Maryville Rehabilitation & Health Care Center

In the surveyor’s words

From the most serious findings on record at Maryville Rehabilitation & Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Dec 16, 2024

  Based on interview and record review, the facility failed to protect one resident (Resident #1), who resided on the Special Care Unit (SCU), from abuse when Certified Medication Technician (CMT) A hit Resident #1 in the face with an open hand. The facility staff then allowed the Alleged Perpetrator (AP) to stay in direct contact with Resident #1 and without supervision for over 2.5 hours. The facility census was 54. On 12/11/24, the Administrator was notified of the past noncompliance immediate jeopardy (IJ) which began on 12/11/24. Upon discovery, the facility administration immediately conducted an investigation and corrective actions were implemented. […]

• Actual harm, isolatedF684Mar 11, 2026

  Based on observation, interview and record review the facility failed to provide follow up care in a timely manner after one resident, Resident #2, sustained a fall, had reported signs of pain, did not receive treatment for four days and subsequently had a fractured hip. The facility census was 43.Review of the facility policy titled, Skilled Fall, Policy dated 05/2025 showed each resident of this community who experiences a fall will be treated and assessed to adequately treat any current injuries. […]

• Actual harm, isolatedF689Nov 17, 2025

  Based on interview, and record review, the facility failed to prevent an injury for one Resident (Resident #1) of the four sampled residents, when the facility staff did not follow the resident's care plan and did not properly transfer the resident, causing a fracture to the right lower leg. The facility census was 48.Review of the undated facility policy titled Transfers Training Policy showed:- Transfers are assessed to determine each resident needs;- Transfer assist needs are located on the resident's care plan;- Always check the resident's transfer requirements before transferring the resident;- All mechanical lifts require two people. […]

• Actual harm, isolatedF689Sep 2, 2025

  Based on observation, interview, record review, the facility failed to ensure a safe environment for one (Resident #1) of five sampled residents, and failed to follow their hot liquids policy, when a staff member brought in a personal coffee pot at the nursing station area and the nursing staff provided a hot coffee to the resident without checking the temperature before serving and leaving the resident unsupervised. The resident spilled the coffee and sustained burns to his/her chest and abdomen. The facility census was 44. On 9/2/25, the Administrator was notified of the past noncompliance incident which occurred on 08/25/25. […]

• Actual harm, isolatedF600May 7, 2025

  Based on interview and record review the facility failed to protect two residents who resided on the Memory Care Unit (Resident #1 and #5) from physical abuse by Resident #2, when Resident #2 pulled Resident #1's hair and hit Resident #5 with a water pitcher full of water, causing redness and mental distress for Resident #5. The facility census was 49. Review of the facility policy Abuse, Prevention, Prohibition Policy dated 3/2025 showed: -Each resident has right to be free from abuse; -Residents must not be subjected to abuse by anyone, including other residents; -The facility prohibits mistreatment or abuse of residents; - Abuse means the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. […]