Missouri › Marion County › Palmyra
Maple Lawn Nursing Home
1410 West Line Street, Palmyra, MO 63461
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Maple Lawn Nursing Home is a Government, county nursing home in Palmyra, Missouri, certified for 110 beds and caring for about 63 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 2, staffing 3 and quality measures 1.
Inspectors recorded 44 health deficiencies across the three most recent survey cycles (15, 13, 16 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 40.0 per 100 beds, about the same as the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $75K.
Reported nurse staffing is 4.1 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 65.0%.
Compared with county, state and nation
| Measure | This facility | Marion Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 44 | 44 | 31 | 28.7 |
| Citations per 100 beds | 40.0 | 43.8 | 32.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.2 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 65.0% | 65.0% | 56.1% | 45.8% |
| Fines listed | $74,653 | $43,219 | $0 | — |
County and state figures are medians across facilities (5 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Dec 2025, 2 Nov 2023.
Severity mix: G ×5 D ×12 E ×22 F ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 Dec 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Complaint investigation | 29 Jan 2026 |
| 15 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0584 | 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. | E | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Standard survey | 29 Jan 2026 |
| 15 Dec 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 29 Jan 2026 |
| 3 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 14 Sep 2025 |
| 25 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Jul 2025 |
| 25 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Jul 2025 |
| 4 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 2 Apr 2025 |
| 27 Dec 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 28 Dec 2024 |
| 20 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 15 Mar 2024 |
| 12 Jan 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 15 Mar 2024 |
| 12 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Feb 2024 |
| 2 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Dec 2023 |
| 2 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 17 Dec 2023 |
| 2 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 17 Dec 2023 |
| 2 Nov 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 17 Dec 2023 |
| 2 Nov 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 17 Dec 2023 |
| 2 Nov 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 17 Dec 2023 |
| 2 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Dec 2023 |
| 2 Nov 2023 | F0909 | 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. | E | Standard survey | 17 Dec 2023 |
| 2 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Dec 2023 |
| 26 Feb 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0584 | 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. | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0637 | Assess the resident when there is a significant change in condition | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0700 | 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. | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0761 | 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. | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 11 Apr 2020 |
| 26 Feb 2020 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 11 Apr 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Dec 2025 | Fine | $55,120 | |
| 4 Mar 2025 | Fine | $19,533 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 65.0%, RNs 75.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.4% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.8% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.2% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: Marion Co. Nursing Home District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Marion Co. Nursing Home District | Operational/managerial control | NOT APPLICABLE | 04/01/1983 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Marion County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Monroe City Manor Care Center | Monroe City | 60 | 4 | 4 | 5 | 9 | 15.0 | $24K | 21 Aug 2025 |
| Beloved Health and Rehabilitation Centerabuse iconSFF Candidate | Hannibal | 111 | 1 | 1 | 1 | 133 | 119.8 | $279K | 4 Apr 2025 |
| Beth Haven Nursing HomeSFF Candidate | Hannibal | 105 | 1 | 1 | 1 | 81 | 77.1 | $43K | 30 Jun 2025 |
| Luther Manor Retirement & Nursing Center | Hannibal | 64 | 1 | 2 | 1 | 28 | 43.8 | $13K | 2 Oct 2025 |
All 5 facilities in Marion County
Questions and answers
How many deficiencies has Maple Lawn Nursing Home been cited for?
44 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Maple Lawn Nursing Home been fined?
Yes. CMS lists fines totalling $75K in the period covered.
How does staffing at Maple Lawn Nursing Home compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Maple Lawn Nursing Home?
Ownership type is government, county. Organisations in the CMS ownership record include Marion Co. Nursing Home District. Individual owners and managers are not listed on this site.
When was Maple Lawn Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 15 Dec 2025; the most recent standard health survey was 15 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.