St Francois Manor
1180 Old Jackson Road · Farmington, MO · 63640 · 5737601700
118 certified beds For profit - Limited Liability company Chain: James & Judy Lincoln
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.81 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 2.48 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (21 in the current record)
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Potential for harm · D April 2, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D February 23, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D November 17, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 27, 2025 · Resident Rights
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Potential for harm · D November 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 27, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025
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.
Corrected July 11, 2025 · Resident Rights
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Potential for harm · D June 13, 2025
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.
Corrected July 11, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025
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.
Corrected July 11, 2025 · Nursing and Physician Services
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Potential for harm · D June 13, 2025
Post nurse staffing information every day.
Corrected July 11, 2025 · Nursing and Physician Services
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Potential for harm · D June 13, 2025
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.
Corrected July 11, 2025 · Pharmacy Service
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Potential for harm · F June 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 11, 2025 · Nutrition and Dietary
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Potential for harm · D June 13, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected July 11, 2025 · Environmental
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Potential for harm · D November 26, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2024
Keep residents' personal and medical records private and confidential.
Corrected July 28, 2024 · Resident Rights
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Potential for harm · D June 13, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 28, 2024 · Resident Rights
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Potential for harm · D June 13, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 28, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 28, 2024 · Pharmacy Service
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Potential for harm · D June 13, 2024
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.
Corrected July 28, 2024 · Pharmacy Service
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Potential for harm · D January 12, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected February 26, 2023 · Resident Rights
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Potential for harm · D January 12, 2023
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 26, 2023 · Quality of Life and Care
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Potential for harm · F January 12, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 26, 2023 · Nutrition and Dietary
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Potential for harm · F January 12, 2023
Dispose of garbage and refuse properly.
Corrected February 26, 2023 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265674 · certified since June 5, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.