Maries Manor

Nursing Home, Adult Day Care, Hospice Care, Respite Care & Skilled Nursing · Vienna, MO

CMS overall rating

174 Ballpark Rd, Vienna, MO 65582-8043 View map

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Maries Manor accepts Medicare, Medicaid, and private pay.

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Maries Manor accepts Medicare, Medicaid, and private pay.

Overview of Maries Manor

Maries Manor is a 98-bed skilled nursing facility at 174 Ballpark Road in Vienna, Missouri, operated by Vienna Nursing & Rehab, LLC in Maries County. Accepted are Medicare, Medicaid, and private pay, with 55 of 64 current residents on Medicaid and a stay length averaging 233 days, geared toward long-term care. The facility has some availability at 67 percent occupancy, aligned with Missouri’s 66.6 percent average.

CMS grades Maries Manor 3 stars, 14.1 percent above the Missouri average. Quality measures are the defining strength, running 43.4 percent above the state average, reflecting above-average clinical outcomes for the long-stay population. Across 4 inspections since 2023, the facility recorded 14 total citations, all low severity with no critical or serious findings, and no fines in the past three years.
Nurse hours reach 4h 22m per resident per day, 15 percent above the Missouri average.

Services span rehabilitation, memory care, a dietitian, and resident transportation, with an active resident council and residents group in place.

With quality measures and a clean severity record as the clearest differentiators, the facility is best for residents wanting long-term skilled nursing care in a small rural setting in Maries County.

Facility Direct Line (573) 422-3177

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 22m per day

vs avg

5 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	10m per day	▼ 63% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	40m per day	■ Avg State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 38m per day	▼ 30% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 9m per day	▼ 30% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 71% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	8m per day	▼ 58% State avg: 20m per day · National avg: 28m per day

Capacity and availability

233 days

98-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 39 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

67%

Similar to the Missouri average: 66.6%

Occupied beds

66 / 98

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceMarch 1, 2025

ExpirationFebruary 28, 2027

CountyMaries

License Number052532

CMS Certification Number265249

Certification TypeMedicare / Medicaid

Maries Manor is legally operated by Vienna Nursing & Rehab, LLC, and administered by Trina Gunter.

Corporate EntityVIENNA NURSING & REHAB, LLC

Owner NameVienna Nursing & Rehab, LLC

Skilled Nursing Facility

98 units

Total beds

98 units

Rehabilitation Services

Skilled Nursing Care

Physical And Occupational Therapies

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

Dietitians

Activities

Since 2018 · 8 years of data 82 deficiencies 11 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection December 9, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	82	35	This facility has 134% more total deficiencies than a typical Missouri assisted living residence (82 vs. MO avg 35).↑ 134% worse
Deficiencies per year Average deficiencies per year since 2018.	10.3	4.4	This facility has 134% more deficiencies per year than a typical Missouri assisted living residence (10.3 vs. MO avg 4.4).↑ 134% worse
Deficiencies per inspection Average deficiencies per inspection.	7.5	2.9	This facility has 159% more deficiencies per inspection than a typical Missouri assisted living residence (7.5 vs. MO avg 2.9).↑ 159% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	11	12	This facility has had 8% fewer total inspections than the Missouri average (11 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 8% fewer

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

December 9, 2025 complaint investigation found a medication error where one resident received another’s medications due to staff failing to verify identity, resulting in a resident accident.
August 14, 2025 routine inspection cited five deficiencies including medication transcription errors, improper medication storage for 27 residents, kitchen ceiling disrepair, poor infection control, and no antibiotic stewardship program.
May 23, 2024 routine inspection found six deficiencies in care planning, medication administration, expired supplies, dietary management, food safety, and call light accessibility.

Show Inspection Reports

Inspections since 2020

Total health inspections 3

State average N/A

Last Health inspection on May 2024

Total health citations

State average N/A

Citations per inspection

4.67

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 14 citations resulted from standard inspections.

Breakdown of citation severity (last 6 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

13 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 6 years)

Environmental moderate citation May 23, 2024

Corrected

Nutrition moderate citation May 23, 2024

Corrected

Nutrition moderate citation May 23, 2024

Corrected

Pharmacy moderate citation May 23, 2024

Corrected

Total staff 77

Employees 39

Contractors 38

Staff to resident ratio 1.20 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 22

Average shift 8.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,315

Nursing staff breakdown

8.9 hours

9.6 hours

9 hours

Contractor staffing

2,360 contractor hours this quarter

Certified Nursing Assistant: 14 Licensed Practical Nurse: 9 Respiratory Therapy Technician: 4 Registered Nurse: 4 Speech Language Pathologist: 1 Physical Therapy Aide: 1 Nurse Practitioner: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Physical Therapy Assistant: 1 Qualified Social Worker: 1

Staff by category


Certified Nursing Assistant	16	14	30	7,034	92	100%	9
Licensed Practical Nurse	5	9	14	2,968	92	100%	9.6
Medication Aide/Technician	3	0	3	1,518	92	100%	9.6
Nurse Aide in Training	6	0	6	1,235	85	92%	9.6
RN Director of Nursing	2	0	2	1,060	74	80%	9.6
Dietitian	3	0	3	940	90	98%	6.6
Dental Services Staff	1	0	1	568	58	63%	9.8
Nurse Practitioner	1	1	2	548	61	66%	7.8
Registered Nurse	1	4	5	489	48	52%	8.9
Administrator	1	0	1	464	60	65%	7.7
Speech Language Pathologist	0	1	1	267	59	64%	4.5
Physical Therapy Aide	0	1	1	103	22	24%	4.7
Respiratory Therapy Technician	0	4	4	59	25	27%	2.2
Occupational Therapy Aide	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	20	3	3%	6.8
Physical Therapy Assistant	0	1	1	16	8	9%	2
Qualified Social Worker	0	1	1	2	1	1%	1.5

30 Certified Nursing Assistant

% of Days 100%

14 Licensed Practical Nurse

% of Days 100%

3 Medication Aide/Technician

% of Days 100%

6 Nurse Aide in Training

% of Days 92%

2 RN Director of Nursing

% of Days 80%

3 Dietitian

% of Days 98%

1 Dental Services Staff

% of Days 63%

2 Nurse Practitioner

% of Days 66%

5 Registered Nurse

% of Days 52%

1 Administrator

% of Days 65%

1 Speech Language Pathologist

% of Days 64%

1 Physical Therapy Aide

% of Days 24%

4 Respiratory Therapy Technician

% of Days 27%

1 Occupational Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

1 Physical Therapy Assistant

% of Days 9%

1 Qualified Social Worker

% of Days 1%

View All Staffing Data

Total fines amount $10K

87% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $10K

State average $73K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 3.6

67% better than State average

State average: 10.9

Functional decline score 8.3

58% better than State average

State average: 19.5

Long-stay resident measures

Above average State avg: 2.7

Need for Help with Daily Activities Increased 8.4%

58% better than State average

State average: 19.8%

Walking Ability Worsened 4.6%

78% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 11.8%

35% better than State average

State average: 18.1%

Falls with Major Injury 1.4%

67% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 2.3%

53% better than State average

State average: 5.0%

Urinary Tract Infection 3.6%

33% worse than State average

State average: 2.7%

Lost Too Much Weight 1.5%

74% better than State average

State average: 5.6%

Depressive Symptoms 0.0%

100% better than State average

State average: 12.8%

Antipsychotic Use 65.1%

196% worse than State average

State average: 22.0%

Pneumococcal Vaccine 98.7%

16% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 57.1%

14% worse than State average

State average: 66.6%

Breakdown by payment type

Medicare

3% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

16% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

81% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Total residents 64

Medicaid

85.9% of residents

Private pay or other

14.1% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Maries Manor from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 57.3% ↑ 0.7pp vs 2022

Net Patient Income $187.2K ↑ ~$221.1K vs 2022

Payroll Costs $1.9M ↑ ~$72.2K vs 2022

Operating Margin 4.8% ↑ 5.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	67.2%	77.4%	77.9%	76.5%	73.5%	72.2%	73.0%	75.6%	74.8%	62.9%	55.1%	56.6%	57.3%
Beds	98	98	98	98	98	98	98	98	98	98	98	98	98
Net Income	-$163,796	$220,696	$67,234	$211,993	$165,339	$269,503	$451,752	$434,191	$655,564	$772,486	$446,490	$139,523	$238,159
Gross Revenue	$4,016,843	$4,595,476	$4,747,243	$4,820,046	$4,921,848	$4,824,478	$4,580,629	$4,544,739	$4,882,011	$3,919,872	$3,575,867	$3,541,477	$3,777,990
Operating Expenses	$3,829,898	$4,000,412	$4,341,808	$4,238,241	$4,190,082	$4,109,729	$3,851,057	$3,829,913	$3,923,835	$3,691,437	$3,350,787	$3,576,016	$3,684,406
Net Patient Income	-$193,418	$201,055	$51,219	$175,780	$135,399	$238,914	$419,652	$401,833	$622,930	$82,566	$102,702	-$33,941	$187,192
Net Patient Revenue	$3,636,480	$4,201,467	$4,393,027	$4,414,021	$4,325,481	$4,348,643	$4,270,709	$4,231,746	$4,546,765	$3,774,003	$3,453,489	$3,542,075	$3,871,598
Payroll Costs	$1,713,340	$1,900,201	$2,096,615	$2,067,134	$1,944,081	$1,933,167	$1,817,652	$1,885,344	$1,933,812	$1,869,349	$1,663,941	$1,801,691	$1,873,877
Operating Margin %	-5.3%	4.8%	1.2%	4.0%	3.1%	5.5%	9.8%	9.5%	13.7%	2.2%	3.0%	-1.0%	4.8%
Medicare %	6.8%	5.2%	3.5%	3.4%	5.8%	4.3%	2.4%	1.9%	3.6%	1.4%	1.7%	0.6%	0.4%
Medicaid %	82.0%	81.2%	82.8%	82.8%	79.0%	84.6%	77.4%	74.2%	72.6%	86.2%	88.1%	88.3%	87.9%
Private %	11.2%	13.6%	13.7%	13.7%	15.2%	11.2%	20.2%	23.9%	23.9%	12.4%	10.2%	11.1%	11.7%
Net Patient Revenue/Day	$151	$151	$158	$161	$165	$168	$164	$156	$170	$167	$175	$175	$189
Cost/Day	$159	$144	$156	$155	$159	$159	$147	$142	$147	$164	$170	$177	$180
Avg Length of Stay	85.3 days	126.8 days	168.8 days	139.0 days	127.0 days	171.5 days	161.2 days	206.4 days	160.1 days	191.2 days	195.0 days	232.6 days	232.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.9M

Net patient income

$187.2K

For-profit Operated by a single business entity.

Net patient revenue

$3.9M

Net patient income

$187.2K

Other income

$51.0K

Payroll costs

$1.9M 48.4% of net patient revenue

Other operating costs

$1.8M

Total costs

$3.7M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (81% of admissions), and a typical Medicaid stay runs around 10 - 11 months.

Coverage residents most often arrive under.

Medicare 3%

Private pay 16%

Medicaid 81%

Coverage residents most often leave under.

Medicare 2%

Private pay 18%

Medicaid 80%

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


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Nursing Home Explorer

Who is the owner of Maries Manor?

Maries Manor is legally operated by Vienna Nursing & Rehab, LLC, and administered by Trina Gunter.

Is Maries Manor in a walkable area?

Maries Manor has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Maries Manor?

According to MO state health department records, Maries Manor's license number is 052532.

When does Maries Manor's license expire?

According to MO state health department records, Maries Manor's license expires on February 28, 2027.

What is the occupancy rate at Maries Manor?

Maries Manor's occupancy is 67%.

Are pets allowed at Maries Manor?

No, Maries Manor has a no-pet policy.

Does Maries Manor operate as a for-profit or non-profit?

Maries Manor is registered as a for-profit in MO.

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Maries Manor

Overview of Maries Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Maries Manor

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2020

Breakdown of citation severity (last 6 years)

Citations history (last 6 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

30 Certified Nursing Assistant

14 Licensed Practical Nurse

3 Medication Aide/Technician

6 Nurse Aide in Training

2 RN Director of Nursing

3 Dietitian

1 Dental Services Staff

2 Nurse Practitioner

5 Registered Nurse

1 Administrator

1 Speech Language Pathologist

1 Physical Therapy Aide

4 Respiratory Therapy Technician

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Physical Therapy Assistant

1 Qualified Social Worker

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Maries Manor

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