nursing home in Palmyra, MO

Maple Lawn Nursing Home

1410 West Line Street, Palmyra, MO 63461 · (573) 769-2213

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★3
  • Quality measures★★★★★1

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Maple Lawn Nursing Home at a glance

Maple Lawn Nursing Home is a 110-bed government nursing home in Palmyra, Missouri (Marion County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.

Residents receive about 4.1 hours of nursing care per day (0.3 of them from registered nurses), better than the state average of 3.4 hours.

Its most recent standard health inspection (December 15, 2025) found 15 health citations. The Missouri average is 11.4.

Federal regulators fined it 2 times in the past three years, totaling $55,361.

Nursing staff turnover is 65% per year (state average 56%).

Facility details

Type
Nursing home
Ownership
Government - County
Beds
110
Certified for
Medicare and Medicaid
Medicare-certified since
May 9, 1984
Resident/family council
Resident
County
Marion County
CMS Certification Number
265237

Ratings

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.5 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 52.2 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)1 / 52.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)1 / 52.8 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)1 / 52.7 / 53.3 / 5Worse

Staffing

This facility4.06 hrsMissouri average3.43 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.06 hrs3.43 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.29 hrs0.46 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.63 hrs2.29 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.68 hrs3.01 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)65%56%45.8%Worse
Registered nurse turnover (yearly) (lower is better)75%47.8%42.9%Worse

Inspections

This facility15Missouri average11U.S. average9
Health citations in the most recent inspection: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)15119Worse
Citations from complaint investigations (latest cycle) (lower is better)233Better
Weighted health inspection score ⓘ (lower is better)143111.880.6Worse

Penalties

This facility2Missouri average1U.S. average1
Fines in the past 3 years: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$55,361$37,425$30,972Worse
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Certified beds110103107
Average residents per day637386
Occupancy57.5%72.4%80.9%

Long-stay residents

This facility5.8%Missouri average4.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.8%4.1%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)5.5%4.5%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)18.2%23.5%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)3.4%2.3%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)1.2%1.1%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)29.6%18.1%13.9%Worse
Long-stay residents whose walking worsened (lower is better)21.4%17.4%14.1%Worse
Long-stay residents who lose too much weight (lower is better)1.9%5.3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)0.9%18.5%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)10.8%25.6%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)13.3%17.8%19%Better
Long-stay residents given a flu vaccine (higher is better)91.8%90.9%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)98.8%84.1%93.6%Better

Short-stay residents

This facility4%Missouri average2.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Missouri and U.S. averages
MeasureThis facilityMissouri avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)4%2.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)73.1%63.5%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)82.8%65.7%82%Average

Inspection citations

State inspectors cited this home for 44 health deficiencies and 25 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm.

DateCitationSeverityStatus
December 15, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected January 29, 2026
December 15, 2025
Fire safety
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies · Tag E0026
F
Potential harm, widespread
Corrected January 29, 2026
December 15, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected January 29, 2026
December 15, 2025
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
F
Potential harm, widespread
Corrected January 29, 2026
December 15, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected January 29, 2026
December 15, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected January 29, 2026
December 15, 2025
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
E
Potential harm, pattern
Corrected January 29, 2026
December 15, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected January 29, 2026
December 15, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
G
Actual harm, isolated
Corrected January 29, 2026
December 15, 2025
Complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Tag F0744
G
Actual harm, isolated
Corrected January 29, 2026
December 15, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected January 29, 2026
December 15, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected January 29, 2026
December 15, 2025
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
E
Potential harm, pattern
Corrected January 29, 2026
December 15, 2025
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
E
Potential harm, pattern
Corrected January 29, 2026
December 15, 2025
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
E
Potential harm, pattern
Corrected January 29, 2026
December 15, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected January 29, 2026
December 15, 2025
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected January 29, 2026
December 15, 2025
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected January 29, 2026
December 15, 2025
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0728
D
Potential harm, isolated
Corrected January 29, 2026
December 15, 2025
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected January 29, 2026
December 15, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected January 29, 2026
December 15, 2025
Standard
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Tag F0637
D
Potential harm, isolated
Corrected January 29, 2026
September 3, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected September 14, 2025
June 25, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected July 30, 2025
June 25, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected July 30, 2025
March 4, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
G
Actual harm, isolated
Corrected April 2, 2025
December 27, 2024
Complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
F
Potential harm, widespread
Corrected December 28, 2024
February 20, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
G
Actual harm, isolated
Corrected March 15, 2024
January 12, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
G
Actual harm, isolated
Corrected March 15, 2024
January 12, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected February 12, 2024
November 2, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected December 17, 2023
November 2, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected December 17, 2023
November 2, 2023
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected December 17, 2023
November 2, 2023
Fire safety
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies · Tag E0026
F
Potential harm, widespread
Corrected December 17, 2023
November 2, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Fire safety
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies · Tag K0311
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Fire safety
Meet other general requirements.
Smoke Deficiencies · Tag K0932
D
Potential harm, isolated
Corrected December 17, 2023
November 2, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected December 17, 2023
November 2, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Standard
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.
Environmental Deficiencies · Tag F0909
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected December 17, 2023
November 2, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected December 17, 2023
February 26, 2020
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
F
Potential harm, widespread
Corrected April 11, 2020
February 26, 2020
Fire safety
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.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Fire safety
Meet other general requirements.
Smoke Deficiencies · Tag K0932
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Fire safety
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies · Tag K0347
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
D
Potential harm, isolated
Corrected April 11, 2020
February 26, 2020
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected April 11, 2020
February 26, 2020
Standard
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · Tag F0638
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Tag F0637
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
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.
Quality of Life and Care Deficiencies · Tag F0700
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected April 11, 2020
February 26, 2020
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected April 11, 2020
February 26, 2020
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected April 11, 2020

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $55,361 in fines.

DatePenaltyAmount / length
December 15, 2025Fine$35,828
March 4, 2025Fine$19,533

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FUNKENBUSCH, JEFF
Individual
corporate directorNOT APPLICABLE02/16/2011
JONES, DARRELL
Individual
operational/managerial controlNOT APPLICABLE07/03/2015
MARION CO. NURSING HOME DISTRICT
Organization
operational/managerial controlNOT APPLICABLE04/01/1983
JONES, DARRELL
Individual
w-2 managing employeeNOT APPLICABLE07/03/2000

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Frequently asked questions

What is Maple Lawn Nursing Home's rating?

Maple Lawn Nursing Home has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.

How many inspection citations did Maple Lawn Nursing Home receive?

Its most recent standard health inspection found 15 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.

Does Maple Lawn Nursing Home accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Maple Lawn Nursing Home?

It is government - county. The ownership section on this page lists the owners and managers reported to CMS.

Where is Maple Lawn Nursing Home and how do I contact it?

Maple Lawn Nursing Home is at 1410 West Line Street, Palmyra, MO 63461. Phone: (573) 769-2213.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.