Nursing home · Palmyra, MO
Maple Lawn Nursing Home
1410 West Line Street, Palmyra, MO 63461 · 110 certified beds · government ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Dec 15, 2025, when they cited 14 problems, 1 of them from complaint investigations. The most common area was quality of life and care (3 citations). 2 citations were rated as causing actual harm or immediate jeopardy to residents. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Dec 15, 2025) it had 15 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 4.06 hours per resident per day here, 18% more than the Missouri average (3.43) and 5% more than the U.S. average (3.86). Registered nurses account for 0.29 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 65% over the past year, 9 points higher than Missouri (56%) and 19 points higher than the U.S. (46%).
How Maple Lawn Nursing Home compares
This home's latest CMS figures next to the averages for Hannibal-area homes (15), Missouri (487) and the U.S. (14,680).
| This home | Hannibal area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 4.06 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.29 | 0.34 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.68 | 3.16 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 65% | 55% | 56% | 46% |
| Registered nurse turnover (past year) | 75% | 52% | 48% | 43% |
| Citations at the most recent standard inspection | 15 | 16.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 44 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Dec 15, 2025 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | G actual harm | Deficient, Provider has date of correction |
| Dec 15, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights | D | Deficient, Provider has date of correction |
| Dec 15, 2025 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Dec 15, 2025 | Implement a program that monitors antibiotic use. Infection control | D | Deficient, Provider has date of correction |
| Dec 15, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Dec 15, 2025 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Dec 15, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Dec 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. Nursing and physician services | D | Deficient, Provider has date of correction |
| Dec 15, 2025 | Observe each nurse aide's job performance and give regular training. Nursing and physician services | E | Deficient, Provider has date of correction |
| Dec 15, 2025 | 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 | E | Deficient, Provider has date of correction |
| Dec 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. Resident rights | E | Deficient, Provider has date of correction |
| Dec 15, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | E | Deficient, Provider has date of correction |
| Dec 15, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Dec 15, 2025 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Sep 3, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service · complaint | E | Deficient, Provider has date of correction |
| Jun 25, 2025 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jun 25, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Mar 4, 2025 | 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 · complaint | G actual harm | Deficient, Provider has date of correction |
| Dec 27, 2024 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration · complaint | F | Deficient, Provider has date of correction |
| Feb 20, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | G actual harm | Deficient, Provider has date of correction |
| Jan 12, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jan 12, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | G actual harm | Deficient, Provider has date of correction |
| Nov 2, 2023 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Nov 2, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 2, 2023 | 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 | E | Deficient, Provider has date of correction |
| Nov 2, 2023 | 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 | E | Deficient, Provider has date of correction |
| Nov 2, 2023 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Nov 2, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Nov 2, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Nov 2, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Nov 2, 2023 | 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 | E | Deficient, Provider has date of correction |
| Feb 26, 2020 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Feb 26, 2020 | Keep residents' personal and medical records private and confidential. Resident rights | D | Deficient, Provider has date of correction |
| Feb 26, 2020 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Feb 26, 2020 | 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 | E | Deficient, Provider has date of correction |
| Feb 26, 2020 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | E | Deficient, Provider has date of correction |
| Feb 26, 2020 | 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 | E | Deficient, Provider has date of correction |
| Feb 26, 2020 | Assure that each residentâs assessment is updated at least once every 3 months. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Feb 26, 2020 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Feb 26, 2020 | Assess the resident when there is a significant change in condition Resident assessment and care planning | E | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Dec 15, 2025 | Fine | $35,828 |
| Mar 4, 2025 | Fine | $19,533 |
Location
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Reviews
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Questions about Maple Lawn Nursing Home
Answers computed from CMS data for this facility.
What is Maple Lawn Nursing Home's Medicare rating?
Medicare rates Maple Lawn Nursing Home 1 out of 5 stars overall (much below average). The average for Hannibal-area nursing homes is 1.5, for Missouri 2.51 and for the U.S. 2.99.
How did Maple Lawn Nursing Home do on its last inspection?
Inspectors' most recent visit in the CMS data was on Dec 15, 2025, when they cited 14 problems, 1 of them from complaint investigations. The most common area was quality of life and care (3 citations). 2 citations were rated as causing actual harm or immediate jeopardy to residents. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Dec 15, 2025) it had 15 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.
Has Maple Lawn Nursing Home been fined?
Yes. CMS reports 2 fines totaling $55,361 in the past three years.
Does Maple Lawn Nursing Home accept Medicaid?
Maple Lawn Nursing Home is certified for both Medicare and Medicaid. Call (573) 769-2213 to ask whether a Medicaid bed is open.
Other nursing homes near Palmyra
- 4/5Elsberry Missouri Health Care CenterElsberry · 56 beds
- 4/5Monroe City Manor Care CenterMonroe City · 60 beds
- 2/5Clark County Nursing HomeKahoka · 99 beds
- 1/5Avenir at Maple GroveLouisiana · 90 beds
- 1/5Baptist Homes, Tri-CountyVandalia · 90 beds
- 1/5Beloved Health and Rehabilitation CenterHannibal · 111 beds
Compare all 15 Hannibal-area nursing homes · · Hannibal guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.