10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Maryville, MO
3-star overall rating with 3-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
814 West South Avenue, Maryville, MO
(660) 582-8161
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
86
Certified beds
Average residents
29
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Mo Op Holdco, LLC
Operator or chain grouping
Approved since
1994-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 2 overall / 2 health / 2 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
RN hours / resident day
1.02
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.19
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.58
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.79
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.66
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.16
CMS adjusted RN staffing hours
Adjusted total hours
4.32
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
74%
Annual nurse turnover · state 57% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.35% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 38 · Observed rate 7.89% · Lower 95% interval 6.82% |
| Discharge to community | 54.41% |
50.57%
3.8 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 51.85% · Lower 95% interval 39.72% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 13 · 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 13 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 10.91% |
8.2%
2.7 pts better
|
Numerator 6 · Denominator 55 |
| Staff flu vaccination coverage | 35.71% |
42%
6.3 pts worse
|
Numerator 25 · Denominator 70 |
| 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 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.6% |
84.8%
9.2 pts worse
|
93.4%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 72.7% · Q3 75.0% · Q4 69.2% · 4Q avg 75.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 70.8% |
90.9%
20.1 pts worse
|
95.5%
24.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 70.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.8% |
4.1%
3.7 pts worse
|
3.3%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 4.5% · Q3 12.5% · Q4 11.5% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
14.7%
12.2 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.5%
5.5 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.7% |
25.3%
0.4 pts worse
|
19.6%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 20.0% · 4Q avg 25.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.2% |
25.0%
3.8 pts better
|
16.7%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.2% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.1% |
20.3%
17.2 pts better
|
16.3%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.3% |
19.8%
11.5 pts better
|
14.9%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 5.0% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.4% |
1.4%
2 pts worse
|
1.0%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 5.0% · Q4 3.1% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
2.6%
0.3 pts better
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 8.7% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.1% |
18.1%
6 pts better
|
19.8%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 8.7% · Q4 4.0% · 4Q avg 12.1% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
5.0%
2 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 6.3% · Q3 0.0% · Q4 0.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.9% |
66.4%
19.5 pts worse
|
81.7%
34.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 65.0% · 4Q avg 46.9% |
| 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 | 33.3% |
63.5%
30.2 pts worse
|
79.7%
46.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 33.3% |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Fire safety
Fire Safety
Install proper backup exit lighting.
Corrected 2025-04-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-03
Fire Safety
Use approved construction type or materials.
Corrected 2025-04-03
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-03
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-10-03
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-03
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-10-03
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-10-03
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2021-10-19
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-10-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-10-19
Fire Safety
Use approved construction type or materials.
Corrected 2021-10-11
Fire Safety
Meet other general requirements that are deficient.
Corrected 2021-10-11
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 2021-10-11
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2021-10-11
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-10-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-10-19
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2021-10-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-10-11
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2021-10-11
Fire Safety
Have a properly installed and maintained dumbwaiter or escalator.
Corrected 2021-10-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-10-11
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-10-11
Fire Safety
Provide rooms that can be unlocked from inside without a key.
Corrected 2021-10-11
Inspection history
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-04-03
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-04-03
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-04-03
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-03
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-04-03
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-03
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-04-03
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-04-03
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-03
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-09-01
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-09-01
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-09-01
Health
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.
Corrected 2023-09-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-01
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-09-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-01
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 2023-09-01
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 2023-09-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-01
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-09-01
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-09-01
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-09-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-01
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-09-01
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-09-01
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-09-01
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2021-10-11
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 2021-10-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-10-11
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-10-11
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2021-10-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-10-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-10-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-10-11
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 2021-10-11
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-10-11
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-10-11
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2021-10-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2021-10-11
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2021-10-11
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2021-09-28
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-10-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-10-11
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-10-11
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-10-11
Health
Post nurse staffing information every day.
Corrected 2021-10-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
5% Or Greater Security Interest · Organization
Nearby options
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Maryville, MO
1-star overall rating with 2-star inspections with 16 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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