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MAPLE LAWN NURSING HOME Inspection Report, Violations & Safety Grade (PALMYRA, Missouri)

1410 WEST LINE STREET, PALMYRA, Missouri 63461

Phone: 5737692213

CMS Overall:1/5

Overview & Bed Count

Certified Beds

110

Avg Residents/Day

64.6

Ownership

Government - County

Provider Type

Medicare and Medicaid

County

Marion

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall1/5

Health2/5

Staffing1/5

Quality1/5

Nurse Staffing Check

Metric	This Facility	Missouri Avg	Difference
RN Hours per Resident per Day	0.01	0.46	-0.45
Total Nurse Hours per Resident per Day	0.42	3.40	-2.98
CMS Staffing Rating	1/5	2.2/5	-
Nursing Staff Turnover	N/A	56.9%	-

Health Citation History

44 health citations on record

Date	Category	Description	Severity
2025-12-15	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	G – Actual Harm
2025-12-15	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	G – Actual Harm
2025-12-15	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2025-12-15	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2025-12-15	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E – Moderate Harm Potential
2025-12-15	Resident Rights Deficiencies	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 – Moderate Harm Potential
2025-12-15	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	E – Moderate Harm Potential
2025-12-15	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E – Moderate Harm Potential
2025-12-15	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D – Moderate Harm Potential
2025-12-15	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2025-12-15	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D – Moderate Harm Potential
2025-12-15	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2025-12-15	Nursing and Physician Services Deficiencies	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 – Moderate Harm Potential
2025-12-15	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D – Moderate Harm Potential
2025-09-03	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2025-06-25	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2025-06-25	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2025-03-04	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G – Actual Harm
2024-12-27	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F – Moderate Harm Potential
2024-02-20	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	G – Actual Harm
2024-01-12	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	G – Actual Harm
2024-01-12	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2023-11-02	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2023-11-02	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E – Moderate Harm Potential
2023-11-02	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2023-11-02	Pharmacy Service Deficiencies	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 – Moderate Harm Potential
2023-11-02	Nutrition and Dietary Deficiencies	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 – Moderate Harm Potential
2023-11-02	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	E – Moderate Harm Potential
2023-11-02	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2023-11-02	Environmental Deficiencies	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 – Moderate Harm Potential
2023-11-02	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2020-02-26	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2020-02-26	Resident Rights Deficiencies	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 – Moderate Harm Potential
2020-02-26	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E – Moderate Harm Potential
2020-02-26	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	E – Moderate Harm Potential
2020-02-26	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	E – Moderate Harm Potential
2020-02-26	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E – Moderate Harm Potential
2020-02-26	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2020-02-26	Quality of Life and Care Deficiencies	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 – Moderate Harm Potential
2020-02-26	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2020-02-26	Pharmacy Service Deficiencies	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 – Moderate Harm Potential
2020-02-26	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2020-02-26	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D – Moderate Harm Potential
2020-02-26	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D – Moderate Harm Potential

Fire Safety Citation History

25 fire safety citations on record

Date	Category	Description	Severity
2025-12-15	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	F – Moderate Harm Potential
2025-12-15	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2025-12-15	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2025-12-15	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	F – Moderate Harm Potential
2025-12-15	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	E – Moderate Harm Potential
2025-12-15	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2025-12-15	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2025-12-15	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2023-11-02	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	F – Moderate Harm Potential
2023-11-02	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	F – Moderate Harm Potential
2023-11-02	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2023-11-02	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2023-11-02	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	E – Moderate Harm Potential
2023-11-02	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2023-11-02	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2023-11-02	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2023-11-02	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2023-11-02	Smoke Deficiencies	Meet other general requirements.	D – Moderate Harm Potential
2020-02-26	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	F – Moderate Harm Potential
2020-02-26	Construction Deficiencies	Use approved construction type or materials.	E – Moderate Harm Potential
2020-02-26	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2020-02-26	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2020-02-26	Smoke Deficiencies	Properly provide smoke detection systems in areas open to corridors.	E – Moderate Harm Potential
2020-02-26	Smoke Deficiencies	Meet other general requirements.	E – Moderate Harm Potential
2020-02-26	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	D – Moderate Harm Potential

Total Penalties & Fines

$55,361

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2025-12-15	Fine	$35,828	-
2025-03-04	Fine	$19,533	-

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Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the PALMYRA area at no cost.

Find Safe, Vetted Facilities Near PALMYRA
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.