How to file a complaint about care →
No fines or payment denials in the published 3-year window.
St Francois Manor
1180 Old Jackson Road, Farmington, MO 63640 (opens Google Maps) · St. Francois County · (573) 760-1700· 118 certified beds · avg 87 residents/day · certified since Jun 5, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: JAMES & JUDY LINCOLN (56 facilities, chain avg rating 2.4★)
4/5
Health inspection rating (on-site)
inspected Jun 13, 2025
0
Serious findings on record
$0
Fines, last 3 years
6.07
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580
The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint F-0697
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580
View all 21 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Feb 23, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Nov 17, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Nov 17, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Jun 13, 2025 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. · F-0575 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jun 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · F-0909 |
| Nov 26, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jan 12, 2023 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jan 12, 2023 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Jan 12, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jan 12, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 7).
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 9
Serious citations (G–L): 0
2026
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 6 | 0 | D |
| 2025 | 9 | 0 | F |
| 2026 | 2 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 6.07
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.34
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 5.38
Missouri average: 3.22
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.07 | 3.66 | 3.95 | top 2% in Missouri; top 4% in the U.S. |
| Registered Nurse hours | 0.34 | 0.49 | 0.69 | bottom 36% in Missouri; bottom 14% in the U.S. |
| Weekend total nurse staffing | 5.38 | 3.22 | 3.50 | top 3% in Missouri; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.16 | 0.33 | 0.48 | bottom 16% in Missouri; bottom 6% in the U.S. |
| Total nursing staff turnover (%) | 62.8 | 56.0 | 45.8 | bottom 33% in Missouri; bottom 12% in the U.S. |
| RN turnover (%) | 62.5 | 47.8 | 42.9 | bottom 29% in Missouri; bottom 19% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 2.95, RN 0.17, weekend 2.62.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.95 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for St Francois Manor. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lincoln, James | Individual | 5% or Greater Direct Ownership Interest | — | 10/01/2008 |
| Lincoln, Judy | Individual | 5% or Greater Direct Ownership Interest | 50% | 10/01/2008 |
| LTC Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2008 |
| Simpson, Jennifer | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/25/2022 |
All 4 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain James & Judy Lincoln — 56 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- St James Living Center — Saint James, MO · overall 3/5
- Strafford Rehabilitation & Health Care Center — Strafford, MO · overall 1/5
- Sunset Home — Maysville, MO · overall 2/5
- Tipton Oak Manor — Tipton, MO · overall 4/5
- Troy Manor — Troy, MO · overall 1/5
- Villa at Blue Ridge, the — Columbia, MO · overall 1/5abuse
- Warrenton Manor — Wright City, MO · overall 1/5
- Willard Care Center — Willard, MO · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 55 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Where do you post your daily staffing numbers, and can I see today's?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 63% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Farmington Presbyterian Manor | 1.9 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Camelot Nursing and Rehabilitation Center | 2.4 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Southbrook Nursing Center | 2.6 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Community Manor | 2.7 mi | Farmington, MO | ★★★☆☆ | 4/5 | |
| Country Meadows | 8.6 mi | Park Hills, MO | ★★★★★ | 5/5 | |
| NHC Healthcare, Desloge | 9.6 mi | Desloge, MO | ★★★★☆ | 4/5 | |
| St Joe Manor | 13.2 mi | Bonne Terre, MO | ★☆☆☆☆ | 3/5 | |
| Madison Medical Center | 15.5 mi | Fredericktown, MO | ★★★★★ | 4/5 | |
| Claru Deville Nursing Center | 15.7 mi | Fredericktown, MO | ★★★☆☆ | 2/5 | |
| Baptist Homes of Arcadia Valley | 17.4 mi | Ironton, MO | —/5 |
Facility data as of CMS processing date 2026-08-01. CCN 265674.