Federal inspection record · CMS data as of October 1, 2026
Carrie Elligson Gietner Health Care Center
5000 South Broadway, Saint Louis, MO · (314) 752-0000
- Certified beds
- 130
- Residents per day
- 96
- Ownership
- For-Profit
- Chain
- Reliant Care Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 12, 1997
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.
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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
★★★★★no change
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Carrie Elligson Gietner Health Care Center carries 212.25 inspection points. That is fewer than 11% 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
58 health citations on record since 2022. 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 (9)
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
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.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Resident Rights11E
- 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
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning10E
- 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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- E
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care8E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide activities to meet all resident's needs.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation5E
- D
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.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service4E
- D
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.
- 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 medication error rates are not 5 percent or greater.
Environmental3E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Keep all essential equipment working safely.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services1F
- 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.
Administration1D
- D
Employ staff that are licensed, certified, or registered in accordance with state laws.
Inspection history
2026-05-21
13 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-06-27
30 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2022-11-04
15 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 1 h 52 min of nursing staff time a day, 7 min of it from a registered nurse.
This home
1 h 52 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 75% of nursing staff and 86% of registered nurses left in the past year, along with 1 administrator.
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
$236,408 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-07-20 | Fine | $26,762 |
| 2026-05-21 | Fine | $20,440 |
| 2026-05-21 | Fine | $96,645 |
| 2026-05-21 | Payment Denial · 4 day denial | $0 |
| 2025-08-01 | Fine | $17,668 |
| 2024-10-21 | Fine | $74,893 |
| 2024-10-21 | Payment Denial · 52 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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine26.2 pts worse | 57.8% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8 pts worse | 82.8% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 2.3% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms61.2 pts worse | 81.2% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 6.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.5 pts better | 20.1% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.4 pts worse | 28.9% | 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 worsened4.7 pts better | 11.1% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts worse | 19.5% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.5% | 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 incontinence11.6 pts better | 5.5% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 1.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine39 pts worse | 26.7% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better | 12.0% | 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 vaccine36.4 pts worse | 25.0% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission28.5 pts worse | 54.2% | 25.7% | 23.4% |
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Who owns and runs it
13 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 |
|---|---|---|---|
| Arshad, Abdullah | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Arshad, Abdullah | Adp Of The SNF · Individual | 0% | 27 facilities |
| Destefane, Richard | Corporate Officer · Individual | 0% | 35 facilities |
| Destefane, Richard | Adp Of The SNF · Individual | 0% | 35 facilities |
| Gietner Associates LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Rcg Inc | Adp Of The SNF · Organization | 0% | 23 facilities |
| Reliant Care Group Of Webster Inc | Adp Of The SNF · Organization | 0% | 6 facilities |
| Reliant Care Management Company LLC | Adp Of The SNF · Organization | 0% | 35 facilities |
| Richard J. Destefane Revocable Living Trust | Trustee Of The SNF · Organization | 0% | 23 facilities |
| Richard J. Destefane Revocable Living Trust | Adp Of The SNF · Organization | 0% | 23 facilities |
| Tlg Ii Llp | Adp Of The SNF · Organization | 0% | 18 facilities |
| White, Rikeesha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| White, Rikeesha | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- 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 an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 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.
Egress4F
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 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
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction3F
- F
Use approved construction type or materials.
- F
Use approved construction type or materials.
- E
Use approved construction type or materials.
Gas, Vacuum, and Electrical Systems2E
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
St Louis Altenheim
Saint Louis, MO · Shafiq Malik
Not rated- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 50 min
- Fines
- $0
-
Magnolia Wellness Center
Saint Louis, MO · Opco Skilled Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 15 min
- Fines
- $404,600
-
Pine Grove Manor
Saint Louis, MO · Opco Skilled Management
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 7 min
- Fines
- $28,337