Quick answers
- Where is Maple Lawn Nursing Home?
- 1410 West Line Street, Palmyra, MO 63461, in Marion County, Missouri.
- What is the phone number of Maple Lawn Nursing Home?
- (573) 769-2213, as listed by Medicare (CMS).
- What is the Medicare star rating of Maple Lawn Nursing Home?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Maple Lawn Nursing Home been fined?
- Medicare lists 2 fines totaling $55,361.
- What did inspectors find at Maple Lawn Nursing Home?
- In its last three inspection cycles (February 26, 2020 to December 15, 2025), Medicare lists 44 health citations; the most serious was level G. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 26, 2020 to December 15, 2025), Maple Lawn Nursing Home had 44 health citations; the most serious was level G (actual harm to residents). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $55,361 in total (2 fines, the latest on December 15, 2025). Nurse staffing is 0.42 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 15, 2025 — 14 health citations
Inspections in this cycle: December 15, 2025 (complaint investigation); December 15, 2025 (standard health inspection).
F0692 Level G
“Provide enough food/fluids to maintain a resident's health.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0744 Level G
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0561 Level E
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0584 Level E
“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.”
F0605 Level E
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0730 Level E
“Observe each nurse aide's job performance and give regular training.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0728 Level D
“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.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
Previous cycle: November 2, 2023 — 14 health citations
Inspections in this cycle: November 2, 2023 (standard health inspection); December 27, 2024 (complaint investigation); March 4, 2025 (complaint investigation); June 25, 2025 (complaint investigation); September 3, 2025 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 13 less serious citations (levels A to F)
F0835 Level F
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0758 Level E
“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.”
F0803 Level E
“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.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0909 Level E
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
Earlier cycle: February 26, 2020 — 16 health citations
Inspections in this cycle: February 26, 2020 (standard health inspection); January 12, 2024 (complaint investigation); February 20, 2024 (complaint investigation).
F0760 Level G
“Ensure that residents are free from significant medication errors.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
F0760 Level G
“Ensure that residents are free from significant medication errors.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
Show 14 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0637 Level E
“Assess the resident when there is a significant change in condition”
F0638 Level E
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0700 Level E
“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.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (25)
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0311 Level E
“Have an enclosure around a vertical opening shaft.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0311 Level E
“Have an enclosure around a vertical opening shaft.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0932 Level D
“Meet other general requirements.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0161 Level E
“Use approved construction type or materials.”
K0222 Level E
“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.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0347 Level E
“Properly provide smoke detection systems in areas open to corridors.”
K0932 Level E
“Meet other general requirements.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
Fines and payment denials
Total fines over about the last three years: $55,361 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| December 15, 2025 | Fine | $35,828 |
| March 4, 2025 | Fine | $19,533 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.01 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.10 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 0.30 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 0.42 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 0.54 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.01 | 0.32 | 0.48 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Marion Co. Nursing Home District.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Marion Co. Nursing Home District | Management company (operational or managerial control) | NOT APPLICABLE | April 1, 1983 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 110 |
| Average residents per day | 64.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – county |
| Legal business name | Marion Co. Nursing Home District |
| First approved by Medicare/Medicaid | 1984-05-09 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1410 West Line Street, Palmyra, MO 63461 |
| County | Marion County |
| State | Missouri |
| Phone | (573) 769‑2213 |
| CMS Certification Number | 265237 |
| Name in Medicare records | MAPLE LAWN NURSING HOME |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Luther Manor Retirement & Nursing Center1.9 mi · Hannibal, MO · 1 of 5 stars
- Beloved Health and Rehabilitation Center8.1 mi · Hannibal, MO · 1 of 5 stars
- Beth Haven Nursing Home9.1 mi · Hannibal, MO · 1 of 5 stars
- Sunset Home12 mi · Quincy, IL · 1 of 5 stars
- Good Samaritan Home12 mi · Quincy, IL · 4 of 5 stars
Nearest hospital emergency rooms
- Hannibal Regional Hospital7.2 mi · Hannibal, MO · Acute Care Hospital
- Blessing Hospital13 mi · Quincy, IL · Acute Care Hospital
- Pike County Memorial Hospital34 mi · Louisiana, MO · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13