St Francois Manor

Name: St Francois Manor
Address: 1180 OLD JACKSON ROAD, Farmington, MO, 63640, US
Telephone: 5737601700

1180 Old Jackson Road, Farmington, MO 63640 · St. Francois County · 118 certified beds · avg 87 residents/day · certified since Jun 5, 1997

Part of chain: JAMES & JUDY LINCOLN (56 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

6.07

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 (21)

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
Apr 2, 2026	D · Potential for harm, one-off	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
Feb 23, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Nov 17, 2025	D · Potential for harm, one-off	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
Nov 17, 2025	D · Potential for harm, one-off	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
Jun 13, 2025	F · Potential for harm, facility-wide	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.
Jun 13, 2025	D · Potential for harm, one-off	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.
Jun 13, 2025	D · Potential for harm, one-off	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.
Jun 13, 2025	D · Potential for harm, one-off	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.
Jun 13, 2025	D · Potential for harm, one-off	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.
Jun 13, 2025	D · Potential for harm, one-off	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.
Jun 13, 2025	D · Potential for harm, one-off	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.
Nov 26, 2024	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. · from a complaint
Jun 13, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jun 13, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 13, 2024	D · Potential for harm, one-off	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.
Jun 13, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 13, 2024	D · Potential for harm, one-off	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.
Jan 12, 2023	F · Potential for harm, facility-wide	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.
Jan 12, 2023	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Jan 12, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 12, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 7).

Year	Citations	Worst severity that year
2023	4	F
2024	6	D
2025	9	F
2026	2	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)	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, 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. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

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

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?"
"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
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

Compare this facility with the 3 closest →

All facilities in Farmington →

Facility data as of CMS processing date 2026-08-01. CCN 265674.

The Care File

Visit checklist — St Francois Manor

1180 Old Jackson Road, Farmington, MO 63640 · 5737601700

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265674 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)