What is NHC Healthcare, St. Charles's Medicare star rating?

CMS rates NHC Healthcare, St. Charles 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did NHC Healthcare, St. Charles get at its last inspection?

3 health deficiencies at the standard inspection on June 20, 2024. The Missouri average is 11.4.

Has NHC Healthcare, St. Charles been fined?

CMS lists no fines in the last three years.

Does NHC Healthcare, St. Charles accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns NHC Healthcare, St. Charles?

CMS lists 21 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-ST. CHARLES LLC.

NHC Healthcare, St. Charles: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on June 20, 2024, inspectors cited 3 health deficiencies (the Missouri average is 11.4, the national average 9.2).

None of its 8 health citations since October 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.34 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

59.0% of nursing staff left within the year CMS measured (Missouri average 56.0%).

CMS links it to National Healthcare Corporation, an affiliated group of 71 nursing homes.

Health inspections

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.

110/19

311/22

101/24

306/24

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 8 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

June 20, 2024Standard inspection · 3 citations

E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 5, 2024

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure nursing staff performed appropriate hand hygiene and changed gloves during personal care of two residents (Residents #21 and #55), in a review of 21 sampled residents. The facility census was 89. Review of the facility's policy, Hand Hygiene, dated April 2024, showed the following: -Hand hygiene includes both handwashing with plain or antiseptic containing soap and water or the use of alcohol-based products that do not require the use of water for the following situations: -Before and after contact with each resident; -Before donning gloves; -After removing gloves. Review of the facility's policy, Glove Technique, dated April 2024, showed gloves are used to prevent contamination of healthcare personnel hands in the following situations: [...]
E

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.

F909 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 29, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to complete inspections of bed frames, mattresses, and bed rails, as part of a regular maintenance program to identify areas of possible entrapment for three residents (Resident #3, #7, #36 ), who used bed rails/assist bars, in a review of 21 sampled residents. The facility census was 89. Review of the undated facility policy, Bed Rails Safety Check, showed the following: -When using bed rails, close attention must be given to the design of the rail and the relationship between rails and other parts of the bed. The seven areas in the bed system that have the potential for entrapment include; 1. Within the rail; 2. Under rail, between rail supports; 3. Between rail and mattress; 4. Under rail, and ends of rail; 5. Between split bed rails; 6. Between end of rail and side edge of head or foot board; 7. [...]
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2024

Inspectors wroteBased on observation, interview, and record review, the facility failed to safely transfer one resident (Resident #36), in a review of 21 sampled residents, during a mechanical lift transfer when staff failed to maintain control of the resident during the transfer, causing the resident to hit his/her head and foot on the lift. The facility census was 89. 1. Review of Resident #36's quarterly Minimum Data Set (MDS), a federally mandated assessment instrument, dated 5/23/24, showed the following: -His/Her cognition was moderately impaired; -Dependent on staff for bed to chair transfers and chair to bed transfers. Review of the resident's care plan, last reviewed/updated on 5/28/24, showed he/she required the use of a mechanical lift for all transfers. [...]

January 19, 2024Complaint inspection · 1 citation

E

Protect each resident from the wrongful use of the resident's belongings or money.

F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure five residents (Resident #1, #2, #3, #4, and #6) in a review of 16 sampled residents, were free from misappropriation of property when Licensed Practical Nurse (LPN) A misappropriated the residents' medications. The facility census was 86. On [DATE] at 9:57 A.M., the administrator was notified of the past noncompliance which occurred on [DATE]. On [DATE] the Director of Nurses (DON) identified Licensed Practical Nurse (LPN) A misappropriated Resident #1's antianxiety medication (Xanax). Upon discovery, staff sent LPN A home, conducted an investigation which showed additional misappropriation and inconsistencies, followed the facility policy and notified appropriate parties, including local law enforcement. [...]

November 10, 2022Standard inspection · 3 citations

E

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 23, 2022

Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure that assessments were completed accurately for four (Residents #15, #17, #38, and #63) of nineteen residents reviewed. Specifically, the facility failed to ensure that 1. Residents #15, #17, and #63 had a Brief Interview for Mental Status (BIMS) attempted; 2. Resident #17 had skin conditions coded correctly; and 3. Resident #38 had insulin and anti-coagulant medications coded correctly.
E

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 23, 2022

Inspectors wroteBased on observations, interviews, document review, and policy review, it was determined the facility failed to ensure food was covered during delivery on two (C and D Hall) of four halls in the facility. The deficient practice had the potential to affect 24 residents who were served meals in their rooms.
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 23, 2022

Inspectors wroteBased on observations, interviews, and facility policy review, it was determined that the facility failed to ensure the medication cart was closed and locked when unattended for one (B Hall) of four medication carts in the facility.

October 11, 2019Standard inspection · 1 citation

C

Observe each nurse aide's job performance and give regular training.

F730 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) November 5, 2019

Inspectors wroteBased on interview and record review, the facility failed to ensure five of five randomly selected Certified Nurse Aides (CNA) received the required annual 12 hours resident care training. This deficient practice had the potential to affect all residents. The facility census was 101. Review of the CNA individual in-service records, showed: - CNA A, hired 04/17/12, no documentation of the training hours per in-service; - CNA B, hired 10/07/02, no documentation of the training hours per in-service; - CNA C, hired 06/29/17, no documentation of the training hours per in-service; - CNA D, hired 08/06/15, no documentation of the training hours per in-service; - CNA E, hired 09/13/12, no documentation of the training hours per in-service. During an interview on 10/09/19 at 10:48 A.M., the Director of Nursing (DON) said the prior DON had not been tracking each CNAs hours of in-service training. [...]

Fire safety inspections

30 fire safety citations on file: 14 on June 20, 2024, 12 on November 10, 2022, 4 on October 11, 2019.

Every fire safety citation30 citations

F
Develop Emergency Preparedness policies and procedures.

E 13 · June 20, 2024 · Corrected (the home has a date of correction)
F
Establish roles under a Waiver declared by secretary.

E 26 · June 20, 2024 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · June 20, 2024 · Corrected (the home has a date of correction)
F
Meet requirements for the use of electrical equipment.

K 919 · June 20, 2024 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · June 20, 2024 · Corrected (the home has a date of correction)
E
Meet other general requirements.

K 100 · June 20, 2024 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · June 20, 2024 · Corrected (the home has a date of correction)
E
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · June 20, 2024 · Corrected (the home has a date of correction)
E
Have an enclosure around a vertical opening shaft.

K 311 · June 20, 2024 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 20, 2024 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · June 20, 2024 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · June 20, 2024 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · June 20, 2024 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · June 20, 2024 · Corrected (the home has a date of correction)
F
Establish policies and procedures including evacuation.

E 20 · November 10, 2022 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · November 10, 2022 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · November 10, 2022 · Corrected (the home has a date of correction)
F
Ensure proper usage of power strips and extension cords.

K 920 · November 10, 2022 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · November 10, 2022 · Corrected (the home has a date of correction)
E
Meet other general requirements.

K 100 · November 10, 2022 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · November 10, 2022 · Corrected (the home has a date of correction)
E
Have an enclosure around a vertical opening shaft.

K 311 · November 10, 2022 · Corrected (the home has a date of correction)
E
Provide properly protected cooking facilities.

K 324 · November 10, 2022 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · November 10, 2022 · Corrected (the home has a date of correction)
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · November 10, 2022 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · November 10, 2022 · Corrected (the home has a date of correction)
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · October 11, 2019 · Corrected (the home has a date of correction)
F
Have properly located and lighted "Exit" signs.

K 293 · October 11, 2019 · Corrected (the home has a date of correction)
F
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · October 11, 2019 · Corrected (the home has a date of correction)
F
Have proper medical gas storage and administration areas.

K 923 · October 11, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

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)	3.34	3.43	3.86
Registered nurses	0.69	0.46	0.69
All nursing staff on weekends	2.96	3.01	3.42
Nurse aides	2.03
Licensed practical nurses	0.62
Nursing staff turnover (share who left in a year)	59.0%	56.0%	45.8%
Registered nurse turnover	22.2%	47.8%	42.9%
Administrators who left	1

CMS expects 3.20 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.49 on weekdays and 2.96 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.40 in April to June 2025 to 3.34 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	3.34	0.69	3.49	2.96	0.0%	0 of 90	92
Oct to Dec 2025	3.38	0.70	3.47	3.14	0.0%	0 of 92	89
Jul to Sep 2025	3.33	0.55	3.46	3.00	0.0%	0 of 92	88
Apr to Jun 2025	3.40	0.54	3.53	3.06	0.0%	0 of 91	87
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

Staff pay at this home

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.

Official wage estimates for Missouri

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.

How staff pay reports work · CNA pay by state

Quality measures

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	10.0	18.1	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	1.1	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.2	2.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.6	4.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.8	2.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	10.2	17.4	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.4	4.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	9.2	23.5	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	22.1	26.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	10.2	13.7	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.4	2.1	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.9	2.3	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for NHC Healthcare, St. Charles's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

46.6% 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. 50 eligible stays.

Potentially preventable readmissions

10.6% 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. 83 eligible stays.

Infections that led to a hospital stay

6.6% 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. 44 eligible stays.

Self-care and mobility at discharge

67.7% 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. 31 residents counted.

Falls with major injury

0.0% 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. 39 residents counted.

New or worsened pressure ulcers

2.3% 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. 39 residents counted.

Medication list given at discharge

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. 19 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.

Owners and operators

Legal business name: NHC HEALTHCARE-ST. CHARLES LLC. CMS links this home to National Healthcare Corporation, a group of 71 nursing homes averaging 4 stars overall.

Name	Role	Type	Since
NHC/Delaware Inc	Direct ownership interest	Organization	02/01/2000
Rector, Melvin	Managing control - governing body	Individual	02/01/2000
Rector, Melvin	Corporate officer	Individual	02/01/2000
National Healthcare Corporation	Operational/managerial control	Organization	02/01/2000
NHC-Op LP	Operational/managerial control	Organization	02/01/2000
Benson, Denise	Operational/managerial control	Individual	03/23/1998
Dodson, Vicki	Operational/managerial control	Individual	06/01/2019
Itzkowitz, Andrea	Operational/managerial control	Individual	01/25/2000
Kidd, Brian	Operational/managerial control	Individual	01/01/2017
Peimann, Seth	Operational/managerial control	Individual	11/01/2004
Rector, Melvin	Operational/managerial control	Individual	02/01/2000
Ussery, Robert	Operational/managerial control	Individual	02/01/2000
Blackrock Inc	Adp of the SNF	Organization	01/20/2010
National Health Corporation	Adp of the SNF	Organization	05/05/2025
National Health Investors, Inc.	Adp of the SNF	Organization	10/17/1991
National Healthcare Corporation	Adp of the SNF	Organization	07/10/2025
Vanguard Group Inc	Adp of the SNF	Organization	11/30/2006
Dodson, Vicki	Adp of the SNF	Individual	06/01/2019
Itzkowitz, Andrea	Adp of the SNF	Individual	01/25/2000
Kidd, Brian	Adp of the SNF	Individual	01/01/2017
Peimann, Seth	Adp of the SNF	Individual	05/05/2025

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 20, 2024: "Provide and implement an infection prevention and control program."
Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on June 20, 2024: "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."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 20, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on January 19, 2024: "Protect each resident from the wrongful use of the resident's belongings or money."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Missouri average of 3.01.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Lewis & Clark Gardens
Saint Charles, 1.7 mi · 1 of 5 stars · 63 citations
Aspen Point Health and Rehabilitation
Saint Charles, 2 mi · 1 of 5 stars · 63 citations
Laurel Meadows Wellness & Rehabilitation
Saint Charles, 2.5 mi · 2 of 5 stars · 23 citations
McClay Senior Care
Saint Peters, 3.3 mi · 3 of 5 stars · 43 citations
Windsor Estates of St. Charles
Saint Charles, 3.5 mi · 1 of 5 stars · 78 citations
St. Peters Rehab and Healthcare Center
Saint Peters, 4.9 mi · 1 of 5 stars · 99 citations
Avenir at Mark Twain
Bridgeton, 5 mi · 1 of 5 stars · 63 citations
Ssm Health Depaul Hospital - Anna House
Bridgeton, 5 mi · 3 of 5 stars · 29 citations

Missouri contacts for a concern about a nursing home

These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Missouri Long-Term Care Ombudsman Program, 800-309-3282. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Show Me Long Term Care in Missouri, where Missouri publishes its own records on licensed homes.

Common questions

What is NHC Healthcare, St. Charles's Medicare star rating?: CMS rates NHC Healthcare, St. Charles 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did NHC Healthcare, St. Charles get at its last inspection?: 3 health deficiencies at the standard inspection on June 20, 2024. The Missouri average is 11.4.
Has NHC Healthcare, St. Charles been fined?: CMS lists no fines in the last three years.
Does NHC Healthcare, St. Charles accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns NHC Healthcare, St. Charles?: CMS lists 21 owners and managers, and links the home to National Healthcare Corporation. Legal business name: NHC HEALTHCARE-ST. CHARLES LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.