Home / Missouri / Saint Charles
723 1st Capitol Drive, Saint Charles, MO 63301 · St. Charles County · (636) 946-4140
103 certified beds, about 81 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2004
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265783 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 6, 2024, inspectors cited 9 health deficiencies (the Missouri average is 11.4, the national average 9.2).
Of 23 health citations since September 2019, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 4 fines totaling $11,536 in the last three years; the largest was $4,194, and the latest is dated November 13, 2023.
Nurses and nurse aides worked 4.31 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Inspectors wroteBased on interview and review of video from the resident's room and record review, the facility failed to provide care in a dignified and respectful manner for one resident (Resident #4), in a review of eight sampled residents. The resident presented with ALS (amyotrophic lateral sclerosis, a progressive neurological disorder that leads to muscle weakness, atrophy, and eventually paralysis. ALS does not typically affect cognitive functions like thinking, memory, or sensory perception). The resident was dependent on staff for cares and had difficulty communicating both verbally and in writing. The resident wanted a drink and Certified Nurse Aide A interaction with the resident was impatient and dismissive when the resident attempted to communicate his/her preferences. The resident became upset causing further difficulty for the resident in his/her attempts to communicate. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide care in a dignified and respectful manner for two dependent residents (Resident #4 and #5), in a review of six residents. Residents reported Certified Nurse Aide (CNA) C was rough while providing care. The facility census was 86. Review of the facility policy Right to Dignity, Respect and Freedom, revised 10/25/23, showed the following: -Residents will be treated with consideration, respect and dignity; -Residents have a right to self-determination. 1. Review of Resident #5's significant change Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, dated 9/15/24, showed the following: -The resident had severely impaired cognition; -He/She was dependent on staff for toileting, hygiene, and transfers; -He/She was always incontinent of bladder and bowel. [...]
Inspectors wroteBased on observations, interviews and record review, the facility failed to maintain the temperature at a safe and comfortable level for the residents who resided on the third floor, when the blower units for the air conditioner were no longer functioning. The facility did not monitor the air temperatures while waiting for the units to be replaced and did not move residents to an area of the facility that maintained acceptable temperatures. This affected rooms 321 through 331 on the third floor. The facility census was 80. Review of the facility policy for Extreme Temperatures dated [DATE] showed the following: -In the event of a power loss, this facility's central air conditioning and heating systems will not function as they are not on the generator. The follow guidelines should be followed to ensure resident safety during times of heat or air conditioning loss; -Air conditioning Loss: [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to serve the proper size entree to residents on a regular diet and mechanical soft diets, and failed to served pureed food items according to the spreadsheet menu to all residents on a pureed diet. The facility census was 73. Review of the undated facility policy, Portion Control, showed the following: -Individuals will receive the appropriate portions of food as defined by the state regulations and as planned on the menu. Control at the point of service is necessary to assure that the appropriate portion is served; -Use standardized recipes to avoid waste caused by overproduction. Recipes should be adjusted as needed and the yield and serving size specified on each recipe. The menu should list the specific portion size for each food item. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the ice machine to be free of an accumulation of debris, failed to ensure food and beverage items were labeled, dated, properly stored and discarded when expired, failed to ensure open cans of foods were properly maintained during food preparation; failed to ensure a scoops was not stored inside a bulk food container, and failed to ensure staff used safe food handling techniques during meal service in the dining room. The facility census was 73. 1. Review of the undated facility policy, Cleaning Instructions: Ice Machine and Equipment, showed the ice machine and equipment (scoops) will be cleaned on a regular basis to maintain a clean, sanitary condition. Observation on 6/3/24 at 12:20 P.M. and on 6/4/24 at 9:11 A.M. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement Enhanced Barrier Precautions (EBP) for four residents (Resident #3, #5, #2, and #1), in a review of six residents who had indwelling medical devices or open wounds. Staff failed to utilize Personal Protective Equipment (PPE) while providing high-contact care activities or wound care. The facility had six residents with indwelling urinary catheters (a sterile tube inserted into the bladder to drain the bladder of urine), one resident with a wound vac (wound management system for open draining wounds), and one resident with a tube feeding (a tube inserted into the stomach to provide nutrition, water and medications). The facility census was 89. [...]
Inspectors wroteBased on interview and record review, the facility failed to provide updated pneumococcal vaccine (a vaccine that can protect against pneumococcal disease) education as indicated by the current Centers for Disease Control and Prevention (CDC) guidelines and failed to provide the option to receive the updated vaccination for four residents (Resident #318, #271, #54, and #275), who were admitted after new guidance was released, in a review of 18 sampled residents. The facility census was 73. Review of the facility policy Pneumococcal Policy dated 7/2016 showed: -All residents will be offered pneumococcal vaccines to aid in preventing pneumonia/pneumococcal infections; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to complete inspections of bed frames, mattresses, bed rails/ assist bars as part of a regular maintenance program to identify areas of possible entrapment for four residents, (Resident #1, #24, #32, and #271) in a review of 18 sampled residents who used bed rails. The facility census was 73. Review of the facility's Side Rail Assessment and Consent Policy, dated (last reviewed/revised) 11/16/2023, showed the following: -It is the policy of this facility to provide resident centered care that meets the psychosocial, physical, and emotional needs and concerns of the residents. The safety of the residents, staff, and visitors are a primary concern. The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. [...]
Inspectors wroteBased on interview and record review, the facility failed to report an injury of unknown origin as required to the state survey agency for one resident (Resident #51), in a review of 18 sampled residents. The facility census was 73. Review of the facility policy, Abuse Prevention, date (last revised 09/10/23), showed the following: -The facility is committed to protecting the residents from abuse by anyone including, but not limited to facility staff, other residents, and staff from other agencies providing services to our residents, family members, legal guardians, surrogates, sponsors, friends, visitors, or any other individual; -Identification: -Identify events, such as suspicious bruising of residents, occurrences, patterns, and trends that may constitute abuse; and to determine the direction of the investigation; [...]
Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate bruising of unknown origin that occurred for one resident (Resident #51), in a review of 18 sampled residents, to identify cause. The facility census was 73. Review of the facility policy, Abuse Prevention, date (last revised 09/10/23), showed the following: -The facility is committed to protecting the residents from abuse by anyone including, but not limited to facility staff, other residents, and staff from other agencies providing services to our residents, family members, legal guardians, surrogates, sponsors, friends, visitors, or any other individual; -Identify events, such as suspicious bruising of residents, occurrences, patterns, and trends that may constitute abuse; and to determine the direction of the investigation; [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medication was administered per policy and as ordered, for one resident, Resident #55. The resident had a feeding tube (a tube inserted through the skin and the stomach wall to access for liquid nutrition and medications). Staff administered the resident's medications and did not flush appropriately between medications, and did not follow facility policy when preparing medications for dissolved medications or flushing with administration. This resulted in a medication error rate of 23.3% with 43 opportunities observed with ten errors. The facility census was 79. [...]
Inspectors wroteBased on observation and interview, the facility failed to maintain and repair essential food preparation equipment in the main facility kitchen. The facility census was 73. 1. Observation on 6/3/24 at 1:51 P.M., showed the meat slicer sat on a metal tray on top of the metal preparation counter and was covered with a vinyl/plastic cover. A layer of yellowish grease or liquid sat in the bottom of the tray and the base of the meat slicer sat in the liquid. During interview on 6/3/24 at 1:56 P.M. and on 6/4/24 at 2:24 P.M., the Dietary Director said the following: -She had worked at the facility for 16 years in dietary and had been the dietary director since September 2023; -The meat slicer was broken and had been broken for a couple of years. The grease in the bottom is from the meat slicer possibly leaking oil. The machine has not been in use. 2. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to transfer one resident, (Resident #1), of 3 sampled residents, after the resident repeatedly requested to be transferred to bed due to pain. The facility census was 92. The facility did not provide a policy for review regarding response to resident call lights when requested. 1. Review of Resident #1's comprehensive Minimum Data Set (MDS), a federally mandated assessment instrument completed by staff, dated 7/27/23 showed: -The resident is able to make him/herself understood and able to understand others; -The resident is alert and oriented and able to make decisions; -Dependent upon staff all Activities of Daily Living (ADL's); -Dependent upon two staff members for transfer from bed to wheelchair and wheelchair to bed; [...]
Inspectors wroteBased on interview, record review, facility document review, and facility policy review, the facility failed to immediately consult the physician for one (Resident #58) of three sampled residents reviewed for diabetic management, when the resident was admitted to the facility on high-dose insulin and other diabetic medications, but had no orders for blood glucose (blood sugar) monitoring. Additionally, the facility failed to consult with the physician when Resident #58's insulin was withheld due to hypoglycemic (low blood sugar) episodes. The failed practices resulted in Resident #58 requiring emergency care, administration of intravenous (IV) glucose, and subsequent hospitalization to correct a critically low blood sugar. [...]
Inspectors wroteBased on interviews, record review, facility document review, and facility policy review, the facility failed to ensure diabetes management was provided in accordance with accepted standards of nursing practice for one (Resident #58) of three sampled residents reviewed for diabetic management. Specifically, the facility failed to ensure when Resident #58 was admitted to the facility with orders for high-dose insulin and oral diabetes medications, that licensed nursing staff identified and addressed a lack of orders for blood glucose (blood sugar) testing and initiated monitoring for signs/symptoms of hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar). Additionally, licensed nursing staff withheld Resident #58's physician-ordered insulin without discussing that decision with the resident's physician. [...]
Inspectors wroteBased on observations, interviews, document review, and facility policy review, the facility failed to ensure the kitchen was maintained in a sanitary condition to prevent potential food borne illness for residents who received meals from the kitchen. Specifically, the facility: - Failed to ensure leftover food items stored in the refrigerators and freezers were dated, labeled, and tightly sealed. - A scoop used in a bulk flour bin was properly stored. - Kitchen equipment, shelves, and floors were free from excessive dirt, grease, and/or debris. - Floor tiles and a handwashing sink were maintained in good repair. - Sanitizer concentration in the dish machine and three-compartment sink was regularly tested and documented. - Dietary staff washed their hands when contaminated, prior to handling food. [...]
Inspectors wroteBased on observations, interviews, product information review, and policy review, the facility failed to ensure all medications and biologicals were labeled in accordance with accepted professional principles and expired medications were removed from stock to prevent their inadvertent administration to residents who received medications from two of two medication carts. Specifically, observations revealed multi-dose medications were opened, but were not labeled with the opened date, and multi-dose medications that were dated were kept in the medication carts beyond the manufacturer's specified timeframes for use.
Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to develop a baseline care plan within 48 hours of admission to address individualized care needs for one (Resident #58) of six newly admitted residents whose records were reviewed for baseline care plans. The failed practice had the potential to affect 13 residents who were newly admitted to the facility within the last 30 days.
Inspectors wroteBased on interviews, record review, and facility policy review, the facility failed to ensure the comprehensive care plan addressed diabetes management for one (Resident #58) of three sampled residents reviewed for insulin use. This had the potential to affect 11 residents who received insulin injections.
Inspectors wroteBased on interviews, record review, and facility document review, it was determined the facility failed to ensure one (Registered Nurse #1) of four licensed nursing staff reviewed received training and demonstrated competency with diabetes management. This affected one (Resident #58) of two residents receiving insulin under the care of RN #1.
Inspectors wroteBased on interviews, record review, document review, and facility policy review, the facility failed to ensure COVID-19 vaccination education and declinations were documented in the medical record for two (Resident #11 and Resident #58) of five sampled residents reviewed for immunization documentation.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff served food items that were palatable, conserved nutritive value, flavor and appearance and failed to ensure the foods were served at a safe and appetizing temperature. The certified census was 70 and the licensed only census 23. 1. Review of the facility policy titled, Diet Order, dated January 2019, showed: -The facility staff is expected to follow the ordering physicians or Licensed Personnel's diet order as documented in the Electronic Medical Record (EMR). These orders are to include texture and liquid consistency; -Residents diet orders may be downgraded but not upgraded for resident convenience in eating; -It is the policy of this Home to ensure all residents receive a balanced diet; -Meals should be attractive, palatable and appetizing at an appropriate temperature; [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that nursing staff washed their hands after each direct resident contact and when indicated by professional practices during personal care, for one resident (Resident #8) in a review of 18 residents and for two additional residents (Resident #404 and #405). The facility census was 70. 1. Review of the facility policy Handwashing dated July 2016 showed the following: -The purpose was to provide guidelines for the proper hand washing to prevent the spread of infection to other personnel, residents and visitors; -All facility personnel must wash their hands for 15 seconds under the following conditions: 1. When coming on duty; 2. Between resident contacts; 3. After handling contaminated objects; 4. When hands were obviously soiled; 5. Before performing invasive procedure; 8. [...]
30 fire safety citations on file: 13 on June 6, 2024, 13 on October 28, 2022, 4 on September 20, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| November 13, 2023 | Fine | $2,797 |
| November 6, 2023 | Fine | $2,447 |
| October 30, 2023 | Fine | $2,098 |
| October 10, 2023 | Fine | $4,194 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.31 | 3.43 | 3.86 |
| Registered nurses | 0.55 | 0.46 | 0.69 |
| All nursing staff on weekends | 3.70 | 3.01 | 3.42 |
| Nurse aides | 2.85 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | not reported | 56.0% | 45.8% |
| Registered nurse turnover | not reported | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.65 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.56 on weekdays and 3.70 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.75 in April to June 2025 to 4.31 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.31 | 0.55 | 4.56 | 3.70 | 0.4% | 1 of 90 | 81 |
| Oct to Dec 2025 | 4.51 | 0.53 | 4.67 | 4.11 | 1.5% | 3 of 92 | 87 |
| Jul to Sep 2025 | 4.78 | 0.46 | 4.88 | 4.52 | 1.7% | 4 of 92 | 85 |
| Apr to Jun 2025 | 4.75 | 0.36 | 4.93 | 4.31 | 5.8% | 2 of 91 | 83 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Missouri | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.8 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.6 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.4 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.9 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.1 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.6 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.3 | 13.7 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Laurel Meadows Wellness & Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
45.5% this home
No different from the national rate
US median of homes 51.5% · Missouri: 41 better, 31 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 119 eligible stays.
10.2% this home
No different from the national rate
US median of homes 10.7% · Missouri: 0 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 124 eligible stays.
5.9% this home
No different from the national rate
US median of homes 7.1% · Missouri: 1 better, 5 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 65 eligible stays.
40.0% this home
Median of homes: Missouri51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 30 residents counted.
2.1% this home
Median of homes: Missouri0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 47 residents counted.
0.0% this home
Median of homes: Missouri2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 47 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Missouri100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 16 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.