Federal inspection record · CMS data as of October 1, 2026
Creve Coeur Manor
1127 Timber Run Drive, Saint Louis, MO · (314) 434-8361
- Certified beds
- 149
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- Palladian Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 2007
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
Creve Coeur Manor carries 229.5 inspection points. That is fewer than 9% 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
69 health citations on record since 2020. 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 (3)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care13E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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 the activities program is directed by a qualified professional.
- E
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.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- 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 each resident must receive and the facility must provide necessary behavioral health care and services.
Resident Rights13E
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- 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
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 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 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
Ensure residents have reasonable access to and privacy in their use of communication methods.
- 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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
Pharmacy Service10E
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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 medication error rates are not 5 percent or greater.
- 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 medication error rates are not 5 percent or greater.
- 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.
Nutrition and Dietary9F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- E
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.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Assessment and Care Planning7E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
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.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services5F
- 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.
- C
Post nurse staffing information every day.
- 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.
- 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.
- C
Post nurse staffing information every day.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Environmental2F
- F
Keep all essential equipment working safely.
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Administration1D
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Inspection history
2024-11-20
22 health deficiencies · 11 fire-safety deficiencies
Top issue: Nutrition and Dietary (6 deficiencies)
2023-08-11
27 health deficiencies · 15 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
2020-03-06
20 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 33 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
2 h 33 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 67% 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
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 days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.6 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine29 pts worse | 55.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine20.8 pts worse | 70.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better | 1.8% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms50.4 pts worse | 70.4% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 4.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.7 pts better | 13.9% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.4 pts better | 20.1% | 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 worsened12.1 pts worse | 27.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.2 pts worse | 29.6% | 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 infection1.4 pts better | 0.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts better | 15.7% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts worse | 7.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine60.1 pts worse | 5.6% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.3 pts better | 6.1% | 13.4% | 11.8% |
| 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 vaccine51.4 pts worse | 10.0% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.1 pts worse | 30.8% | 25.7% | 23.4% |
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Who owns and runs it
4 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 |
|---|---|---|---|
| Miller, Stephen | 5% Or Greater Direct Ownership Interest · Individual | 100% | 19 facilities |
| Dirschuweit, Jeanne | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Miller, Stephen | Corporate Officer · Individual | 0% | 19 facilities |
| Mills, Michael | Corporate Officer · Individual | 0% | 15 facilities |
·
Fire safety
33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have an enclosure around a vertical opening shaft.
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Provide properly protected cooking facilities.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Properly provide smoke detection systems in areas open to corridors.
Egress6F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Install proper backup exit lighting.
- F
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.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Services5F
- F
Have properly installed electrical wiring and gas equipment.
- F
Have elevators that firefighters can control in the event of a fire.
- E
Have properly installed electrical wiring and gas equipment.
- E
Install properly constructed and protected linen or trash chutes.
- D
Install properly constructed and protected linen or trash chutes.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- 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 posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Construction3F
- F
Use approved construction type or materials.
- E
Use approved construction type or materials.
- F
Use approved construction type or materials.
Gas, Vacuum, and Electrical Systems2E
- E
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Country Villa Wellness & Rehabilitation
Creve Coeur, MO · Opco Skilled Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0
-
Brooking Park
Chesterfield, MO
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 55 min
- Fines
- $15,646
-
River Crossing Rehab And Healthcare Center
Saint Louis, MO · Ama Holdings
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0