Marymount Manor

Certification

Medicare-certified.

Ratings

Inspection history (51)

Records from September 2022 to September 2025.

• September 9, 2025

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2025.

• June 13, 2025

  Tag F0700

  Try 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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0727

  Have 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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0584

  Honor 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.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0883

  Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0679

  Provide activities to meet all resident's needs.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0761

  Ensure 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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 10, 2025.

• June 13, 2025

  Tag F0881

  Implement a program that monitors antibiotic use.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0658

  Ensure services provided by the nursing facility meet professional standards of quality.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0887

  Educate 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.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0732

  Post nurse staffing information every day.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected July 25, 2025.

• June 13, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2025.

• September 25, 2024

  Tag F0626

  Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.

• September 25, 2024

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2024.

• March 28, 2024

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 20, 2024.

• March 28, 2024

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 29, 2024.

Penalties (2)

Total fines: $132,696

• August 5, 2026 · Fine

  CMS recorded a civil money penalty of $136,890 against this nursing home on August 5, 2026.

• December 18, 2023 · Fine

  CMS recorded a civil money penalty of $132,696 against this nursing home on December 18, 2023.

Staffing

3.85 nurse hours per resident per day in Q2 2026, up from 3.74 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

• Parent company: Riley Spence Management Company, LLC