29 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Bridgeton, MO
1-star overall rating with 1-star inspections with $195,310 in total fines with 29 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
11988 Mark Twain Lane, Bridgeton, MO
(314) 291-8240
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
70
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1984-04-15
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
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
7,958
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9849
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.40
Performance 18.93% · Measure score 5.40 · Achievement 5.40 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
1.21
Baseline 6.59% · Performance 7.47% · Measure score 1.21 · Achievement 1.21 · Improvement 0
Total nurse turnover
3.82
Baseline 70.49% · Performance 50.77% · Measure score 3.82 · Achievement 3.16 · Improvement 3.82
Adjusted total nurse staffing
0.88
Baseline 3.17 hours · Performance 3.33 hours · Measure score 0.88 · Achievement 0.88 · Improvement 0.11
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.08% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 36 · Observed rate 8.33% · Lower 95% interval 6.38% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | 7.47% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 3.56% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 102 |
| Staff flu vaccination coverage | 21.9% |
42%
20.1 pts worse
|
Numerator 23 · Denominator 105 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
2.1
0.3 pts better
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.3
0.5 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 61.0% |
84.8%
23.8 pts worse
|
93.4%
32.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 52.6% · Q2 67.2% · Q3 68.2% · Q4 57.1% · 4Q avg 61.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.2% |
90.9%
2.3 pts better
|
95.5%
2.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
4.1%
1.2 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.0% · Q3 3.0% · Q4 1.6% · 4Q avg 2.9% · 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 | 6.8% |
5.5%
1.3 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.0% · Q3 8.6% · Q4 3.7% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.9% |
25.3%
4.4 pts better
|
19.6%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 20.7% · Q3 18.6% · Q4 19.3% · 4Q avg 20.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.8% |
25.0%
10.2 pts better
|
16.7%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 15.2% · Q3 15.7% · Q4 13.3% · 4Q avg 14.8% · 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 | 27.0% |
20.3%
6.7 pts worse
|
16.3%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 39.0% · Q3 23.6% · Q4 22.3% · 4Q avg 27.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.6% |
19.8%
0.2 pts better
|
14.9%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 15.1% · Q3 20.0% · Q4 26.9% · 4Q avg 19.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.4%
0.5 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 1.9% · Q4 1.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.6%
1.5 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.5% · Q4 1.7% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.2% |
18.1%
0.9 pts better
|
19.8%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 17.3% · Q3 10.8% · Q4 27.9% · 4Q avg 17.2% |
| Percentage of long-stay residents with pressure ulcers | 11.2% |
5.0%
6.2 pts worse
|
5.1%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 7.6% · Q3 14.9% · Q4 14.3% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 20.7% |
66.4%
45.7 pts worse
|
81.7%
61 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 31.0% · Q3 14.8% · Q4 16.3% · 4Q avg 20.7% |
| 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 · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.7% |
63.5%
6.8 pts worse
|
79.7%
23 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.7% |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-10-03
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-10-03
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-10-03
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-10-03
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-10-03
Fire Safety
Use approved construction type or materials.
Corrected 2025-10-03
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-10-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-10-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-03
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-10-03
Fire Safety
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.
Corrected 2025-10-03
Fire Safety
Use approved construction type or materials.
Corrected 2024-01-22
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-19
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-19
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-02-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-20
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-12-20
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2019-12-20
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-14
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-10-03
Health
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.
Corrected 2025-10-03
Health
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected 2025-10-03
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-03
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-10-03
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-10-03
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-10-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-03
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-10-03
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-03
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-10-03
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-10-03
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-10-03
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-10-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-03
Health
Provide appropriate foot care.
Corrected 2025-10-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-03
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-10-03
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-11-19
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-10-03
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-10-03
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-10-03
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-10-03
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-01-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-26
Health
Respond appropriately to all alleged violations.
Corrected 2024-04-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-19
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-01-19
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-09
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-01-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-07
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-09
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-01-19
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-02-06
Health
Provide appropriate foot care.
Corrected 2024-02-12
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-02-09
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-02-06
Health
Post nurse staffing information every day.
Corrected 2024-01-19
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-09-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-12-20
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-12-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-12-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-12-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-12-20
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-12-20
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2019-12-20
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-12-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-12-20
Health
Provide and implement an infection prevention and control program.
Corrected 2019-12-20
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2019-12-20
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2019-12-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-12-20
Health
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.
Corrected 2019-12-20
Penalties and ownership
Fine · fine $134,043
Fine
Payment Denial · denial start 2025-02-25 · 14 days
14 day denial
Fine · fine $26,687
Fine
Payment Denial · denial start 2024-02-17 · 19 days
19 day denial
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $11,645
Fine
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Bridgeton, MO
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1-star overall rating with 2-star inspections with $22,778 in total fines with 30 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Maryland Heights, MO
1-star overall rating with 2-star inspections with $11,921 in total fines with 17 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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