Nursing HomeInspections

Maple Lawn Nursing Home

Nursing home in Palmyra, MO

Medicare & Medicaid certified1★ overall (CMS)

Call (573) 769-2213Send a messageMap ↗

Public-record details

Address
1410 West Line Street, Palmyra, MO 63461
Phone
(573) 769-2213
Listed under
Government-owned
Medicare CCN
265237
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
1 of 5
Certified beds
110
Average residents per day
63
Ownership
Government, county
Legal business name
Marion CO. Nursing Home District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 9, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265237. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 15, 2025. CMS lists 44 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 26, 2020 to Dec 15, 2025): 9 from complaint inspections, 5 at the “actual harm” level or higher.

InspectionCitationSeverity
Dec 15, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 15, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Dec 15, 2025Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 15, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 15, 2025Ensure 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.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Dec 15, 2025Implement a program that monitors antibiotic use.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 15, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		E
Potential for more than minimal harm, pattern
Dec 15, 2025Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Dec 15, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Dec 15, 2025Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services		E
Potential for more than minimal harm, pattern
Dec 15, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Dec 15, 2025Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 44. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $74,653 in the last three years.

Dec 15, 2025Fine: $55,120
Mar 4, 2025Fine: $19,533

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.06 hours
Registered nurse (RN) time per resident per day
0.29 hours
Nurse aide time per resident per day
2.63 hours
Total nurse staffing on weekends
3.68 hours
Nursing staff turnover (yearly)
65%
RN turnover (yearly)
75%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.