Nursing homeActive
Marymount Manor
313 Augustine Rd, Eureka, MO 630256369386770174 certified beds · 76 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2022
Deficiencies
51
● 9● 39● 3
Penalties · 3 yrs
$132,696
1 fine
Last survey
2025-09-09
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-06-13 | Standard | 780 | CMS-2567 (Care Compare) | — |
| 2024-09-25 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-03-28 | Standard | 0150 | CMS-2567 (Care Compare) | — |
| 2023-12-18 | Complaint | 023 | CMS-2567 (Care Compare) | — |
| 2023-09-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2022-09-30 | Standard | 2100 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 265140-20250909-F684
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265140-20250613-F641
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265140-20250613-F658
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265140-20250613-F695
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265140-20250613-F700
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265140-20250613-F727
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265140-20250613-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265140-20250613-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265140-20250613-F883
F584Honor 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.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-07-25Record 265140-20250613-F584
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-07-10Record 265140-20250613-F628
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity CPaperwork
Care planningRecords
Widespread; potential for minimal harm.Corrected 2025-07-25Record 265140-20250613-F656
F679Provide activities to meet all resident's needs.Scope/severity CPaperwork
Care planning
Widespread; potential for minimal harm.Corrected 2025-07-25Record 265140-20250613-F679
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-07-25Record 265140-20250613-F732
F881Implement a program that monitors antibiotic use.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2025-07-25Record 265140-20250613-F881
F887Educate 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.Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2025-07-25Record 265140-20250613-F887
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-25Record 265140-20240925-F609
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-25Record 265140-20240925-F626
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F558
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F583
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F584
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F623
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F677
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F679
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-20Record 265140-20240328-F689
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F700
F728Ensure 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F728
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-29Record 265140-20240328-F881
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-16Record 265140-20231218-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-16Record 265140-20231218-F686
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-16Record 265140-20231218-F697
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-19Record 265140-20231218-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-16Record 265140-20231218-F725
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 265140-20230919-F677
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F569
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F607
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F689
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F712
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-07Record 265140-20220930-F880
F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2022-11-07Record 265140-20220930-F575
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2022-11-07Record 265140-20220930-F732
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-12-18 | Civil money penalty | $132,696 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.47
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.69
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.41
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover56%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover33%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.4% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.3% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 31.1% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.9% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 15.0% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.6% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Herrin, Brittany Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Oehler, Brittany Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Riley Spence Management Company, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Spence, Gregory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Woolf, Sheryl Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Herrin, Brittany Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Oehler, Brittany Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Riley Spence & Associates Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Riley Spence & Associates Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Riley Spence Management Company, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Riley, Charles Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Spence, Gregory Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Spence, Gregory Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Spence, Gregory Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Spence, Gregory Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Thomas H. Spence Marital Trust I Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Thomas H. Spence Marital Trust I Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Thomas H. Spence Marital Trust II Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Thomas H. Spence Marital Trust II Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Thomas H. Spence Residual Trust Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Thomas H. Spence Residual Trust Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Woolf, Sheryl Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Riley Spence Senior Living — 5 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for St. Louis.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| St Andrew's At Francis Place Eureka | 1.8 mi | 2025-11-19 | 1241 |
| Aegis Health And Rehabilitation Wildwood | 4.2 mi | 2025-09-16 | 0385 |
| Ellisville Rehabilitation And Nursing Ellisville | 6.1 mi | 2026-04-28 | 04312 |
| Lutheran Senior Services At Meramec Bluffs Ballwin | 7.3 mi | 2025-12-29 | 030 |
| Delmar Gardens On The Green Chesterfield | 8.6 mi | 2025-11-26 | 0152 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |