Maryville Living Center
524 North Laura · Maryville, MO · 64468 · 6605827447
105 certified beds For profit - Corporation Chain: James & Judy Lincoln
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
80% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 80% | median 45% |
| Fines (3-yr window) | 2 · $22,337 |
Inspection citations (41 in the current record)
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Actual harm · G March 11, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D March 11, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Actual harm · G September 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 1, 2025 · Quality of Life and Care
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Potential for harm · E June 19, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · E June 19, 2025
Assure the security of all personal funds of residents deposited with the facility.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · E June 19, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 19, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · E June 19, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · E June 19, 2025
Implement a program that monitors antibiotic use.
Corrected July 21, 2025 · Infection Control
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Actual harm · G May 7, 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 May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 11, 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 February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J December 16, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 22, 2024 · Resident Rights
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Potential for harm · E June 12, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 22, 2024 · Resident Rights
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Potential for harm · E June 12, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 22, 2024 · Resident Rights
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Potential for harm · D June 12, 2024
Keep residents' personal and medical records private and confidential.
Corrected July 22, 2024 · Resident Rights
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Potential for harm · E June 12, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected July 22, 2024 · Resident Rights
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Potential for harm · E June 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 12, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 12, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 22, 2024 · Quality of Life and Care
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Potential for harm · D June 12, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 22, 2024 · Quality of Life and Care
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Potential for harm · E June 12, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 22, 2024 · Quality of Life and Care
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Potential for harm · E June 12, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 22, 2024 · Nursing and Physician Services
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Potential for harm · E June 12, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 22, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 7, 2025 | Fine | $11,492 |
| December 16, 2024 | Fine | $10,845 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265354 · certified since March 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.