The home failed to provide enough food and fluids to keep residents healthy. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
MAPLE LAWN NURSING HOME
PALMYRA, MO · Medicare-certified · 110 beds
Needs attention
Government-run
1 of 5 overall
MAPLE LAWN NURSING HOME in Palmyra, MO has a 1-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 1 star for quality measures. It reports 4.72 nurse staffing hours per resident day versus the 4.1 federal benchmark, and it had $74,653 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.7206 hrs/resident/day
Quality measures
Last inspection: December 15, 2025Penalties, last 24 months: $74,653recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7206.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.18
- Nurse aides
- 3.19
- Weekend nursing
- 4.34
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 70%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.3%17.1%Worsening
Residents with a fall causing major injury
14.5%3.4%Improving
Residents with pressure ulcers (bedsores)
0%7.8%Worsening
Residents with a urinary tract infection
0%1.8%Worsening
Residents who lost too much weight
0%2.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.4%36.4%Worsening
Residents whose ability to walk got worse
18.2%14.5%Improving
Long-stay residents on antianxiety or sleep medication
4%16%Worsening
Short-stay residents newly given an antipsychotic
—4.9%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
29.1%3.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91.8%—
Long-stay residents given the pneumonia vaccine
100%98.3%Worsening
Short-stay residents given the seasonal flu vaccine
—73.1%—
Short-stay residents given the pneumonia vaccine
83.3%76%Worsening
What the inspectors found
The home failed to provide the appropriate treatment and services for a resident with dementia. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $55,120 was recorded.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $19,533 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $74,653 in total fines.
- $55,120
Federal fine
Dec 15, 2025
- $19,533
Federal fine
Mar 4, 2025
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 63.4 residents on an average day (58% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.