St Francois Manor

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.01 therapist hours per resident per day in 2026Q1 — more than 0% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 80% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 118 beds and averages 86.5 residents a day — about 73% occupied, or roughly 32 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.95 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.17 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.33 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.62 hrs/resident/day on weekends vs 3.09 on weekdays — 15% thinner on weekends. RN hours go from 0.17 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Dcited before2026-04-02 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to notify the resident representative of a change in the resident's medication regimen for one resident (Resident #1) of nine sampled residents. The facility census was 85.Review of the facility's policy titled, Management of Psychotropic Medications and Unnecessary Medications, dated 04/2025, showed staff were directed to do the following: - Informed consent: The process in which a resident, or their legal representative is provided with information about their medication regimen, including risk, benefits, and alternatives and is given the opportunity to accept or refuse the prescribed treatment. 1. Review of Resident #1's quarterly Multiple Data Set (MDS), a federally mandated assessment instrument required to be completed by the facility staff, dated 01/09/26 showed:- Independent in cognitive skills for daily decision-making; - Diagnoses of stroke, non traumatic brain dysfunction and traumatic brain dysfunction;- Independent with activities of daily living. Review of the Physician Order Sheet (POS), showed:- Diagnosis of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-23 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed manage or prevent pain, consistent with the comprehensive assessment and plan of care, current professional standards of practice, and the resident's goals and preferences for one resident (Resident #3) of 11 sampled residents. The facility census was 86.The facility failed to provide policies and procedures for following through on physician's referrals and physician's orders. The facility failed to provide policies and procedures regarding obtaining informed consent prior to receiving a medication increase or changes in the resident's medication regimen. 1. Review of Resident #3's Quarterly Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, dated 02/12/2026, showed:- Cognitively intact;- Independent with activities of daily living;- Diagnoses of low back pain unspecified, pain unspecified, anxiety, depression, schizophrenia (a chronic, severe brain disorder affecting characterized by a distorted interpretation of reality, including hallucinations, delusions, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-17 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to notify a resident's physician or guardian after a change in the resident's condition for one resident (Resident #1) out of three sampled residents. The facility census was 89. Review of the facility's policy titled, Condition Change, Resident, undated, showed:- The purpose of these guidelines is to observe, record, and report any condition change to the attending physician so that proper treatment can be implemented;- Notify resident's responsible party, notify physician of condition change, need for treatment orders, and/or medication order. 1. Review of Resident #1's admission Minimum Data Set (MDS - a federally mandated assessment instrument completed by the facility), dated 08/28/25, showed:- admission to the facility on [DATE];- Diagnoses of cerebral palsy (a congenital disorder of movement, muscle tone, or posture), seizure disorder (uncontrolled jerking, loss of consciousness, blank stares, or other symptoms caused by abnormal electrical…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-17 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow physician's orders when two follow up appointments were not made on admission and parameters for intermittent urinary catheterization were not implemented and followed for one resident (Resident #1) out of five sampled residents. The facility census was 89.Review of the facility's policy titled, Physician Orders, undated, showed: - Specify why a urinary catheter (a thin, flexible, rubber or plastic tube that drains urine from the bladder) is ordered for as needed;- Specify the size of the catheter and the frequency of change;- Did not address following physician's orders. The facility did not provide a policy for intermittent catheterization or making appointments. Review of Resident #1's medical record showed:- An admission date of 08/21/25;- Diagnoses of cerebral palsy (a group of lifelong movement disorders that affect a person's ability to control their muscles), seizures (abnormal electrical activity in your brain), urine retention (a condition where a person is unable to empty their bladder completely),…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-06-13 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. These practices had the potential to affect all residents who are served food from the kitchen. The facility's census was 78. The facility did not provide a policy regarding freezer temperatures or freezer temperature logs. 1. Observations on 06/11/25 at 1:08 P.M. and 06/12/25 at 3:14 P.M. of the walk-in refrigerator showed: - One bag of block cheese not dated or labeled; - One box of lunch meat not dated; - Three boxes of vegetables not dated. Observation on 06/13/25 at 9:35 A.M. of the walk-in refrigerator showed: - One bag of block cheese not dated or labeled; - One box of lunch meat not dated; - Multiple cases of food not dated; - Multiple bags of vegetables not dated. 2. Observation on 06/11/25 at 12:47 P.M. of the walk-in freezer showed: - Temperature of 20 °F; - Three thawed unopened bags of popsicles; - An open case of thawed cinnamon rolls; - A case of softened ice cream cups. Observation on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0575 — isolated
  Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, facility staff failed to post, in a form and manner accessible to the residents and resident representatives, the required telephone number to the Department of Health and Senior Services (DHSS) hotline (to report allegations of abuse and neglect), or a list of names, addresses, and phone numbers of the State Survey Agency (SSA). The facility's census was 78. The facility did not provide a policy regarding the posting of DHSS hotline number and SSA information. Observation of the facility from 06/10/25 through 06/13/25 showed: - The facility did not post the name, address and toll free telephone number for the DHSS Abuse and Neglect Hotline or the SSA information in a form and manner accessible to residents or visitors. During an interview on 06/13/25 at 8:25 A.M., the Administrator said the DHSS hotline number was supposed to be posted in the front lobby next to the Resident Rights poster, but that it had apparently been replaced with the number for a pizza restaurant.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to assess two residents (Residents #10 and #57) out of two sampled residents for the use of side rails and to provide ongoing monitoring, supervision and routine maintenance of the beds with the side rails in use. The facility's census was 78. The facility failed to provide a policy regarding side rails. 1. Review of Resident #10's quarterly Minimum Data Set (MDS - a federally mandated assessment completed by the facility), dated 04/18/25, showed: - Cognition intact; - Independent with bed mobility; - Diagnoses of diabetes mellitus (abnormal blood sugar), falls, osteoarthritis (a type of arthritis marked by cartilage deterioration of joints and vertebrae), extrapyramidal and movement disorder (group of side effects impacting motor system), and seizures (a burst of uncontrolled electrical activity between brain cells that causes temporary abnormalities in muscle tone or movements like stiffness, twitching or limpness, behaviors, sensations,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0727 — failed to provide required RN coverage — isolated
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to provide a Registered Nurse (RN) for eight consecutive hours per day, seven days a week. This deficiency had the potential to affect all residents. The facility's census was 78. The facility did not provide an RN coverage policy. Review of the Nurse Staffing Sheets for March 1, 2025 - June 9, 2025 showed: - No RN scheduled for 05/18/25; - No RN scheduled for 06/01/25; - No RN scheduled for two days out of 101 days. Review of the Nursing Schedule for March 1, 2025 - June 9, 2025 showed: - No RN scheduled for 05/18/25; - No RN scheduled for 06/01/25; - No RN scheduled for two days out of 101 days. During an interview on 06/13/25 at 12:16 P.M., the Administrator and Director of Nursing (DON) said they would expect the facility to have RN coverage for at least eight hours a day for seven days a week.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0732 — isolated
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to post the nurse staffing data with all the required components in a clear and readable format. The facility's census was 78. The facility did not provide a policy regarding posting of nurse staffing data. Observations of the nurse staffing information posted on the wall across from the nurse's station showed: - On 06/10/25 at 2:40 P.M., the posted nurse staffing information, dated 06/09/25, with no information for 06/10/25; - On 06/11/25 at 2:02 P.M., the posted nurse staffing information, dated 06/10/25, with no information for 06/11/25; - On 06/12/25 at 2:40 P.M., the posted nurse staffing information, dated 06/11/25, with no information for 06/12/25; - On 06/13/25 at 8:02 A.M., the posted nurse staffing information, dated 06/11/25, with no information for 06/13/25. During an interview on 06/13/25 at 12:10 P.M., the Director of Nursing (DON) said she was responsible for posting the nurse staffing information and she thought she was supposed to post the information for the day before. During an interview on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-13 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review of two medication rooms and two medication carts, the facility failed to ensure medications and biologicals were labeled in accordance with currently accepted practices for one medication cart out of two sampled medication carts and one medication room out of two sampled medication rooms. This had the potential to affect all residents. The facility's census was 78. Review of the facility's policy titled, Storage of Medications, undated, showed: - No discontinued, outdated, or deteriorated drugs or biologicals may be retained for use; - All such drugs must be returned to the issuing pharmacy or destroyed in accordance with established guidelines. 1. Observation of the 600 Hall Medication Cart on 06/13/25 at 8:58 A.M. showed: - 21 tablets of famotidine (used to prevent and treat heartburn) 10 milligrams (mg) with an expiration date of 02/2025. 2. Observation of the Nurses' Medication Room on 06/13/25 at 9:10 A.M. showed: - Eight tablets of nitroglycerin (treats/relieves chest pain) sublingual (under the tongue) 0.4 mg tablets with an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to JAMES & JUDY LINCOLN — 56 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MO