Federal inspection record · CMS data as of October 1, 2026
Aspen Point Health And Rehabilitation
2840 West Clay St, Saint Charles, MO · (636) 946-6100
- Certified beds
- 180
- Residents per day
- 62
- Ownership
- For-Profit
- Chain
- Vertical Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 27, 1975
1
How this home got 2 stars
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.
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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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Aspen Point Health And Rehabilitation carries 270 inspection points. That is fewer than 6% 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
63 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 (15)
-
G
Keep residents' personal and medical records private and confidential.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
K
Provide and implement an infection prevention and control program.
-
G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care8E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
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.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights7E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
Infection Control6F
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Nursing and Physician Services6F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
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.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
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.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Assessment and Care Planning5E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service4F
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- F
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F
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.
Nutrition and Dietary4E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Freedom from Abuse, Neglect, and Exploitation4D
- 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.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Administration3F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Environmental1E
- E
Keep all essential equipment working safely.
Inspection history
2026-02-11
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-08-14
4 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2025-02-27
56 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (17 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 49 min of it from a registered nurse.
This home
3 h 10 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 50% of registered nurses left in the past year.
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
$317,747 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-27 | Fine | $44,298 |
| 2024-12-09 | Fine | $12,012 |
| 2024-08-29 | Fine | $150,799 |
| 2024-02-23 | Fine | $110,638 |
| 2024-02-23 | Payment Denial · 73 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 days0.3 pts better | 1.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 1.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14 pts better | 98.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 2.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms67.5 pts worse | 87.5% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts better | 0.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better | 24.6% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.9 pts worse | 28.4% | 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 worsened10 pts better | 5.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.3 pts better | 6.1% | 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 infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts better | 13.7% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts worse | 5.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better | 67.7% | 65.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 66.7% | 61.4% | 80.1% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| Clay Street Consulting LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Clay Street Consulting LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Keener, Lyndsi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Keener, Lyndsi | Adp Of The SNF · Individual | 0% | 1 facilities |
| Maylack, Elizabeth | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Maylack, Elizabeth | Adp Of The SNF · Individual | 0% | 6 facilities |
| Miller, William | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Vertical Health Services LLC | Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Vhs Holdco LLC | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Vhs Mo Opco Holdings LLC | Direct Ownership Interest · Organization | 0% | 9 facilities |
| Vhs Ultimate Parent LLC | Indirect Ownership Interest · Organization | 0% | 5 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Meet other general requirements.
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Have an enclosure around a vertical opening shaft.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4F
- F
Meet requirements for the use of electrical equipment.
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
Emergency Preparedness3F
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- E
Establish policies and procedures including evacuation.
Miscellaneous2F
- 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.
·
Other homes nearby
-
Lewis & Clark Gardens
Saint Charles, MO · James & Judy Lincoln
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 53 min
- Fines
- $139,916
-
Laurel Meadows Wellness & Rehabilitation
Saint Charles, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 38 min
- Fines
- $7,342
-
Nhc Healthcare, St Charles
Saint Charles, MO · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 5 min
- Fines
- $0