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US Government Rates Troy Manor As "Much Below Average"
Troy, Missouri is home to two nursing home facilities, one of which is Troy Manor. Sadly for the residents of Troy, Troy Manor has been rated by the federal government as being a "much below average" nursing home facility, which you can see for yourself on the Nursing Home Compare website.  In the most recent survey for Troy Manor (which you can see here), it is easy to see why the federal government has such a low opinion of this nursing home.  When surveyed state investigators found that Troy Manor:
  • FAILED to assist residents who need total help with eating/drinking, grooming and personal and oral hygiene;
  • FAILED to provide proper services for a resident with a catheter to prevent urinary tract infections;
  • FAILED to make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents;
  • FAILED to make sure menus meet the resident's nutritional needs;
  • FAILED to prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature;
  • FAILED to store, cook and serve food in a safe and clean way;
  • FAILED to provide activities that meet the interests and needs of each resident;
  • FAILED to provide housekeeping and maintenance services;
  • FAILED to make sure services provided by the nursing facility meet professional standards of quality.

Disturbing Comments From Troy Manor Activities Staff: "The Residents Are Always Hungry."

When surveyors inspect a nursing home facility, they will observe the residents and the interaction and care provided by the facility employees.  At times, surveyors will also interview employees.  Surveys will often contain exact observations from surveyors and quotes from the employees.  In the Troy Manor survey, some of the statements made by the employees should concern everyone who has a loved one at the facility or who is considering Troy Manor as a potential nursing home for a family member.

Here are some comments from the Activity Assistant (referenced as he/she in the survey to protect their identity) as noted by the surveyor:

  • He/She did not work on Mondays, Thursday and every other weekend;
  • Certified Nursing Assistants did not normally help with any of the activities;
  • The facility did not have musicians or music groups come to the facility because they were very expensive;
  • As far as he/she knew, they did not have church in the facility;
  • He/She had not seen any church on the unit when he/she worked on the weekend;
  • The snacks on the unit were very skimpy;
  • The residents were always hungry; and
  • At one time there was a coffee pot on the unit, but it was no longer there.
Here are some comments from the Activity Director (referenced as he/she in the survey) as noted by the surveyor:
  • He/She did not have time to complete the January activity calendar
  • They are short staffed;
  • There was no musical entertainment lately since the activity budget was limited and the entertainment charges a fee;
  • None of the residents on the special care unit went off the unit this past week; and
  • On the days the calendar said staff choice there were no activities on the unit.

Hygiene And Cleanliness Issues

While Troy Manor was cited with failing to assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene, some of the details of that citation are deeply disturbing.  Here are some of the observations taken straight out of the survey itself:
  • Observation of resident on 1/3/17 at 1:05pm: The resident lay on top of the bed and wore a yellow blouse, brown slacks and tennis shoes.  The resident's pillowcase had a reddish brown color stain approximately five to six inches in length and two to three inches in width on the left lower side of the pillow.
  • Observation of resident on 1/3/17 at 5:44pm: The resident wore the same yellow blouse, brown pants and tennis shoes.  The resident's pillow with the reddish-brown stain on the pillow case was on the bed. 
  • Observation of resident on 1/4/17 at 5:15am: The resident wore the same yellow blouse, brown pants and tennis shoes worn on Tuesday 1/3/17.  The resident's head was on the pillow with the reddish-brown stained pillow case observed on Tuesday 1/3/17.  The resident's hair appeared uncombed and oily.
  • Observation of resident on 1/4/17 at 8:14am: The resident wore the same yellow blouse, brown pants and tennis shoes as he/she sat on the edge of the bed.  The resident's pillow had the reddish-brown stained pillow case cover. 
  • Observation of resident on 1/4/17 at 8:33am: The resident wore the same yellow blouse, brown pants and tennis shoes. 
  • Observation of resident on 1/4/17 at 10:25am: The resident wore the same yellow blouse, brown pants and tennis shoes, sat on the edge of the bed and ate a chocolate pudding cup. The resident's pillow still had the reddish-brown stain on the pillow case. 
  • Observation of resident on 1/5/17 at 7:55am: The resident wore the same yellow blouse, brown pants and tennis shoes.  The resident's pillow still had the reddish-brown stained pillow case cover.  The resident's hair was uncombed and oily.
  •  Observation of resident on 1/5/17 at 8:01am: The resident wore the same yellow blouse, brown pants and tennis shoes as he/she came of the room in a wheelchair and, using his/her feet, motivated the chair down the long hallway to the main nurse's desk and then to the front door.
  •  Observation of resident on 1/6/17 at 7:30am: The resident lay on top of the bed and wore the same yellow blouse, brown pants and tennis shoes.  The resident's hair was uncombed and oily as he/she lay on the same pillow with the reddish-brown stained pillow case.  There was an unpleasant body odor.
  •  Observation of resident on 1/6/17 at 9:36am: The resident wore the same yellow blouse, brown pants and tennis shoes and his/her hair was uncombed and oily.  The pillow had the reddish-brown stained pillow case. 
The resident received a shower the morning of 1/6/17 and told the investigator afterward: he/she felt so clean and good and smiled.  The resident also told the investigator that he/she can't brush his/her teeth because he/she shakes too bad and that he/she did not have his/her teeth brushed since arriving at the facility.

During an interview with an LPN, the nurse told the investigator that the nursing staff was supposed to change the resident's clothes every morning, but as witnessed by the state investigator this resident went at least three days wearing the same clothes, having the same soiled pillow case and having oily, unkempt hair. 

Housekeeping And Maintenance Issues

Surveyors found "dark discoloration around the base of the toilet" in six resident bathrooms in addition to missing caulk and discolored floor tiles.  Six bathrooms also had ceiling fans that were "covered with a heavy buildup and lint and debris".  When interviewed about the multiple problems with the resident bathrooms, the Maintenance Supervisor is quoted as saying: "Any rooms that needed repairs were to be put in a maintenance book and he/she looked at the book periodically.  He/she said he/she was aware resident room bathrooms needed some repairs and tiles needed replaced but there were no immediate plans to repair those areas." (I added the emphasis).

"Loving And Quality Care"

The Troy Manor website says the following: "Not many people or organizations can claim they have spent their entire lives serving others… putting their neighbor before themselves. However, this is exactly what we have done since our beginning. We are true servants to those who entrust us to provide loving and quality care to our frail and elderly citizens." 

Is Troy Manor "putting their neighbor before themselves"?  Are they "true servants" to the residents and their family members?  Would true servants permit the kind of conduct that was witnessed and reported by Missouri investigators in this most recent survey? 

If you have a loved one in Troy Manor and are concerned about the care they are receiving, feel free to call the Terry Law Firm.  David Terry has written a book that we can send you at no cost entitled 5 Things You Must Know About Nursing Home Abuse And Neglect In Missouri.  Call our office at (314) 878-9797 and we will send a copy to you for free.


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