Federal inspection record · CMS data as of October 1, 2026
Marymount Manor
313 Augustine Rd, Eureka, MO · (636) 938-6770
- Certified beds
- 174
- Residents per day
- 74
- Ownership
- For-Profit
- Chain
- Riley Spence Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 23, 1979
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Marymount Manor carries 173 inspection points. That is fewer than 15% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
51 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care11E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
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.
- C
Provide activities to meet all resident's needs.
- E
Provide activities to meet all resident's needs.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights9E
- C
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.
- C
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
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.
- D
Keep residents' personal and medical records private and confidential.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Infection Control7F
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- C
Implement a program that monitors antibiotic use.
- C
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning6E
- E
Ensure each resident receives an accurate assessment.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- C
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services6E
- E
Have 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.
- C
Post nurse staffing information every day.
- E
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- C
Post nurse staffing information every day.
Pharmacy Service3E
- E
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.
- E
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.
- E
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.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2025-06-13
16 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (4 deficiencies)
2024-03-28
16 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2022-09-30
19 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 51 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 51 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 43% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$269,586 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-08-05 | Fine | $136,890 |
| 2023-12-18 | Fine | $132,696 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine30.6 pts worse | 53.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine14.4 pts worse | 76.4% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 1.4% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.4 pts better | 2.6% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight9.4 pts worse | 14.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.2 pts better | 16.4% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.3 pts worse | 32.8% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.9 pts better | 12.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts better | 14.7% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3 pts worse | 3.9% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.5 pts worse | 4.7% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts better | 16.2% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts worse | 8.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine40.7 pts worse | 25.0% | 65.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.6 pts worse | 4.7% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine43.2 pts worse | 18.2% | 61.4% | 80.1% |
·
Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Herrin, Brittany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Herrin, Brittany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Oehler, Brittany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Oehler, Brittany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Riley Spence & Associates | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Riley Spence & Associates | Adp Of The SNF · Organization | 0% | 1 facilities |
| Riley Spence Management Company, LLC | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Riley Spence Management Company, LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Riley, Charles | Direct Ownership Interest · Individual | 0% | 5 facilities |
| Spence, Gregory | Indirect Ownership Interest · Individual | 0% | 5 facilities |
| Spence, Gregory | Corporate Officer · Individual | 0% | 5 facilities |
| Spence, Gregory | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Spence, Gregory | Trustee Of The SNF · Individual | 0% | 5 facilities |
| Spence, Gregory | Adp Of The SNF · Individual | 0% | 5 facilities |
| Thomas H. Spence Marital Trust I | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Thomas H. Spence Marital Trust I | Trustee Of The SNF · Organization | 0% | 1 facilities |
| Thomas H. Spence Marital Trust Ii | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Thomas H. Spence Marital Trust Ii | Trustee Of The SNF · Organization | 0% | 1 facilities |
| Thomas H. Spence Residual Trust | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Thomas H. Spence Residual Trust | Trustee Of The SNF · Organization | 0% | 1 facilities |
| Woolf, Sheryl | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Woolf, Sheryl | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Egress3E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
Emergency Preparedness2F
- F
Establish an Emergency Preparedness Program (EP).
- F
Establish staff and initial training requirements.
·
Other homes nearby
-
St Andrew's At Francis Place
Eureka, MO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0
-
Aegis Health And Rehabilitation
Wildwood, MO · Vertical Health Services
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 26 min
- Fines
- $275,739
-
Ellisville Rehabilitation And Nursing
Ellisville, MO · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 54 min
- Fines
- $255,601