Cycle 1
Health 2025-05-07 · Fire 2025-05-07
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Kirkwood, MO
Aberdeen Heights
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
505 Couch Avenue, Kirkwood, MO
(314) 909-6000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
38
Certified beds
Average residents
34
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2011-12-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.05
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
3.39
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
5.34
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.95
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
4.73
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.62
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.12
CMS adjusted RN staffing hours
Adjusted total hours
5.72
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
65%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
323
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
73.22
Composite VBP score used to determine payment impact.
Payment multiplier
1.0238
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.69
Performance 18.79% · Measure score 5.69 · Achievement 5.69 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
6.27
Performance 5.96% · Measure score 6.27 · Achievement 6.27 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
10
Baseline 5.61 hours · Performance 6.34 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.43% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 11.76% · Lower 95% interval 7.64% |
| Discharge to community | 48.51% |
50.57%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 41.77% · Lower 95% interval 38.14% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 67 · Denominator 67 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 67 |
| Discharge self-care score | 58.82% |
53.69%
5.1 pts better
|
Numerator 30 · Denominator 51 |
| Discharge mobility score | 58.82% |
50.94%
7.9 pts better
|
Numerator 30 · Denominator 51 |
| Pressure ulcers or injuries, new or worsened | 1.49% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 67 · Adjusted rate 1.87% |
| Healthcare-associated infections requiring hospitalization | 5.96% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 55 · Observed rate 1.82% · Lower 95% interval 3.11% |
| Staff COVID-19 vaccination coverage | 3% |
8.2%
5.2 pts worse
|
Numerator 3 · Denominator 100 |
| Staff flu vaccination coverage | 24.2% |
42%
17.8 pts worse
|
Numerator 38 · Denominator 157 |
| Discharge function score | 72.55% |
56.45%
16.1 pts better
|
Numerator 37 · Denominator 51 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 35 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 72.73% |
25.2%
47.5 pts better
|
Numerator 24 · Denominator 33 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.6 |
2.1
1.5 pts worse
|
1.9
1.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 3.0 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
2.3
1.5 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
84.8%
10.6 pts better
|
93.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 88.0% · Q2 100.0% · Q3 96.3% · Q4 96.8% · 4Q avg 95.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
90.9%
9.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.3% |
4.1%
4.2 pts worse
|
3.3%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.0% · Q3 11.1% · Q4 12.9% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
14.7%
14.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
5.5%
1.3 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.3% · Q3 3.8% · Q4 4.3% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.2% |
25.3%
2.1 pts better
|
19.6%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 20.0% · Q3 26.9% · Q4 25.0% · 4Q avg 23.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.7% |
25.0%
3.3 pts better
|
16.7%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.0% |
20.3%
5.3 pts better
|
16.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.9% |
19.8%
3.9 pts better
|
14.9%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 18.2% · Q3 8.7% · Q4 13.6% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
1.4%
0.3 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 6.2% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
2.6%
1.6 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 42.6% |
18.1%
24.5 pts worse
|
19.8%
22.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 42.3% · Q3 42.4% · Q4 47.4% · 4Q avg 42.6% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.0%
0.5 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 4.7% · Q3 3.8% · Q4 5.2% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.9% |
66.4%
24.5 pts better
|
81.7%
9.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 77.4% · Q2 93.2% · Q3 97.5% · Q4 100.0% · 4Q avg 90.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.9% |
13.4%
7.5 pts better
|
12.0%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.9% · Observed 5.1% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
2.2%
0.3 pts better
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.2% |
63.5%
29.7 pts better
|
79.7%
13.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
25.3%
2.5 pts better
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 18.6% · Expected 19.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-07 · Fire 2023-12-07
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2021-06-07 · Fire 2021-06-07
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-05-07
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-10
E · Potential for more than minimal harm
2023-12-07
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-01-15
E · Potential for more than minimal harm
2023-12-07
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-01-15
E · Potential for more than minimal harm
2021-06-07
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2021-07-16
E · Potential for more than minimal harm
2021-06-07
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-07-16
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-15
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-05
D · Potential for more than minimal harm
2025-05-07
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-10
D · Potential for more than minimal harm
2025-05-07
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-10
D · Potential for more than minimal harm
2025-05-07
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-10
D · Potential for more than minimal harm
2025-05-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-10
E · Potential for more than minimal harm
2023-12-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-15
D · Potential for more than minimal harm
2023-12-07
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-15
D · Potential for more than minimal harm
2023-12-07
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-01-15
E · Potential for more than minimal harm
2021-06-07
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-07-16
Penalties and ownership
What sits behind the stars
Ownership
Altobella, Anthony
Operational/Managerial Control · Individual
Ashfield Active Living And Wellness Communities, Inc.
5% Or Greater Direct Ownership Interest · Organization
Hind, Sherry
Corporate Officer · Individual
Lin, Walter
Operational/Managerial Control · Individual
Miller, Joan
Corporate Officer · Individual
Owens, Melanie
Corporate Officer · Individual
Presbyterian Manors Of Mid-America Inc
5% Or Greater Direct Ownership Interest · Organization
Shogren, Bruce
Corporate Officer · Individual
Taylor, William
Corporate Officer · Individual
Wolff, Christie
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Grove At Kirkwood, The
Kirkwood, MO
1-star overall rating with 1-star inspections with 28 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Bethesda Dilworth
Saint Louis, MO
2-star overall rating with 2-star inspections with $90,599 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Quarters At Des Peres, The
Des Peres, MO
1-star overall rating with 1-star inspections with $342,743 in total fines with 18 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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