All states › Missouri › Palmyra › Maple Lawn Nursing Home
1410 West Line Street Palmyra, MO 63461 · Marion County
CMS certification number 265237 · See this home on Medicare Care Compare
Is Maple Lawn Nursing Home a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Maple Lawn Nursing Home as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 0.42 hours per resident per day at Maple Lawn Nursing Home, below the Missouri median of 3.37 (US median: 3.72). About 0.01 of those hours are from registered nurses. Weekend staffing is close to its all-week average.
About this nursing home
Paying for care at Maple Lawn Nursing Home: Medicare and Medicaid
Maple Lawn Nursing Home is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 15, 2025 and found 13 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 44 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 44 citations at Maple Lawn Nursing Home across 9 inspection dates, 9 of them from complaint investigations. 5 were at the actual-harm level (G–I), most recently on December 15, 2025. The most common areas cited were quality of life and care (8) and freedom from abuse, neglect, and exploitation (7). The most serious was cited under the CMS rule to "provide enough food/fluids to maintain a resident's health" (tag F0692, level G, December 15, 2025). 7 citations were under CMS's abuse, neglect and exploitation rules.
December 15, 2025 · 14 citations · includes complaint inspection
GProvide enough food/fluids to maintain a resident's health.
GProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EHonor 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.
EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
EObserve each nurse aide's job performance and give regular training.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DAssess the resident when there is a significant change in condition
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure 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.
DImplement a program that monitors antibiotic use.
September 3, 2025 · 1 citation · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
June 25, 2025 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
March 4, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
December 27, 2024 · 1 citation · includes complaint inspection
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
February 20, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
January 12, 2024 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 2, 2023 · 9 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EImplement 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.
EEnsure 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.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProvide and implement an infection prevention and control program.
ERegularly 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.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
February 26, 2020 · 13 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor 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.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EAssess the resident when there is a significant change in condition
EAssure that each resident’s assessment is updated at least once every 3 months.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
ETry 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.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DKeep residents' personal and medical records private and confidential.
DEnsure that residents are free from significant medication errors.
Questions to ask on a tour of Maple Lawn Nursing Home
- Inspectors cited the home at the actual-harm level on December 15, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 15, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 59% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $55,361 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 15, 2025 | Fine | $35,828 |
| Mar 4, 2025 | Fine | $19,533 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
| August 2026 | 1/5 | 2/5 | 3/5 | 1/5 |
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Location
Hospitals near Maple Lawn Nursing Home
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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6.5 mi
Hannibal Regional Hospital HannibalEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 25m for patients treated and sent home
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12.6 mi
Blessing Hospital QuincyEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 47m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.