Senior CareScorecard

Nursing home · Maryville, MO

Nodaway Healthcare

22371 State Highway 46, Maryville, MO 64468 · 60 certified beds · for profit ownership · part of Blue Sky Basin

Medicare & Medicaid
Medicare overall rating1 / 5Much below averageMaryville area 2.0 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
1/5Staffing Much below average
1/5Quality measures Much below average
–Short-stay (rehab) quality Not rated
1/5Long-stay quality Much below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Apr 21, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Aug 7, 2025) it had 17 citations, compared with an average of 11.2 for Maryville-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.09 hours per resident per day here, 10% less than the Missouri average (3.43) and 20% less than the U.S. average (3.86). Registered nurses account for 0.60 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 73% over the past year, 17 points higher than Missouri (56%) and 27 points higher than the U.S. (46%).

How Nodaway Healthcare compares

This home's latest CMS figures next to the averages for Maryville-area homes (8), Missouri (487) and the U.S. (14,680).

This homeMaryville areaMissouriU.S.
Total nurse hours per resident per day3.093.023.433.86
Registered nurse hours per resident per day0.600.560.460.68
Weekend nurse hours per resident per day2.702.583.013.42
Nursing staff turnover (past year)73%53%56%46%
Registered nurse turnover (past year)—53%48%43%
Citations at the most recent standard inspection1711.211.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Apr 21, 20261complaint
Aug 7, 202516standard
Nov 12, 20241complaint
Oct 10, 20241standard
Aug 21, 20241complaint
Mar 21, 202221standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 41 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Apr 21, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights · complaint
DPast Non-Compliance
Aug 7, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
EDeficient, Provider has date of correction
Aug 7, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and physician services
FDeficient, Provider has date of correction
Aug 7, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
Aug 7, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration
EDeficient, Provider has date of correction
Aug 7, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Aug 7, 2025Ensure 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
EDeficient, Provider has date of correction
Aug 7, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
EDeficient, Provider has date of correction
Aug 7, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
EDeficient, Provider has date of correction
Aug 7, 2025Assist a resident in gaining access to vision and hearing services.
Quality of life and care
DDeficient, Provider has date of correction
Aug 7, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident rights
EDeficient, Provider has date of correction
Aug 7, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident rights
EDeficient, Provider has date of correction
Aug 7, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Aug 7, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident rights
EDeficient, Provider has date of correction
Aug 7, 2025Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Aug 7, 2025The resident has the right to receive notices in a format and a language he or she understands.
Resident rights
EDeficient, Provider has date of correction
Aug 7, 2025Keep residents' personal and medical records private and confidential.
Resident rights
EDeficient, Provider has date of correction
Nov 12, 2024Provide safe, appropriate pain management for a resident who requires such services.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Oct 10, 2024Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Aug 21, 2024Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident rights · complaint
EDeficient, Provider has date of correction
Mar 21, 2022Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
DDeficient, Provider has date of correction
Mar 21, 2022Ensure staff are vaccinated for COVID-19
Infection control
DDeficient, Provider has date of correction
Mar 21, 2022Perform COVID19 testing on residents and staff.
Infection control
DDeficient, Provider has date of correction
Mar 21, 2022Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration
DDeficient, Provider has date of correction
Mar 21, 2022Implement 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
DDeficient, Provider has date of correction
Mar 21, 2022Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy service
DDeficient, Provider has date of correction
Mar 21, 2022Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
Mar 21, 2022Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident assessment and care planning
DDeficient, Provider has date of correction
Mar 21, 2022Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Mar 21, 2022Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident rights
DDeficient, Provider has date of correction
Mar 21, 2022Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and physician services
FDeficient, Provider has date of correction
Mar 21, 2022Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of life and care
EDeficient, Provider has date of correction
Mar 21, 2022Try 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
EDeficient, Provider has date of correction
Mar 21, 2022Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Mar 21, 2022Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
EDeficient, Provider has date of correction
Mar 21, 2022Assure the security of all personal funds of residents deposited with the facility.
Resident rights
EDeficient, Provider has date of correction
Mar 21, 2022Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident rights
EDeficient, Provider has date of correction
Mar 21, 2022Implement a program that monitors antibiotic use.
Infection control
FDeficient, Provider has date of correction
Mar 21, 2022Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Mar 21, 2022Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and dietary
FDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Nodaway Healthcare

Answers computed from CMS data for this facility.

What is Nodaway Healthcare's Medicare rating?

Medicare rates Nodaway Healthcare 1 out of 5 stars overall (much below average). The average for Maryville-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.

How did Nodaway Healthcare do on its last inspection?

Inspectors' most recent visit in the CMS data was on Apr 21, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. All have been marked corrected. At its most recent standard inspection (Aug 7, 2025) it had 17 citations, compared with an average of 11.2 for Maryville-area homes, 11.4 in Missouri and 9.2 nationally.

Has Nodaway Healthcare been fined?

CMS reports no federal fines for this facility in the past three years.

Does Nodaway Healthcare accept Medicaid?

Nodaway Healthcare is certified for both Medicare and Medicaid. Call (660) 562-2876 to ask whether a Medicaid bed is open.

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.