Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-15 | 15 | 2025-12-15 | 8 |
| Cycle 2 | 2023-11-02 | 13 | 2023-11-02 | 10 |
| Cycle 3 | 2020-02-26 | 16 | 2020-02-26 | 7 |
NURSING HOME PUBLIC RECORD
1410 West Line Street · Palmyra, MO 63461 · Marion County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-15 | 15 | 2025-12-15 | 8 |
| Cycle 2 | 2023-11-02 | 13 | 2023-11-02 | 10 |
| Cycle 3 | 2020-02-26 | 16 | 2020-02-26 | 7 |
5 rows carry G–L scope/severity codes; 0 carry J–L. 14 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2026-01-29Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2026-01-29Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-01-29Honor 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.
Correction field: Deficient, Provider has date of correction · 2026-01-29Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-01-29Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-01-29Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2026-01-29Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-01-29Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-01-29Ensure 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.
Correction field: Deficient, Provider has date of correction · 2026-01-29Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2026-01-29Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Correction field: Deficient, Provider has date of correction · 2026-01-29 · complaintProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-29Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-01-29Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2026-01-29Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2026-01-29Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-01-29Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-01-29Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-01-29Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-01-29Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-01-29Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2026-01-29Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-09-14 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-07-30 · complaintFine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-12-15 | Fine | $55,120 | 0 |
| 2025-03-04 | Fine | $19,533 | 0 |
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.