Federal inspection record · CMS data as of October 1, 2026
Arbor Hills Care & Rehab Center
800 Chambers Road, Ferguson, MO · (314) 524-1111
- Certified beds
- 150
- Residents per day
- 90
- Ownership
- For-Profit
- Chain
- Mgm Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 19, 2022
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Arbor Hills Care & Rehab Center carries 185.75 inspection points. That is fewer than 14% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
65 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide enough food/fluids to maintain a resident's health.
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Rights14E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to manage his or her financial affairs.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Assure the security of all personal funds of residents deposited with the facility.
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care11E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service8E
- E
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.
- D
Ensure that residents are free from significant medication errors.
- E
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.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation8E
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning6E
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Administration5F
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nursing and Physician Services2F
- F
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.
- E
Post nurse staffing information every day.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-02-20
13 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-05-17
43 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2022-01-19
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
3 h 30 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 76% of nursing staff and 0% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$282,840 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-28 | Fine | $127,275 |
| 2025-01-28 | Payment Denial · 43 day denial | $0 |
| 2024-05-17 | Fine | $155,565 |
| 2024-05-17 | Payment Denial · 37 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 3.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 3.0 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine57.8 pts worse | 26.2% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts worse | 90.6% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better | 0.9% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms60.1 pts worse | 80.1% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 6.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.7 pts better | 17.9% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2 pts better | 21.5% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.6 pts better | 12.2% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts worse | 26.2% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts better | 0.3% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts worse | 22.1% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 2.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine50.7 pts worse | 15.0% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts worse | 13.7% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 2.4% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22 pts worse | 39.4% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 29.4% | 25.7% | 23.4% |
·
Who owns and runs it
27 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 10-26 Nationwide Tr | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| 10-26 Nationwide Tr | Adp Of The SNF · Organization | 0% | 10 facilities |
| 1026 Enterprises Ii LLC | Direct Ownership Interest · Organization | 0% | 7 facilities |
| 1026 Enterprises Ii LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Arbor Hills Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bcj Enterprises LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Bienstock, Faigie | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Bienstock, Faigie | Adp Of The SNF · Individual | 0% | 2 facilities |
| Bienstock, Judah | Indirect Ownership Interest · Individual | 0% | 17 facilities |
| Bienstock, Judah | Adp Of The SNF · Individual | 0% | 17 facilities |
| Cdw Investments LLC | Direct Ownership Interest · Organization | 0% | 4 facilities |
| Cissell, Krista | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Cissell, Krista | Adp Of The SNF · Individual | 0% | 2 facilities |
| Friedman, Naftali | Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Jeremias, Baruch | Indirect Ownership Interest · Individual | 0% | 25 facilities |
| Jeremias, Baruch | Adp Of The SNF · Individual | 0% | 25 facilities |
| Jfb Capital Holdings LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Jfb Capital Holdings LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Labonte, Christopher | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Labonte, Christopher | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mm Acquisitions LLC | Direct Ownership Interest · Organization | 0% | 5 facilities |
| Mo Opco Group LLC | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Mo Opco Group LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Mo Propco Group LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Ndf Holdings LLC | Direct Ownership Interest · Organization | 0% | 2 facilities |
| Winter, Chaim | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Winter, Menachem | Indirect Ownership Interest · Individual | 0% | 3 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install corridor and hallway doors that block smoke.
Miscellaneous4F
- E
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress3E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
·
Other homes nearby
-
Oak Knoll Skilled Nursing & Rehabilitation Center
Ferguson, MO
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 58 min
- Fines
- $0
-
Estates Of St Louis, LLC, The
Saint Louis, MO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 11 min
- Fines
- $66,640
-
Amberwood Estates Nursing And Rehabilitation
Saint Louis, MO
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 38 min
- Fines
- $0