Maple Lawn Nursing Home
1410 West Line Street, Palmyra, MO 63461 · (573) 769-2213
Government - County · 110 certified beds
Maple Lawn Nursing Home has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 14 citations, 2 for actual harm or immediate jeopardy (the Missouri average is 11.4). It was fined 2 times in the last three years, $55,361 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on December 15, 2025 found 14 citations. What an inspection citation means
- Provide enough food/fluids to maintain a resident's health.December 15, 2025 · F0692 · Level of harm: Actual harm · Residents affected: Few
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.December 15, 2025 · F0744 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 15, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.December 15, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.December 15, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.December 15, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.December 15, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Observe each nurse aide's job performance and give regular training.December 15, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 15, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 15, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident when there is a significant change in conditionDecember 15, 2025 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 15, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.December 15, 2025 · F0728 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement a program that monitors antibiotic use.December 15, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.December 15, 2025 · F0744 · Level of harm: Actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 3, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 25, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.June 25, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 4, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.December 27, 2024 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that residents are free from significant medication errors.February 20, 2024 · F0760 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 12, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.January 12, 2024 · F0760 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $35,828December 15, 2025
- Fine of $19,533March 4, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.06 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.29 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 1.14 | 0.68 | 0.86 |
| Nurse aides | 2.63 | 2.29 | 2.32 |
| Total nursing staff turnover | 65% | 56% | 45.8% |
About this home
| Ownership | Government - County |
| Certified beds | 110 |
| Average residents per day | 63.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Luther Manor Retirement & Nursing Center Hannibal · ★★★★★ 1 out of 5 stars
- Beloved Health and Rehabilitation Center Hannibal · ★★★★★ 1 out of 5 stars
- Monroe City Manor Care Center Monroe City · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Maple Lawn Nursing Home on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.