Marymount Manor

Certification

Medicare-certified.

Ratings

Inspection history (51)

Records from September 2022 to September 2025.

• March 28, 2024

  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 E: pattern, no actual harm, potential for more than minimal harm. Corrected April 29, 2024.

• March 28, 2024

  Tag F0623

  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

• March 28, 2024

  Tag F0583

  Keep residents' personal and medical records private and confidential.

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

• March 28, 2024

  Tag F0679

  Provide activities to meet all resident's needs.

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

• March 28, 2024

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

• March 28, 2024

  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 April 29, 2024.

• March 28, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

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

• March 28, 2024

  Tag F0677

  Provide care and assistance to perform activities of daily living for any resident who is unable.

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

• March 28, 2024

  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 E: pattern, no actual harm, potential for more than minimal harm. Corrected April 29, 2024.

• March 28, 2024

  Tag F0881

  Implement a program that monitors antibiotic use.

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

• March 28, 2024

  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 April 29, 2024.

• March 28, 2024

  Tag F0558

  Reasonably accommodate the needs and preferences of each resident.

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

• March 28, 2024

  Tag F0728

  Ensure 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.

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

• December 18, 2023

  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 December 19, 2023.

• December 18, 2023

  Tag F0697

  Provide safe, appropriate pain management for a resident who requires such services.

  Severity G: isolated, actual harm. Corrected January 16, 2024.

• December 18, 2023

  Tag F0725

  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 16, 2024.

• December 18, 2023

  Tag F0684

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

  Severity J: isolated, immediate jeopardy. Corrected January 16, 2024.

• December 18, 2023

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G: isolated, actual harm. Corrected January 16, 2024.

• September 19, 2023

  Tag F0677

  Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 20, 2023.

• September 30, 2022

  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 November 7, 2022.

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