mi | Ironton, MO | —/5 | ||
| Madison Medical Center | 16.7 mi | Fredericktown, MO | ★★★★★ | 4/5 | |
| Claru Deville Nursing Center | 17.0 mi | Fredericktown, MO | ★★★☆☆ | 2/5 | |
| Belleview Valley Nursing Home | 19.2 mi | Belleview, MO | —/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 265583.