Creve Coeur, MO

Country Villa Wellness & Rehabilitation

4-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

850 Country Manor Lane, Creve Coeur, MO

(314) 434-5900

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

148

Certified beds

Average residents

90

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Delmar Gardens

Operator or chain grouping

Approved since

1988-11-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.21

Registered nurse staffing

LPN hours / resident day

0.95

Licensed practical nurse staffing

Aide hours / resident day

2.70

Nurse aide staffing

Weekend hours

3.60

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

65%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.8%
84.8%
12 pts better
93.4%
3.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
90.9%
8 pts better
95.5%
3.4 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.4%
4.1%
0.3 pts worse
3.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 5.7%
5.5%
0.2 pts worse
5.4%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.6%
25.3%
10.7 pts better
19.6%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 26.7%
25.0%
1.7 pts worse
16.7%
10 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 13.3%
20.3%
7 pts better
16.3%
3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 13.4%
19.8%
6.4 pts better
14.9%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
1.4%
0.8 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.6%
2.6%
2 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.0%
18.1%
6.1 pts better
19.8%
7.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.0%
5.0%
About the same
5.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.8%
66.4%
2.4 pts better
81.7%
12.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 14.4%
13.4%
1 pts worse
12.0%
2.4 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.5%
2.2%
0.3 pts worse
1.6%
0.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 70.7%
63.5%
7.2 pts better
79.7%
9 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 41.9%
25.3%
16.6 pts worse
23.9%
18 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-18 · Fire 2025-06-18

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2023-09-20 · Fire 2023-09-20

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2019-09-27 · Fire 2019-09-27

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-18

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-08-02

E · Potential for more than minimal harm 2025-06-18

K222 · Egress Deficiencies

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 2025-08-02

E · Potential for more than minimal harm 2025-06-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-02

E · Potential for more than minimal harm 2025-06-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-08-02

E · Potential for more than minimal harm 2025-06-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-08-02

E · Potential for more than minimal harm 2025-06-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-08-02

F · Potential for more than minimal harm 2023-09-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-25

E · Potential for more than minimal harm 2023-09-20

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2023-11-01

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-02

E · Potential for more than minimal harm 2025-06-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-02

D · Potential for more than minimal harm 2025-06-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-02

D · Potential for more than minimal harm 2025-06-18

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 2025-08-02

D · Potential for more than minimal harm 2025-06-18

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-08-02

G · Actual harm 2025-02-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-10

E · Potential for more than minimal harm 2024-10-04

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-11-18

D · Potential for more than minimal harm 2024-10-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-18

E · Potential for more than minimal harm 2023-09-20

F584 · Resident Rights Deficiencies

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 2023-10-25

D · Potential for more than minimal harm 2023-09-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-10-25

D · Potential for more than minimal harm 2023-09-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-25

E · Potential for more than minimal harm 2019-09-27

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 2019-10-28

E · Potential for more than minimal harm 2019-09-27

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 2019-10-28

D · Potential for more than minimal harm 2019-09-27

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-10-28

D · Potential for more than minimal harm 2019-09-27

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2019-10-28

D · Potential for more than minimal harm 2019-09-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-10-28

D · Potential for more than minimal harm 2019-09-27

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-10-28

Penalties and ownership

What sits behind the stars

Ownership

Delmar Gardens Enterprises Inc

5% Or Greater Direct Ownership Interest · Organization

100% 13 facilities 2003-03-07
Goldberg-Nom LLC

5% Or Greater Indirect Ownership Interest · Organization

25% 13 facilities 2003-03-07
Grossberg, Gabe

5% Or Greater Indirect Ownership Interest · Individual

16% 13 facilities 2003-03-07
Grossberg, George

5% Or Greater Indirect Ownership Interest · Individual

11% 13 facilities 2003-03-07
Gabe Grossberg And George Grossberg, Trustees Of The Henry And Barbara

5% Or Greater Indirect Ownership Interest · Organization

8% 13 facilities 2003-03-07
George Grossberg And Gabe Grossberg, Trustees Of The Henry And Barbara

5% Or Greater Indirect Ownership Interest · Organization

8% 13 facilities 2003-03-07
Non-Gst Family Trust Est U/W Of Israel Goldberg Fbo Janice Bitanski

5% Or Greater Indirect Ownership Interest · Organization

6% 13 facilities 2013-04-10
Non-Gst Family Trust Established U/W Of Israel Goldberg Fbo Harry Zvi

5% Or Greater Indirect Ownership Interest · Organization

6% 13 facilities 2013-04-10
Non-Gstfamily Trust Est U/W Israel Goldberg Fbo Diane Fredman

5% Or Greater Indirect Ownership Interest · Organization

6% 13 facilities 2013-04-10
Delmar Gardens Management Services Inc

Operational/Managerial Control · Organization

0% 13 facilities 2005-04-01
Grossberg, Gabe

Corporate Officer · Individual

0% 13 facilities 2003-03-07
Marx, Kenneth

Corporate Officer · Individual

0% 13 facilities 2019-06-11
Marx, Kenneth

W-2 Managing Employee · Individual

0% 13 facilities 2022-05-01
Oppenheimer, Howard

Corporate Officer · Individual

0% 13 facilities 2003-03-07
Wiley, Antoine

W-2 Managing Employee · Individual

0% 1 facilities 2023-06-12

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1-star overall rating with 1-star inspections with $9,440 in total fines with 18 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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#2

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3-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
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Fines
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#3

Brooking Park

Chesterfield, MO

3-star overall rating with 3-star inspections with $15,646 in total fines with 18 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
0 / 5
Fines
$15,646

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