Maryville Living Center

524 North Laura · Maryville, MO · 64468 · 6605827447

105 certified beds For profit - Corporation Chain: James & Judy Lincoln

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • 4 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

3 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

80% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 30
Staffing 20% 56
Federal penalties 15% 59
Trend 10% 78
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.483.48 min · 4.1 strong
RN hours / resident-day0.510.55–0.75
Weekend hours / resident-day3.11≈ weekday level
Nursing turnover / year80%median 45%
Fines (3-yr window)2 · $22,337

Inspection citations (41 in the current record)

  • Actual harm · G March 11, 2026 · found via complaint

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

    Corrected April 20, 2026 · Quality of Life and Care

  • Potential for harm · D March 11, 2026 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G November 17, 2025 · found via complaint

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

    Past Non-Compliance · Quality of Life and Care

  • Actual harm · G September 2, 2025 · found via complaint

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

    Corrected September 1, 2025 · Quality of Life and Care

  • Potential for harm · E June 19, 2025

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

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · E June 19, 2025

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

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · E June 19, 2025

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

    Corrected July 21, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 19, 2025

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

    Corrected July 21, 2025 · Quality of Life and Care

  • Potential for harm · E June 19, 2025

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

    Corrected July 21, 2025 · Quality of Life and Care

  • Potential for harm · E June 19, 2025

    Implement a program that monitors antibiotic use.

    Corrected July 21, 2025 · Infection Control

  • Actual harm · G May 7, 2025 · found via complaint

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

    Corrected May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 11, 2025 · found via complaint

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

    Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J December 16, 2024 · found via complaint

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

    Corrected December 11, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 12, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 22, 2024 · Resident Rights

  • Potential for harm · E June 12, 2024

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected July 22, 2024 · Resident Rights

  • Potential for harm · E June 12, 2024

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected July 22, 2024 · Resident Rights

  • Potential for harm · D June 12, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected July 22, 2024 · Resident Rights

  • Potential for harm · E June 12, 2024

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected July 22, 2024 · Resident Rights

  • Potential for harm · E June 12, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E June 12, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E June 12, 2024

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

    Corrected July 22, 2024 · Quality of Life and Care

  • Potential for harm · D June 12, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 22, 2024 · Quality of Life and Care

  • Potential for harm · E June 12, 2024

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

    Corrected July 22, 2024 · Quality of Life and Care

  • Potential for harm · E June 12, 2024

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

    Corrected July 22, 2024 · Nursing and Physician Services

  • Potential for harm · E June 12, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 22, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 7, 2025Fine$11,492
December 16, 2024Fine$10,845

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265354 · certified since March 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.