16 health deficiencies
Top issue: Resident Rights (5 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Maryville, MO
1-star overall rating with 2-star inspections with 16 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
22371 State Highway 46, Maryville, MO
(660) 562-2876
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
35
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Prime Healthcare Management
Operator or chain grouping
Approved since
2010-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 1 overall / 2 health / 1 staffing / 2 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
RN hours / resident day
0.64
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.58
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.12
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.66
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
3.16
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
80%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
12,585
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.57
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
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
0
Performance 8.58% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0.9
Baseline 58.62% · Performance 60.00% · Measure score 0.9 · Achievement 0.9 · Improvement 0
Adjusted total nurse staffing
2.57
Baseline 3.69 hours · Performance 3.81 hours · Measure score 2.57 · Achievement 2.57 · Improvement 0.07
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.45% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 34 · Observed rate 8.82% · Lower 95% interval 6.28% |
| Discharge to community | 36.12% |
50.57%
14.5 pts worse
|
Worse than the National Rate · Eligible stays 29 · Observed rate 24.14% · Lower 95% interval 25.22% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 15 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 8.58% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 26 · Observed rate 15.38% · Lower 95% interval 4.83% |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.6 |
2.1
1.5 pts worse
|
1.9
1.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 2.4 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.8 |
2.3
2.5 pts worse
|
1.8
3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.8 · Observed 3.8 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
84.8%
13.1 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 91.2% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 18.1% |
4.1%
14 pts worse
|
3.3%
14.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 15.8% · Q3 17.6% · Q4 23.5% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.3% |
14.7%
4.4 pts better
|
11.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 9.4% · Q3 6.2% · Q4 20.7% · 4Q avg 10.3% |
| Percentage of long-stay residents who lose too much weight | 13.3% |
5.5%
7.8 pts worse
|
5.4%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 20.8% · Q4 4.5% · 4Q avg 13.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.6% |
25.3%
14.7 pts better
|
19.6%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 8.3% · Q3 10.0% · Q4 17.4% · 4Q avg 10.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.7% |
25.0%
10.3 pts better
|
16.7%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · 4Q avg 14.7% · 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 | 42.8% |
20.3%
22.5 pts worse
|
16.3%
26.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 42.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.8% |
19.8%
12 pts worse
|
14.9%
16.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 27.3% · Q4 40.9% · 4Q avg 31.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% |
1.4%
1 pts worse
|
1.0%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 3.4% · Q4 3.4% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.4% |
2.6%
3.8 pts worse
|
1.7%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 2.6% · Q3 9.1% · Q4 9.1% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.6% |
18.1%
8.5 pts worse
|
19.8%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 25.1% · Q3 17.6% · Q4 50.8% · 4Q avg 26.6% |
| Percentage of long-stay residents with pressure ulcers | 10.3% |
5.0%
5.3 pts worse
|
5.1%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 12.7% · Q3 5.8% · Q4 5.3% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.9% |
66.4%
21.5 pts better
|
81.7%
6.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q4 80.0% · 4Q avg 87.9% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.0% |
2.2%
0.8 pts worse
|
1.6%
1.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.0% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (5 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Install proper backup exit lighting.
Corrected 2025-09-23
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-23
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-09-23
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-23
Fire Safety
Use approved construction type or materials.
Corrected 2025-09-23
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-23
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-09-23
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-10-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-16
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-06-20
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-06-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-06-20
Fire Safety
Use approved construction type or materials.
Corrected 2022-06-20
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-06-20
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-06-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-06-20
Inspection history
Health
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.
Corrected 2025-09-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-17
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-09-17
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-09-17
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2025-09-17
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-17
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-17
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-17
Health
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.
Corrected 2025-09-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-17
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-09-17
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-09-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-17
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-12-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-16
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-09-03
Health
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.
Corrected 2022-06-20
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2022-06-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-20
Health
Implement a program that monitors antibiotic use.
Corrected 2022-06-20
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-07-07
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2022-06-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-06-20
Health
Provide activities to meet all resident's needs.
Corrected 2022-06-20
Health
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.
Corrected 2022-06-20
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2022-06-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-06-20
Health
Notify 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.
Corrected 2022-06-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-20
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-06-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-06-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-06-20
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 2022-06-20
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2022-06-20
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-07-07
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-06-20
Health
Put firmly secured handrails on each side of hallways.
Corrected 2022-06-20
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
General Partnership Interest · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Nearby options
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3-star overall rating with 3-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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Maryville, MO
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
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