Maryville, MO

Maryville Living Center

2-star overall rating with 2-star inspections with abuse icon flag with $22,243 in total fines with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

524 North Laura, Maryville, MO

(660) 582-7447

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

105

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

James & Judy Lincoln

Operator or chain grouping

Approved since

1989-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

58 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

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

0.52

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.27

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.39

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.03

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

3.83

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

87%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,672

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

Performance score

11.12

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Baseline 7.61% · Performance 11.07% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 55.77% · Performance 68.25% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

3.34

Baseline 4.02 hours · Performance 4.03 hours · Measure score 3.34 · Achievement 3.34 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.98%	10.72% 2.3 pts worse	No Different than the National Rate · Eligible stays 55 · Observed rate 20% · Lower 95% interval 8.69%
Discharge to community	52.44%	50.57% 1.9 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 50% · Lower 95% interval 37.07%
Medicare spending per beneficiary	1.25	1.02 0.2 pts worse
Drug regimen review with follow-up	96.43%	95.27% 1.2 pts better	Numerator 27 · Denominator 28
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 28
Discharge self-care score	32%	53.69% 21.7 pts worse	Numerator 8 · Denominator 25
Discharge mobility score	40%	50.94% 10.9 pts worse	Numerator 10 · Denominator 25
Pressure ulcers or injuries, new or worsened	14.29%	2.29% 12 pts worse	Numerator 4 · Denominator 28 · Adjusted rate 14.79%
Healthcare-associated infections requiring hospitalization	11.07%	7.12% 4 pts worse	No Different than the National Rate · Eligible stays 25 · Observed rate 28% · Lower 95% interval 5.93%
Staff COVID-19 vaccination coverage	1.54%	8.2% 6.7 pts worse	Numerator 1 · Denominator 65
Staff flu vaccination coverage	46.85%	42% 4.9 pts better	Numerator 52 · Denominator 111
Discharge function score	36%	56.45% 20.5 pts worse	Numerator 9 · Denominator 25
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.2	2.1 1.1 pts worse	1.9 1.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.4 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.9	2.3 1.6 pts worse	1.8 2.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 3.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	84.8% 14.7 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.2%	90.9% 7.3 pts better	95.5% 2.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	4.1% 0.9 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 2.3% · Q4 9.3% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.1%	14.7% 7.6 pts better	11.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 11.9% · Q3 7.0% · Q4 7.9% · 4Q avg 7.1%
Percentage of long-stay residents who lose too much weight	8.1%	5.5% 2.6 pts worse	5.4% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 11.9% · Q3 12.8% · Q4 5.4% · 4Q avg 8.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.1%	25.3% 3.8 pts worse	19.6% 9.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 28.6% · Q3 29.3% · Q4 31.6% · 4Q avg 29.1%
Percentage of long-stay residents who received an antipsychotic medication	26.4%	25.0% 1.4 pts worse	16.7% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 29.0% · Q3 23.3% · Q4 27.3% · 4Q avg 26.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	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	17.7%	20.3% 2.6 pts better	16.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 36.5% · Q3 7.6% · Q4 26.0% · 4Q avg 17.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	32.3%	19.8% 12.5 pts worse	14.9% 17.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 35.7% · Q3 25.0% · Q4 54.1% · 4Q avg 32.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.4% 1.4 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.6%	2.6% 1 pts better	1.7% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 2.4% · Q4 2.4% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.4%	18.1% 2.3 pts worse	19.8% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 23.8% · Q3 20.0% · Q4 30.6% · 4Q avg 20.4%
Percentage of long-stay residents with pressure ulcers	5.0%	5.0% About the same	5.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 5.5% · Q3 3.8% · Q4 2.5% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	66.4% 30.6 pts better	81.7% 15.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 88.9% · 4Q avg 97.0%
Percentage of short-stay residents who had an outpatient emergency department visit	4.2%	13.4% 9.2 pts better	12.0% 7.8 pts better	Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 4.0% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.2% 2.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.0%	63.5% 24.5 pts better	79.7% 8.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.7%	25.3% 0.4 pts worse	23.9% 1.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 20.0% · Expected 18.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-19 · Fire 2025-06-19

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-06-12 · Fire 2024-06-12

21 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-10-14 · Fire 2022-10-14

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-06-19

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-07-21

F · Potential for more than minimal harm 2024-06-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-22

F · Potential for more than minimal harm 2022-10-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-25

F · Potential for more than minimal harm 2022-10-14

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2022-11-25

E · Potential for more than minimal harm 2022-10-14

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-11-25

E · Potential for more than minimal harm 2022-10-14

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2022-11-25

E · Potential for more than minimal harm 2022-10-14

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-11-25

E · Potential for more than minimal harm 2022-10-14

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2022-11-25

D · Potential for more than minimal harm 2022-10-14

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-11-25

Inspection history

Recent health citations

G · Actual harm 2025-11-17

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.

Not marked corrected

G · Actual harm 2025-09-02

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 2025-09-01

E · Potential for more than minimal harm 2025-06-19

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-06-19

F570 · Resident Rights Deficiencies

Health

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-06-19

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-06-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-06-19

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-07-21

D · Potential for more than minimal harm 2025-06-19

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-07-21

G · Actual harm 2025-05-07

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 2025-05-01

E · Potential for more than minimal harm 2025-03-11

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 2025-02-28

J · Immediate jeopardy 2024-12-16

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 2024-12-11

F · Potential for more than minimal harm 2024-06-12

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 2024-07-22