Maple Lawn Nursing Home
1410 West Line Street · Palmyra, MO · 63461 · 5737692213
110 certified beds Government - County
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $74,653 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$74,653 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.72 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 4.34 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 2 · $74,653 |
Inspection citations (44 in the current record)
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Actual harm · G December 15, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected January 29, 2026 · Quality of Life and Care
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Actual harm · G December 15, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected January 29, 2026 · Quality of Life and Care
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Potential for harm · E December 15, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 29, 2026 · Resident Rights
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Potential for harm · D December 15, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 29, 2026 · Resident Rights
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Potential for harm · E December 15, 2025
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.
Corrected January 29, 2026 · Resident Rights
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Potential for harm · E December 15, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected January 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 15, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 15, 2025
Assess the resident when there is a significant change in condition
Corrected January 29, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 15, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 29, 2026 · Quality of Life and Care
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Potential for harm · D December 15, 2025
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.
Corrected January 29, 2026 · Nursing and Physician Services
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Potential for harm · E December 15, 2025
Observe each nurse aide's job performance and give regular training.
Corrected January 29, 2026 · Nursing and Physician Services
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Potential for harm · F December 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 29, 2026 · Nutrition and Dietary
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Potential for harm · F December 15, 2025
Provide and implement an infection prevention and control program.
Corrected January 29, 2026 · Infection Control
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Potential for harm · D December 15, 2025
Implement a program that monitors antibiotic use.
Corrected January 29, 2026 · Infection Control
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Potential for harm · E September 3, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 14, 2025 · Pharmacy Service
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Potential for harm · D June 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 25, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 27, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected December 28, 2024 · Administration
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Actual harm · G February 20, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 15, 2024 · Pharmacy Service
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Actual harm · G January 12, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 15, 2024 · Pharmacy Service
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Potential for harm · D January 12, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 2, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · E November 2, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 17, 2023 · Quality of Life and Care
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Potential for harm · D November 2, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 17, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 15, 2025 | Fine | $55,120 |
| March 4, 2025 | Fine | $19,533 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265237 · certified since May 9, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.