1035 Plaza Court North, Saint Clair, MO 63077 · Franklin County · (636) 629-2100
79 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 265495 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 7, 2025, inspectors cited 1 health deficiency (the Missouri average is 11.4, the national average 9.2).
Of 8 health citations since January 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated February 19, 2026.
Nurses and nurse aides worked 3.83 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
56.2% of nursing staff left within the year CMS measured (Missouri average 56.0%).
CMS links it to Americare Senior Living, an affiliated group of 23 nursing homes.
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 8 health citations on file.
Inspectors wroteBased on interview and record review, facility staff failed to prevent an injury to one resident (Resident #1) when a Certified Nursing Assistant (CNA) rolled the resident during care, without the assistance of second staff member, as directed in the resident's Plan of Care. The facility census was 57. The administrator was notified on 03/04/26 of past Non-Compliance which occurred on 02/08/26. On 02/08/26 the Director of Nursing (DON) investigated the fall, immediately educated Licensed Practical Nurse (LPN) B and CNA A on proper transfers, two person assist with care, and communication with other staff. The DON in-serviced all direct care staff on where to find information on resident care plans, and the need for two assists for the resident. 1. [...]
Inspectors wroteBased on observation, interviews, and record review facility staff failed to safely propel three residents (Resident #23, #263, and #5) in a wheelchair. Facility staff failed to safely store hazardous materials in a manner to prevent accidents in one shower room and one storage room. The facility census was 58. 1. Review of the facility's Wheelchair Mobility policy, dated 2023, showed staff were directed that if a resident needs to be propelled and does not generally move or propel the wheelchair on their own, proper foot positioning on wheelchair pedal will be maintained and provided. 2. Review of Resident #23's quarterly Minimum Data Set (MDS) a federally mandated assessment tool, dated 10/21/24, showed staff assessed the resident as follows: -Severe cognitive impairment; -Wheelchair dependent; -Diagnosis of Alzheimer. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to maintain resident dignity for three dependent residents' (esidents #45, #32 and #35) when staff did not clean and maintain the residents fingernails. The facility census was 55. 1. Review of the facility's policy titled, Right to Dignity, undated, showed staff promote care for elders of the facility in a manner and in an environment that maintains and enhances each elder's dignity and respect in full-recognition of the elder's individuality. Elders will be groomed as they including nail care. Each elder will be provided with independence and dignity during all dining experiences regardless of the amount of assistance the elder requires. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to obtain orders for one resident's (Resident #22's) Continuous Positive Airway Pressure (CPAP), a non-invasive ventilation machine that involves the administration of air usually through the nose by an external device at a predetermined level of pressure, and failed to assess and document the resident's respiratory status and response to therapy. Facility census was 54. 1. Review of the policies provided by the facility showed they did not contain a policy for CPAP, or Bi-level positive airway pressure (Bipap), a non-invasive ventilation machine that is capable of generating two adjustable pressure levels use. 2. Review of Resident #22's Quarterly Minimum Data Set (MDS), a federally mandated assessment tool, dated 12/29/23 showed staff assessed the resident as: -Cognitively intact; -Did not reject care; [...]
Inspectors wroteBased on observation, interviews, and record review, the facility staff failed to change gloves and perform hand hygiene as often as necessary, to cover trash cans when not in use, and to properly store open food to prevent cross contamination and outdated usage. This had the potential to affect all facility residents. The census was 49. 1. Review of the facility's Proper Hand Washing and Glove Use policy, dated 2020, showed: - All employees will wash hands upon entering the kitchen from any other location and between all tasks. Handwashing should occur at a minimum of every hour. - Employees will wash hands before and after handling foods, after touching any part of the uniform, face or hair; - Gloves are to be used whenever direct food contact is required; - Hands are washed before donning gloves and after removing gloves; - Gloves are changed any time hand washing would be required. [...]
Inspectors wroteBased on observation, interview, and record review, the facility staff failed to ensure proper hand hygiene was performed during medication pass for four (Residents #13, #39, #29, and #46) out of nine sampled residents. The facility census was 49 residents. 1. Review of the facility's Handwashing Policy and Procedures, undated, showed the policy directed staff to wash hands in the following situations: -When coming on duty; -When hands are obviously dirty; -Between handling of individual residents; -Before and after touching one's face; -Before and after use of toilet; -Before and after eating; -After handling dressings, used sputum containers, soiled urinals, catheters and bedpans or being exposed to body fluids; -Before leaving work. [...]
Inspectors wroteBased on interview and record review, facility staff failed to provide notice to the Ombudsman (a resident advocate who provides support and assistance with problems and/or complaints regarding the facility) related to a transfer or discharge to a hospital, including the reason for the transfer for two residents (Resident #51 and #307). The facility census was 49. 1. Review of the facility policies provided showed staff did not provide a policy for resident transfers and discharges. Review of the facility's Discharge to Facility Check Off form, undated showed the form did not include direction to notify the ombudsman. Review of the Discharge to Home Check off form, undated showed the form did not include direction to notify the ombudsman. 2. [...]
Inspectors wroteBased on observation, interview, and record review, facility staff failed to provide safe mechanical lift transfer for two residents (Residents #35, and #46) in a manner to prevent accidents. The facility census was 49. 1. Review of the facility's Safe Lifting and Movement of Residents Policy, dated June 2019, showed staff were directed as follows: -Staff responsible for direct resident care will be trained in the use of mechanical lifting devices; -Staff will be observed for competency in using mechanical lifts and observed periodically for adherence to the policies and procedures regarding use of equipment and safe lifting techniques. 2. Review of Resident #35's quarterly review minimum data set (MDS) a federally mandated assessment tool dated, 12/8/22, showed staff assessed the resident as follows: -Severe cognitive impairment; [...]
11 fire safety citations on file: 3 on March 8, 2024, 8 on January 13, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| February 19, 2026 | Fine | $8,278 |
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) | 3.83 | 3.43 | 3.86 |
| Registered nurses | 0.39 | 0.46 | 0.69 |
| All nursing staff on weekends | 3.35 | 3.01 | 3.42 |
| Nurse aides | 2.40 | ||
| Licensed practical nurses | 1.04 | ||
| Nursing staff turnover (share who left in a year) | 56.2% | 56.0% | 45.8% |
| Registered nurse turnover | 33.3% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.85 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 4.02 on weekdays and 3.35 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 3.83 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 | 3.83 | 0.39 | 4.02 | 3.35 | 5.8% | 1 of 90 | 55 |
| Oct to Dec 2025 | 3.77 | 0.38 | 4.01 | 3.16 | 2.4% | 0 of 92 | 55 |
| Jul to Sep 2025 | 3.91 | 0.37 | 4.06 | 3.54 | 0.0% | 1 of 92 | 55 |
| Apr to Jun 2025 | 3.99 | 0.42 | 4.17 | 3.53 | 6.6% | 0 of 91 | 54 |
| 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. If you work here, your report helps start one.
| 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 | 16.9 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.1 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.5 | 23.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.9 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.8 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for St. Clair Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (60.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
60.6% 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. 57 eligible stays.
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. 68 eligible stays.
7.7% 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. 33 eligible stays.
87.0% 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. 23 residents counted.
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. 25 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. 25 residents counted.
100.0% this home
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. 21 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: ST. CLAIR NURSING LLC. CMS links this home to Americare Senior Living, a group of 23 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| R H Montgomery Properties, Inc | 5% or greater direct ownership interest | Organization | 01/01/2003 | |
| St. Clair Nursing LLC | 5% or greater direct ownership interest | Organization | 01/01/2003 | |
| Montgomery, Anna | 5% or greater indirect ownership interest | Individual | 50% | 01/01/2013 |
| Reiker, James | Contracted managing employee | Individual | 04/01/2002 | |
| Schade, Kyle | Contracted managing employee | Individual | 03/01/2021 | |
| Marsh, Denice | W-2 managing employee | Individual | 08/15/2016 | |
| Reiker, James | W-2 managing employee | Individual | 01/01/2003 | |
| Montgomery, Richard | Corporate director | Individual | 01/16/2003 | |
| Montgomery, Richard | Corporate officer | Individual | 08/01/1981 | |
| Reiker, James | Corporate officer | Individual | 04/01/2002 | |
| Schade, Kyle | Corporate officer | Individual | 03/01/2021 | |
| Americare Systems, Inc. | Operational/managerial control | Organization | 04/04/2002 | |
| Hatlestad, Steven | Operational/managerial control | Individual | 04/01/2002 |
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.