Nursing homes across Marion County, Missouri, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Monroe City Manor runs 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 36.8% sits well below the national 45.8%, people tend to stay here. Weekends thin out, though, dropping about 16% below weekday coverage, and the quality measure rating comes in at just 1 out of 5, which is the number worth asking about. Inspections in August 2025 turned up 10 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,408 fine. The staffing is genuinely solid; the clinical outcomes and that one harm-level finding are where the concerns live.
Maple Lawn has a staffing edge on paper, 4.06 nurse hours per resident day, roughly 5% above the national average, but that number hides two problems. Weekend coverage drops about 9% below its own weekday level, and 65% of staff turn over each year against a national rate near 46%, so the people providing that care keep changing. The inspection record is harder to explain away: 44 deficiencies, five of them serious enough to put residents at risk of harm, seven tied to abuse, and two fines totaling $74,653. County ownership and a December 2025 inspection don't offset what those findings describe.
Luther Manor runs 64 certified beds as a nonprofit corporation, and its federal ratings land low across the board: one star each for staffing and quality measures, two for health inspections. The record shows 28 deficiencies, including three at the harm or jeopardy level and four tied to abuse, that's a pattern families should ask about directly, not just a number. Staffing sits far enough below what CMS expects to earn a single star, which matters most on nights and weekends when needs don't pause. One fine totaling $13,270 appears on the record, and the last inspection closed in October 2025, so the findings are recent rather than historical. Nonprofit ownership alone doesn't fix any of this.
Beth Haven has one genuinely good number: 4.61 total nurse hours per resident day, roughly 19% above the national average of 3.86. That's where the good news stops. CMS has placed this Hannibal home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the inspection record explains why, 81 deficiencies, five of them at harm or jeopardy level, 12 abuse-related, and six fines totaling $70,743. All three CMS star ratings sit at 1 out of 5, and the most recent inspection was February 2025, so this isn't a stale picture. Weekend staffing also dips about 7% below weekday levels. Corporate-owned, 105 beds. Staffing hours alone don't offset an inspection and quality record like this.
Beloved Health and Rehabilitation Center in Hannibal is a for-profit, individually owned home with 111 certified beds, and the numbers behind its record are hard to read past. Nurse staffing runs 2.79 hours per resident day, roughly 28% under the national average, and weekends drop about 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Its inspection history is the bigger concern: 133 deficiencies on the current record, 15 of them serious enough to put residents at risk of harm or jeopardy, 9 tied to abuse, and $279,380 in federal fines across three penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The last inspection was November 27, 2024.