Deficiency Index

St Francois Manor

Farmington, Missouri · CCN 265674

24 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
130
Surveys
24
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file17/24

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
118
Ownership
For profit - Limited Liability company
Chain
JAMES & JUDY LINCOLN
County
St. Francois · rural
Medicare-certified since
1997

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Missouri.

Last survey on record

Apr 2, 2026

221 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.953.32
Registered-nurse hours per resident day0.17—
Annual nurse turnover62.8%57.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1885.7%E—F314.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 21 of the 130 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5802×

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

  • F5842×

    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.

  • F7612×

    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.

  • F8122×

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

  • F5751×

    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.

In the surveyor’s words

From the most serious findings on record at St Francois Manor, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jun 13, 2025

    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. […]

  • No harm, potential for more than minimal, widespreadF812Jan 12, 2023

    Based on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This has the potential to affect all residents. The facility census was 71. Record Review of the facility's policy titled, Can Opener, showed: - Immediately after use remove the stand from base; - Wash blade with a brush in hot detergent solution; - Run through the dishwasher and air dry; - Wash base with hot detergent solution, use scrub brush, rinse with clear water and let dry; - Re-assemble the stand in base; - Keep an extra blade on hand at all times. […]

  • No harm, potential for more than minimal, widespreadF814Jan 12, 2023

    Based on observation, interview and record review, the facility failed to ensure garbage dumpsters and trash receptacles were covered for four of four days of observation. The facility census was 71. 1. Observation of the dumpster area on 1/09/23 at 12:00 P.M. showed the following: - Two, 8 yd. (yard) dumpsters filled with clear trash bags that were full of refuse; - One dumpster with lids entirely opened. 2. Observation of the dumpster area on 1/09/23 at 3:26 P.M. showed the following: - Two 8 yd. dumpsters with lids entirely opened. 3. Observation of the dumpster area on 1/10/23 at 8:16 A.M. showed the following: - Two 8 yd. dumpsters partially filled with lids entirely opened on each side. 4. Observations of the dumpster area on 1/11/23 at 8:00 A.M. showed the following: - Two 8 yd. […]

  • No harm, potential for more than minimal, isolatedF580Apr 2, 2026

    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. […]

  • No harm, potential for more than minimal, isolatedF697Feb 23, 2026

    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. […]

Read 20 findings in full →The most serious and the most recent: 20 of 130 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 2, 2026Complaint1 finding
  • Feb 23, 2026Complaint1 finding
  • Nov 17, 2025Complaint2 findings
  • Jun 13, 2025Standard7 findings
  • Nov 26, 2024Complaint1 finding
  • Jun 13, 2024Standard5 findings
  • Jan 12, 2023Standard4 findings
  • May 27, 2020Infection control1 finding
Show the 16 earlier surveys
  • Jan 23, 2020Standard15 findings
  • Oct 31, 2019Complaint1 finding
  • Apr 18, 2019Standard8 findings
  • Feb 1, 2018Standard6 findings
  • Oct 3, 2017Complaint1 finding
  • May 31, 2017Complaint1 finding
  • Mar 23, 2017Standard16 findings
  • Feb 12, 2016Standard20 findings
  • May 21, 2015Standard4 findings
  • Mar 20, 2014Standard7 findings
  • Nov 8, 2013—1 finding
  • Jun 21, 2013—10 findings
  • Mar 23, 2012—7 findings
  • Mar 7, 2012—1 finding
  • Aug 11, 2011—1 finding
  • Jun 30, 2011—9 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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