Farmington, MO

St Francois Manor

4-star overall rating with 4-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1180 Old Jackson Road, Farmington, MO

(573) 760-1700

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

118

Certified beds

Average residents

87

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

James & Judy Lincoln

Operator or chain grouping

Approved since

1997-06-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

58 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.13

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.55

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.19

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

2.88

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.68

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.57

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.12

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.24

CMS adjusted RN staffing hours

Adjusted total hours

5.37

CMS adjusted total nurse staffing hours

Case-mix index

0.73

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

72%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,362

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

50

Composite VBP score used to determine payment impact.

Payment multiplier

1.0041

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 49.18% · Performance 73.97% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

10

Baseline 5.38 hours · Performance 6.43 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	No data were submitted for this measure.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 71
Staff flu vaccination coverage	44.78%	42% 2.8 pts better	Numerator 30 · Denominator 67
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	2.1 0.7 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.0 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	6.8	2.3 4.5 pts worse	1.8 5 pts worse	Long Stay · 20240701-20250630 · Adjusted 6.8 · Observed 6.4 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	84.8% 14.9 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	90.9% 9.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	4.1% 2.2 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.6% · Q3 1.3% · Q4 2.6% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.7%	14.7% 12 pts better	11.4% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.8% · Q3 4.3% · Q4 1.4% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight	2.3%	5.5% 3.2 pts better	5.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.7% · Q3 2.6% · Q4 2.6% · 4Q avg 2.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	48.9%	25.3% 23.6 pts worse	19.6% 29.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 52.5% · Q2 50.0% · Q3 43.6% · Q4 49.4% · 4Q avg 48.9%
Percentage of long-stay residents who received an antipsychotic medication	86.2%	25.0% 61.2 pts worse	16.7% 69.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 86.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	2.0%	20.3% 18.3 pts better	16.3% 14.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.7% · Q3 0.0% · Q4 2.5% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	0.0%	19.8% 19.8 pts better	14.9% 14.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.4% 1.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	2.6% 2.3 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	0.3%	18.1% 17.8 pts better	19.8% 19.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3%
Percentage of long-stay residents with pressure ulcers	0.0%	5.0% 5 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	66.4% 33.6 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q4 100.0% · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-13 · Fire 2025-06-13

9 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-06-13 · Fire 2024-06-13

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-01-12 · Fire 2023-01-12

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-13

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-07-11

F · Potential for more than minimal harm 2025-06-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-11

F · Potential for more than minimal harm 2025-06-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-11

F · Potential for more than minimal harm 2024-06-13

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-07-28

F · Potential for more than minimal harm 2024-06-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-28

F · Potential for more than minimal harm 2023-01-12

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-02-26

F · Potential for more than minimal harm 2023-01-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-02-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-17

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-11-27

D · Potential for more than minimal harm 2025-11-17

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-11-27

F · Potential for more than minimal harm 2025-06-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-11