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Marymount Manor, Eureka, MO: 1 star rating, fined $269,586 across 2 fines

Marymount Manor in Eureka, MO is owned by Riley Spence & Associates and Thomas H. Spence Residual Trust, is rated 1 of 5 stars by Medicare, and was fined $269,586 across 2 fines in the three years to October 1, 2026. CMS lists 39 health citations from inspections in that time, the latest survey on August 5, 2026, and 4 of them found actual harm or immediate jeopardy.

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Address
313 Augustine Rd, Eureka, MO 63025
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
1 of 5
Certified beds
174
Residents per day
74 on average
Ownership type
For profit, corporation
Legal business name
Marymount Manor LLC
Chain
Riley Spence Senior Living, 5 facilities
Fines
$269,586 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
39, of which 4 with actual harm or immediate jeopardy
Latest survey
August 5, 2026
CMS Certification Number
265140
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
August 5, 2026Fine$136,890Not listeddata.cms.gov
December 18, 2023Fine$132,696Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 5, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J: isolated, immediate jeopardyCorrectedAugust 11, 2026data.cms.gov
September 9, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2025data.cms.gov
June 13, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.C: widespread, minimal harm potentialCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F881Implement a program that monitors antibiotic use.C: widespread, minimal harm potentialCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F727Have 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F700Try 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F679Provide activities to meet all resident's needs.C: widespread, minimal harm potentialCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.C: widespread, minimal harm potentialCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2025data.cms.gov
June 13, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.C: widespread, minimal harm potentialCorrectedJuly 10, 2025data.cms.gov
June 13, 2025F584Honor 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.C: widespread, minimal harm potentialCorrectedJuly 25, 2025data.cms.gov
September 25, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
September 25, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2024data.cms.gov
March 28, 2024F881Implement a program that monitors antibiotic use.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F728Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F700Try 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 20, 2024data.cms.gov
March 28, 2024F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
March 28, 2024F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 29, 2024data.cms.gov
December 18, 2023F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedJanuary 16, 2024data.cms.gov
December 18, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedJanuary 16, 2024data.cms.gov
December 18, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedJanuary 16, 2024data.cms.gov
December 18, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 16, 2024data.cms.gov
December 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 19, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 12 individual or personal trusts (2 owners, 4 managers, 2 officers, directors or trustees, 4 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Riley Spence & AssociatesDirect ownerNot listedJanuary 1, 2007data.cms.gov
Thomas H. Spence Residual TrustDirect ownerNot listedJanuary 1, 2007data.cms.gov
Riley Spence Management Company, LLCIndirect ownerNot listedJanuary 1, 2007data.cms.gov
Thomas H. Spence Marital Trust IIndirect ownerNot listedJanuary 1, 2007data.cms.gov
Thomas H. Spence Marital Trust IIIndirect ownerNot listedJanuary 1, 2007data.cms.gov
Riley Spence Management Company, LLCOperational or managerial controlNot listedJanuary 1, 2007data.cms.gov
Riley Spence & AssociatesAdditional disclosable partyNot listedMay 6, 2025data.cms.gov
Thomas H. Spence Marital Trust ITrusteeNot listedJanuary 1, 2007data.cms.gov
Thomas H. Spence Marital Trust IITrusteeNot listedJanuary 1, 2007data.cms.gov
Thomas H. Spence Residual TrustTrusteeNot listedJanuary 1, 2007data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.