St Peters Rehab and Healthcare Center
230 Spencer Road, Saint Peters, MO 63376Map
Medicare/Medicaid certified96 certified beds~88 residents/dayFor profit - Limited Liability company
What the abuse icon means moreless
CMS flags a facility with its abuse icon when inspectors cited it for abuse that harmed a resident within the past year, or for abuse that could have harmed a resident in each of the last two years. CMS shows this same icon on its own Care Compare site, and caps the facility's ratings while it's flagged. The icon is removed when newer inspections come back clean. The deficiency list below will contain the underlying citations — read them.
What to do with this: read the abuse-related citations below, and ask the facility directly what happened and what changed. Verify the current status at medicare.gov/care-compare.
What Special Focus status means moreless
CMS keeps a short national list of nursing homes with the most persistent serious problems — the Special Focus Facility (SFF) program. SFF homes get inspected about twice as often and must improve or face termination from Medicare/Medicaid. 'SFF candidate' means the home qualifies for the list but isn't on it yet (the list has limited slots per state). Some SFF homes do graduate and improve; the designation means CMS is watching closely right now.
What to do with this: ask the administrator where the home is in the SFF process and what the improvement plan is. Verify status at medicare.gov/care-compare.
Last standard health inspection: April 12, 2024 (more than 2 years ago — ratings may not reflect current conditions)
This home's last health inspection was more than 2 years ago — ratings may not reflect current conditions. moreless
Inspections are supposed to happen roughly yearly, but surveyor shortages have left some homes uninspected for much longer. CMS flags facilities whose most recent standard health inspection is more than two years old. For these homes, the health-inspection star is based on old information — things may have improved or declined since.
What to do with this: weigh recent staffing data more heavily than the inspection star, and ask the facility when their last survey was and when they expect the next.
St Peters Rehab and Healthcare Center is a 96-bed for-profit, LLC-owned nursing home in Saint Peters, St. Charles County, Missouri, serving an average of 88 residents per day. As of CMS data processed June 1, 2026, its overall rating is 1 of 5 stars.
CMS star ratings
CMS scores every nursing home 1–5 stars overall, built from three sub-ratings. moreless
Medicare inspects and measures every certified nursing home, then rolls the results into a 1–5 star overall rating. It combines three parts: health inspections, staffing, and quality measures. Five stars means much better than average — it does not mean perfect. One star means much worse than average — it does not mean every shift is bad. Stars are a screening tool, not a verdict. They can lag reality by months, and they can't see things like how kind the aides are or how the building smells at 7am.
What to do with this: use stars to build a shortlist, then visit in person. Nothing on this site replaces walking the halls.
Health-inspection stars are graded on a curve within each state — never compare stars across state lines. moreless
CMS sets health-inspection star cutoffs separately for each state: roughly the top 10% of homes in a state get 5 stars, the bottom 20% get 1 star, no matter how the state compares to others. That means a 4-star home in one state and a 4-star home in another state may have very different inspection records. The stars tell you how a home compares to its neighbors, not to the whole country. That's why this site shows your state's median next to each star rating — and never a national star comparison.
What to do with this: compare stars only between homes in the same state. To compare across states, use staffing hours — those are real numbers, not curves.
Not all three sub-ratings are equally hard to game: inspections are the most objective, quality measures the least. moreless
The three sub-ratings come from different sources. Health inspections are done on-site by trained state surveyors who show up mostly unannounced — the most objective signal. Staffing comes from payroll records that facilities must submit and CMS audits — quite reliable. Quality measures are partly self-reported by the facility from its own resident assessments — useful, but the facility grades some of its own homework.
What to do with this: when sub-ratings disagree, weigh the inspection star most and the quality-measure star least.
Staffing
Reported hours per resident per day, from payroll records. Hours, unlike stars, can be compared across states.
Hours per resident per day: total staff hours worked, divided by the number of residents. moreless
If a home reports 3.5 total nursing hours per resident per day, that's all nursing staff time across 24 hours — roughly one caregiver-hour every 7 hours per resident, spread across day, evening, and night shifts. On a real floor it decides whether call lights get answered in 5 minutes or 25, whether someone has time to help with dinner, and whether night shift is one aide for a hall or two. Unlike star ratings, hours are actual numbers, so they CAN be compared across state lines.
What to do with this: compare a home's hours to the state and national medians shown, and ask the facility how the hours split across day, evening, and night shifts.
RN (registered nurse) hours
LPN (licensed practical nurse) hours
Nurse aide hours
Total nursing hours
CMS also adjusts these numbers for how sick each home’s residents are — a home with sicker residents needs more staff for the same star. This home’s case-mix-adjusted total: 3.18 (US median, adjusted: 3.78).
CMS also adjusts staffing numbers for how sick each home's residents are. moreless
A home full of short-term rehab patients needs different staffing than a home caring for people with advanced dementia or ventilators. Case-mix adjustment estimates how many hours a home's particular residents need, then scales the reported hours so homes can be compared fairly. A home with sicker residents needs more staff for the same star. This page shows reported (raw payroll) numbers and compares them only to other reported numbers — like with like.
What to do with this: if a home's reported hours look low, check whether its residents may simply need less care — and ask the facility directly.
Staff turnover
Total nursing staff turnover: 67.6% · MO median: 56.1% · RN turnover: 36.4% (MO median: 50%)
The share of nursing staff who left within the year. Lower is steadier. moreless
Total nursing staff turnover is the percentage of the home's nurses and aides who stopped working there during the year. Around half of nursing-home staff leaving annually is sadly common in this industry. High turnover means residents are cared for by people who don't know them — which matters enormously for dementia care, pain management, and noticing the small changes that catch problems early. Low turnover usually means staff are treated well enough to stay.
What to do with this: when you visit, ask aides how long they've worked there. Long-tenured aides are the best sign a building has.
Inspections & deficiencies
The last 3 inspection cycles, from CMS’s federal health-survey file. State-only citations and fire-safety surveys are not included — an empty list means nothing federal is in this file, not that nothing ever happened.
Each deficiency gets a letter A–L: how severe it was × how widespread it was. moreless
Surveyors grade every deficiency on a grid. Severity runs from 'potential for minimal harm' up to 'immediate jeopardy to resident health or safety.' Scope runs from isolated (one or a few residents) to pattern to widespread. A and B are paperwork-level; D–F caused no actual harm but had the potential; G–I caused actual harm; J, K, and L mean immediate jeopardy — the most serious finding a surveyor can make. Most citations nationally are D–E.
What to do with this: scan for G or higher. One J/K/L tells you more than ten D's.
Standard surveys are routine; complaint surveys happen because someone reported a problem. moreless
A standard survey is the routine top-to-bottom inspection every home gets on a recurring cycle. A complaint survey happens because a resident, family member, or staff member reported something to the state — surveyors come specifically to investigate it. Infection-control surveys focus on practices like hand hygiene and isolation procedures. A deficiency found during a complaint survey means someone cared enough to report it and a surveyor confirmed enough to cite it.
What to do with this: note which deficiencies came from complaints — they show you what residents and families actually experienced.
The F-number on each deficiency is CMS's code for which federal requirement was violated. moreless
Every federal nursing-home requirement has a tag number. F0686, for example, is the pressure-ulcer requirement; F0600 is freedom from abuse. The tag tells you exactly which rule was broken, and the description next to it is CMS's own plain-language summary of that rule. The same tag appearing across multiple inspections is a pattern worth noticing.
What to do with this: if the same tag repeats across surveys, ask the facility what changed since the last citation.
This data shows federal health surveys only — state-only citations and fire-safety surveys aren't included. moreless
CMS's public deficiency file contains federal health-survey citations. It does not include citations issued under state-only rules, fire-safety (Life Safety Code) surveys, or anything older than three inspection cycles. A facility with no rows here may still have state citations or fire-safety findings. 'No deficiencies in this file' never means 'no violations ever.'
What to do with this: for the full picture, check your state health department's site and medicare.gov/care-compare, which shows fire-safety results separately.
104 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Quality of Life and Care: 27
- Resident Rights: 22
- Nutrition and Dietary: 15
- Resident Assessment and Care Planning: 11
- Infection Control: 10
- Nursing and Physician Services: 7
- Pharmacy Service: 5
- Environmental: 4
- Freedom from Abuse, Neglect, and Exploitation: 3
February 20, 2026Complaint surveyTag F0658D — no actual harm, potential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected February 21, 2026
September 4, 2025Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · corrected August 26, 2025
August 6, 2025Complaint surveyTag F0565E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected August 21, 2025
August 6, 2025Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected August 21, 2025
February 27, 2025Complaint surveyTag F0880E — no actual harm, potential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected March 13, 2025
November 27, 2024Complaint surveyTag F0658D — no actual harm, potential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected December 27, 2024
November 27, 2024Complaint surveyTag F0689G — actual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · corrected October 22, 2024
November 27, 2024Complaint surveyTag F0919E — no actual harm, potential for more than minimal harm, pattern
Make sure that a working call system is available in each resident's bathroom and bathing area.
Deficient, Provider has date of correction · corrected December 27, 2024
June 18, 2024Complaint surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected July 18, 2024
June 18, 2024Complaint surveyTag F0658E — no actual harm, potential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected July 18, 2024
Show 94 more deficiencies
June 18, 2024Complaint surveyTag F0677D — no actual harm, potential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected July 18, 2024
June 18, 2024Complaint surveyTag F0692D — no actual harm, potential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected July 18, 2024
June 18, 2024Complaint surveyTag F0725F — no actual harm, potential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected July 18, 2024
June 18, 2024Complaint surveyTag F0804E — no actual harm, potential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard surveyTag F0550D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard + Complaint surveyTag F0551D — no actual harm, potential for more than minimal harm, isolated
Give the resident's representative the ability to exercise the resident's rights.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0553D — no actual harm, potential for more than minimal harm, isolated
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard + Complaint surveyTag F0558E — no actual harm, potential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0559D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0565E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0578E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard + Complaint surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard surveyTag F0585D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard + Complaint surveyTag F0600J — immediate jeopardy to resident health or safety, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0609J — immediate jeopardy to resident health or safety, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0625D — no actual harm, potential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard + Complaint surveyTag F0658E — no actual harm, potential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard surveyTag F0677D — no actual harm, potential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard surveyTag F0679E — no actual harm, potential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0680F — no actual harm, potential for more than minimal harm, widespread
Ensure the activities program is directed by a qualified professional.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard + Complaint surveyTag F0692E — no actual harm, potential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard surveyTag F0695D — no actual harm, potential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0697G — actual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard + Complaint surveyTag F0725F — no actual harm, potential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard surveyTag F0745D — no actual harm, potential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0755D — no actual harm, potential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0759E — no actual harm, potential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard surveyTag F0761D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard + Complaint surveyTag F0804E — no actual harm, potential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected July 18, 2024
April 12, 2024Standard surveyTag F0882F — no actual harm, potential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Deficient, Provider has date of correction · corrected May 26, 2024
April 12, 2024Standard surveyTag F0919F — no actual harm, potential for more than minimal harm, widespread
Make sure that a working call system is available in each resident's bathroom and bathing area.
Deficient, Provider has date of correction · corrected July 18, 2024
November 15, 2023Complaint surveyTag F0658E — no actual harm, potential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected February 7, 2024
November 15, 2023Complaint surveyTag F0742G — actual harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Deficient, Provider has date of correction · corrected December 18, 2023
October 19, 2023Complaint surveyTag F0558E — no actual harm, potential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected November 28, 2023
October 19, 2023Complaint surveyTag F0657E — no actual harm, potential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected November 28, 2023
October 19, 2023Complaint surveyTag F0677E — no actual harm, potential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected November 28, 2023
October 19, 2023Complaint surveyTag F0725E — no actual harm, potential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected February 7, 2024
October 19, 2023Complaint surveyTag F0804E — no actual harm, potential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected November 28, 2023
October 19, 2023Complaint surveyTag F0880F — no actual harm, potential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected November 28, 2023
September 12, 2023Complaint surveyTag F0558E — no actual harm, potential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected November 28, 2023
September 12, 2023Complaint surveyTag F0657E — no actual harm, potential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected November 28, 2023
September 12, 2023Complaint surveyTag F0658E — no actual harm, potential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected February 7, 2024
September 12, 2023Complaint surveyTag F0676E — no actual harm, potential for more than minimal harm, pattern
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Deficient, Provider has date of correction · corrected October 13, 2023
September 12, 2023Complaint surveyTag F0677E — no actual harm, potential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected November 28, 2023
September 12, 2023Complaint surveyTag F0725E — no actual harm, potential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected February 7, 2024
September 12, 2023Complaint surveyTag F0726E — no actual harm, potential for more than minimal harm, pattern
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Deficient, Provider has date of correction · corrected October 13, 2023
September 12, 2023Complaint surveyTag F0804E — no actual harm, potential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected November 28, 2023
September 12, 2023Complaint surveyTag F0880F — no actual harm, potential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected November 28, 2023
June 1, 2023Complaint surveyTag F0558D — no actual harm, potential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected June 28, 2023
June 1, 2023Complaint + Infection control surveyTag F0880E — no actual harm, potential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected June 28, 2023
June 1, 2023Infection control surveyTag F0883E — no actual harm, potential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has date of correction · corrected June 28, 2023
April 13, 2022Standard surveyTag F0550E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0565E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0567B — no actual harm, potential for minimal harm, pattern
Honor the resident's right to manage his or her financial affairs.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0625B — no actual harm, potential for minimal harm, pattern
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0656E — no actual harm, potential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0657E — no actual harm, potential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0677E — no actual harm, potential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0678E — no actual harm, potential for more than minimal harm, pattern
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0686E — no actual harm, potential for more than minimal harm, pattern
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0688E — no actual harm, potential for more than minimal harm, pattern
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0689E — no actual harm, potential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected July 18, 2022
April 13, 2022Standard surveyTag F0725F — no actual harm, potential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0727F — no actual harm, potential for more than minimal harm, widespread
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.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0755E — no actual harm, potential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction · corrected July 18, 2022
April 13, 2022Standard surveyTag F0761E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected July 18, 2022
April 13, 2022Standard surveyTag F0804E — no actual harm, potential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0809E — no actual harm, potential for more than minimal harm, pattern
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0880E — no actual harm, potential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0883E — no actual harm, potential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0888C — no actual harm, potential for minimal harm, widespread
Ensure staff are vaccinated for COVID-19
Deficient, Provider has date of correction · corrected July 18, 2022
April 13, 2022Standard surveyTag F0909E — no actual harm, potential for more than minimal harm, pattern
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Deficient, Provider has date of correction · corrected June 17, 2022
April 13, 2022Standard surveyTag F0919E — no actual harm, potential for more than minimal harm, pattern
Make sure that a working call system is available in each resident's bathroom and bathing area.
Deficient, Provider has date of correction · corrected July 18, 2022
September 6, 2019Standard surveyTag F0582B — no actual harm, potential for minimal harm, pattern
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0583E — no actual harm, potential for more than minimal harm, pattern
Keep residents' personal and medical records private and confidential.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0658D — no actual harm, potential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0677E — no actual harm, potential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0689E — no actual harm, potential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0693D — no actual harm, potential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0803E — no actual harm, potential for more than minimal harm, pattern
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0804E — no actual harm, potential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0805E — no actual harm, potential for more than minimal harm, pattern
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0806D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0807D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0814D — no actual harm, potential for more than minimal harm, isolated
Dispose of garbage and refuse properly.
Deficient, Provider has date of correction · corrected October 18, 2019
September 6, 2019Standard surveyTag F0880E — no actual harm, potential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected October 18, 2019
Fines & penalties
CMS can fine a home or stop paying for new admissions. Shown per CMS's current data window (~3 years) — not all-time. moreless
When deficiencies are serious or aren't fixed, CMS can impose a fine (a civil money penalty) or a payment denial — refusing to pay for new Medicare/Medicaid admissions until the home fixes the problem. Payment denials hit harder than most fines because they stop revenue. CMS's public dataset covers a rolling window of roughly the last three years, so the totals here are recent history, not an all-time record. Many facilities have no penalties in the window — that's common, not remarkable.
What to do with this: a recent large fine deserves a direct question on your visit — what happened, and what changed?
Fines: 4 totaling $168,026 · Payment denials: 2 — per CMS data (rolling ~3-year window).
| Date | Type | Amount / length |
|---|---|---|
| September 4, 2025 | Fine | $12,425 |
| November 27, 2024 | Fine | $14,050 |
| April 12, 2024 | Fine | $65,247 |
| April 12, 2024 | Payment Denial | 51 days, from May 28, 2024 |
| September 12, 2023 | Fine | $76,304 |
| September 12, 2023 | Payment Denial | 78 days, from November 21, 2023 |
Ownership & chain
Who actually owns and controls the facility — individuals, companies, and their stakes. moreless
Nursing homes are often owned through layers: an operating company, a property company, management companies, and individual investors with percentage stakes. CMS publishes who holds 5%-or-greater interests and who has operational control. Ownership matters because it sets the budget: research has linked some ownership structures, especially certain chains and investment vehicles, to lower staffing. That's a pattern across the industry, not a verdict on any one building.
What to do with this: know who owns the home before you sign anything, and ask the administrator who actually sets the staffing budget.
Part of Ama Holdings (14 facilities). Chain average overall rating: 1.6★ — this facility: 1★.
Most US nursing homes belong to a chain. The chain's average rating is context for this home's rating. moreless
A chain is a group of facilities sharing an owner or operator. Chains share budgets, policies, and management practices, so a chain's average rating tells you something about the company behind the building. A home rating well above its chain's average may have an unusually strong local team; one below it may be the chain's neglected building. Either way, the chain sets the constraints the local staff work within.
What to do with this: if the chain average is low, ask the administrator what this building does differently.
| Owner / manager | Role | Stake | Since |
|---|---|---|---|
| St Peters Holdco LLC (Organization) | 5% or greater direct ownership interest | 100% | 03/01/2024 |
| Ama Holdings LLC (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/01/2024 |
| Def Holdings LLC (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/01/2024 |
| Marx, Asher (Individual) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/01/2024 |
| St Peters Partners LLC (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/01/2024 |
| Wolf, Jacques (Individual) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/01/2024 |
| Marx, Asher (Individual) | Corporate director | NOT APPLICABLE | 03/01/2024 |
| Wolf, Jacques (Individual) | Corporate director | NOT APPLICABLE | 03/01/2024 |
| Marx, Asher (Individual) | Operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| Wolf, Jacques (Individual) | Operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| Kamins, Eliyahu (Individual) | W-2 managing employee | NOT APPLICABLE | 03/01/2024 |
Nearby facilities in St. Charles County
Most families compare 2–3 homes. Same county, sorted by overall rating:
Visiting? Go in with questions.
Built from this facility’s own CMS data — bring them on the tour.
- CMS has applied its abuse icon to this facility — ask what happened, what the corrective plan was, and how staff are trained now.
- CMS lists this facility as a Special Focus Facility candidate — ask where the home is in the program and what the improvement plan is.
- Their total nursing staff turnover (67.6%) is above the MO median (56.1%) — ask how long the aides on your person's unit have worked there.
- CMS data shows 4 fines totaling $168,026 in its current data window — ask what the citations were for and what changed afterward.
- Their weekend total nurse staffing (2.92/resident/day) is lower than their overall figure (3.56) — ask who covers weekends and how shifts are filled when someone calls out.
- CMS flags that the most recent health inspection here was more than 2 years ago — ask when they expect the next survey and what has changed since the last one.
- Their last standard health inspection was April 12, 2024 — ask what's improved since then.
Data: Centers for Medicare & Medicaid Services (data.cms.gov), processing date June 1, 2026. This site is not affiliated with CMS or any government agency.