Maryville, IL

Manor Court Of Maryville

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

6955 State Route 162, Maryville, IL

(618) 288-5999

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

132

Certified beds

Average residents

111

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Unlimited Development, Inc.

Operator or chain grouping

Approved since

1992-03-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.64

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.76

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.79

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.19

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.52

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.51

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.61

CMS adjusted RN staffing hours

Adjusted total hours

4.02

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,281

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

33.40

Composite VBP score used to determine payment impact.

Payment multiplier

0.9877

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 23.34% · Performance 25.07% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.48

Baseline 9.38% · Performance 7.63% · Measure score 3.48 · Achievement 0.67 · Improvement 3.48

Total nurse turnover

5.75

Baseline 55.28% · Performance 40.16% · Measure score 5.75 · Achievement 5.75 · Improvement 4.47

Adjusted total nurse staffing

4.13

Baseline 4.76 hours · Performance 4.25 hours · Measure score 4.13 · Achievement 4.13 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 16.88%
10.72%
6.2 pts worse
Worse than the National Rate · Eligible stays 346 · Observed rate 20.52% · Lower 95% interval 14.18%
Discharge to community 60.6%
50.57%
10 pts better
Better than the National Rate · Eligible stays 284 · Observed rate 55.99% · Lower 95% interval 54.65%
Medicare spending per beneficiary 1.03
1.02
About the same
Drug regimen review with follow-up 98.48%
95.27%
3.2 pts better
Numerator 260 · Denominator 264
Falls with major injury 1.52%
0.77%
0.8 pts worse
Numerator 4 · Denominator 264
Discharge self-care score 60.56%
53.69%
6.9 pts better
Numerator 109 · Denominator 180
Discharge mobility score 37.22%
50.94%
13.7 pts worse
Numerator 67 · Denominator 180
Pressure ulcers or injuries, new or worsened 1.52%
2.29%
0.8 pts better
Numerator 4 · Denominator 264 · Adjusted rate 1.73%
Healthcare-associated infections requiring hospitalization 7.63%
7.12%
0.5 pts worse
No Different than the National Rate · Eligible stays 221 · Observed rate 7.24% · Lower 95% interval 5.02%
Staff COVID-19 vaccination coverage 3.95%
8.2%
4.2 pts worse
Numerator 6 · Denominator 152
Staff flu vaccination coverage 85.44%
42%
43.4 pts better
Numerator 176 · Denominator 206
Discharge function score 52.78%
56.45%
3.7 pts worse
Numerator 95 · Denominator 180
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 95 · Denominator 95
Transfer of health information to patient 99.25%
96.28%
3 pts better
Numerator 133 · Denominator 134
Resident COVID-19 vaccinations up to date 9.29%
25.2%
15.9 pts worse
Numerator 13 · Denominator 140

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
2.0
0.6 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 3.2
2.3
0.9 pts worse
1.8
1.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
89.6%
8.9 pts better
93.4%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 93.8% · 4Q avg 98.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.2%
91.6%
2.4 pts worse
95.5%
6.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.2%
Percentage of long-stay residents experiencing one or more falls with major injury 6.9%
3.3%
3.6 pts worse
3.3%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 7.1% · Q3 6.0% · Q4 5.0% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.0%
50.3%
49.3 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight 1.9%
6.5%
4.6 pts better
5.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 3.0% · Q4 0.0% · 4Q avg 1.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.1%
18.5%
5.4 pts better
19.6%
6.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 13.5% · Q3 10.1% · Q4 13.6% · 4Q avg 13.1%
Percentage of long-stay residents who received an antipsychotic medication 8.0%
22.8%
14.8 pts better
16.7%
8.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 8.6% · Q3 13.1% · Q4 8.8% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 33.4%
17.2%
16.2 pts worse
16.3%
17.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 29.3% · Q3 51.3% · Q4 35.2% · 4Q avg 33.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 33.3%
15.0%
18.3 pts worse
14.9%
18.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 36.4% · Q3 43.9% · Q4 31.1% · 4Q avg 33.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.3%
1.1%
1.2 pts worse
1.0%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.6% · Q3 2.3% · Q4 2.9% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.6%
1.7%
0.1 pts better
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.4%
21.3%
5.1 pts worse
19.8%
6.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 37.5% · Q3 24.2% · Q4 20.1% · 4Q avg 26.4%
Percentage of long-stay residents with pressure ulcers 2.5%
5.2%
2.7 pts better
5.1%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.4% · Q3 2.1% · Q4 4.5% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
68.8%
30.7 pts better
81.7%
17.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 99.2% · Q3 99.6% · Q4 99.6% · 4Q avg 99.5%
Percentage of short-stay residents who had an outpatient emergency department visit 9.3%
14.0%
4.7 pts better
12.0%
2.7 pts better
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 8.5% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.8%
2.3%
0.5 pts better
1.6%
0.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.5% · Q4 3.1% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94.2%
63.0%
31.2 pts better
79.7%
14.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.4%
26.2%
2.2 pts worse
23.9%
4.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.4% · Observed 23.5% · Expected 19.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-01 · Fire 2024-11-01

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-10-06 · Fire 2023-10-06

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-09-27 · Fire 2022-09-27

9 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-12-10

F · Potential for more than minimal harm 2024-11-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-20

F · Potential for more than minimal harm 2023-10-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-10-26

E · Potential for more than minimal harm 2023-10-06

K222 · Egress Deficiencies

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.

Corrected 2023-10-13

F · Potential for more than minimal harm 2022-09-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-09-27

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-09-27

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-10-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-07-22

D · Potential for more than minimal harm 2025-07-08

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-06-25

E · Potential for more than minimal harm 2024-11-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-11-01

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-07-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-07-05

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-07-26

F · Potential for more than minimal harm 2023-12-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-22

D · Potential for more than minimal harm 2023-12-13

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2023-12-22

D · Potential for more than minimal harm 2023-12-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-22

E · Potential for more than minimal harm 2023-10-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-10-18

E · Potential for more than minimal harm 2023-10-06

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-10-18

D · Potential for more than minimal harm 2023-10-06

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-10-18

G · Actual harm 2022-09-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-10-13

G · Actual harm 2022-09-27

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-09-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-09-27

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-09-27

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-10-13

D · Potential for more than minimal harm 2022-09-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-10-13

Penalties and ownership

What sits behind the stars

Ownership

Unlimited Development, Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 6 facilities 2014-01-07
Finke, Audrey

Corporate Director · Individual

0% 10 facilities 2006-10-01
Finke, Audrey

Corporate Officer · Individual

0% 10 facilities 2018-08-30
Gilmore, Jerry

Corporate Director · Individual

0% 10 facilities 2006-10-01
Haney, David

Corporate Director · Individual

0% 11 facilities 2006-10-01
Law, Johnny

W-2 Managing Employee · Individual

0% 1 facilities 2018-08-30
Unlimited Development, Inc

Operational/Managerial Control · Organization

0% 6 facilities 2014-01-16
Wagner, Robert

Corporate Director · Individual

0% 10 facilities 2006-10-01
Wilson, Ronald

Corporate Officer · Individual

0% 17 facilities 2018-08-30

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