Ellisville, MO

Ellisville Rehabilitation And Nursing

1-star overall rating with 1-star inspections with Special Focus status with $169,037 in total fines with 30 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

322 Old State Road, Ellisville, MO

(636) 227-3431

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

210

Certified beds

Average residents

107

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-08-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

3.13

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

4.49

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

3.98

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

4.80

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

73%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

68%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,462

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.59

Composite VBP score used to determine payment impact.

Payment multiplier

0.9832

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.54% · Performance 22.76% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.54

Baseline 5.32% · Performance 6.18% · Measure score 5.54 · Achievement 5.54 · Improvement 0

Total nurse turnover

Baseline 35.56% · Performance 64.55% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

3.89

Baseline 3.65 hours · Performance 4.19 hours · Measure score 3.89 · Achievement 3.89 · Improvement 2.02

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.21%	10.72% 2.5 pts worse	No Different than the National Rate · Eligible stays 191 · Observed rate 16.23% · Lower 95% interval 10.28%
Discharge to community	39.48%	50.57% 11.1 pts worse	Worse than the National Rate · Eligible stays 229 · Observed rate 30.57% · Lower 95% interval 32.33%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	89.36%	95.27% 5.9 pts worse	Numerator 126 · Denominator 141
Falls with major injury	1.42%	0.77% 0.6 pts worse	Numerator 2 · Denominator 141
Discharge self-care score	44.58%	53.69% 9.1 pts worse	Numerator 37 · Denominator 83
Discharge mobility score	32.53%	50.94% 18.4 pts worse	Numerator 27 · Denominator 83
Pressure ulcers or injuries, new or worsened	2.16%	2.29% 0.1 pts better	Numerator 3 · Denominator 139 · Adjusted rate 2.56%
Healthcare-associated infections requiring hospitalization	6.18%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 122 · Observed rate 4.92% · Lower 95% interval 3.16%
Staff COVID-19 vaccination coverage	0.79%	8.2% 7.4 pts worse	Numerator 1 · Denominator 126
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	51.81%	56.45% 4.6 pts worse	Numerator 43 · Denominator 83
Transfer of health information to provider	87.93%	95.95% 8 pts worse	Numerator 51 · Denominator 58
Transfer of health information to patient	94.12%	96.28% 2.2 pts worse	Numerator 48 · Denominator 51
Resident COVID-19 vaccinations up to date	10.53%	25.2% 14.7 pts worse	Numerator 8 · Denominator 76

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.1 About the same	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.8 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	2.3 0.1 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	68.4%	84.8% 16.4 pts worse	93.4% 25 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 73.3% · Q2 76.0% · Q3 62.9% · Q4 63.2% · 4Q avg 68.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.5%	90.9% 2.6 pts better	95.5% 2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5%
Percentage of long-stay residents experiencing one or more falls with major injury	4.9%	4.1% 0.8 pts worse	3.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.1% · Q3 3.4% · Q4 8.5% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.1%	14.7% 10.6 pts better	11.4% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 12.0% · Q3 3.0% · Q4 0.0% · 4Q avg 4.1%
Percentage of long-stay residents who lose too much weight	8.6%	5.5% 3.1 pts worse	5.4% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 9.0% · Q3 7.0% · Q4 9.0% · 4Q avg 8.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.3%	25.3% 1 pts better	19.6% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 23.2% · Q3 25.8% · Q4 27.1% · 4Q avg 24.3%
Percentage of long-stay residents who received an antipsychotic medication	24.3%	25.0% 0.7 pts better	16.7% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 22.2% · Q3 23.5% · Q4 29.5% · 4Q avg 24.3% · 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	11.9%	20.3% 8.4 pts better	16.3% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 9.3% · Q3 13.8% · Q4 8.4% · 4Q avg 11.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.4%	19.8% 5.4 pts better	14.9% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 7.6% · Q3 16.5% · Q4 12.0% · 4Q avg 14.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.4% 1 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	2.6% 2.3 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.1%	18.1% 3 pts worse	19.8% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 22.6% · Q3 15.2% · Q4 18.0% · 4Q avg 21.1%
Percentage of long-stay residents with pressure ulcers	7.1%	5.0% 2.1 pts worse	5.1% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 10.0% · Q3 7.8% · Q4 6.2% · 4Q avg 7.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	39.4%	66.4% 27 pts worse	81.7% 42.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 45.9% · Q2 41.7% · Q3 38.3% · Q4 14.3% · 4Q avg 39.4%
Percentage of short-stay residents who had an outpatient emergency department visit	12.2%	13.4% 1.2 pts better	12.0% 0.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 12.8% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	2.2% 0.7 pts better	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	41.5%	63.5% 22 pts worse	79.7% 38.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 41.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.8%	25.3% 6.5 pts worse	23.9% 7.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.8% · Observed 31.2% · Expected 23.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-26 · Fire 2024-11-26

30 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2023-07-28 · Fire 2023-07-28

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2020-01-10 · Fire 2020-01-10

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-26

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2024-12-19

F · Potential for more than minimal harm 2024-11-26

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-12-19

F · Potential for more than minimal harm 2024-11-26

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-02-03

E · Potential for more than minimal harm 2024-11-26

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-12-19

E · Potential for more than minimal harm 2024-11-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-19

E · Potential for more than minimal harm 2024-11-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-28

E · Potential for more than minimal harm 2024-11-26

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-19

E · Potential for more than minimal harm 2024-11-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-19

E · Potential for more than minimal harm 2023-07-28

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 2023-08-20

E · Potential for more than minimal harm 2023-07-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-08-20

E · Potential for more than minimal harm 2023-07-28

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 2023-09-11

E · Potential for more than minimal harm 2023-07-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-20

F · Potential for more than minimal harm 2020-01-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-02-07

F · Potential for more than minimal harm 2020-01-10

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2020-02-07

E · Potential for more than minimal harm 2020-01-10

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 2020-02-07

E · Potential for more than minimal harm 2020-01-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2020-02-07

E · Potential for more than minimal harm 2020-01-10

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 2020-02-07

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-16

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-02-20

D · Potential for more than minimal harm 2026-01-16

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2026-02-20

D · Potential for more than minimal harm 2025-06-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-07-15

G · Actual harm 2025-05-16

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-05-14

J · Immediate jeopardy 2025-04-21

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-05-16

G · Actual harm 2025-04-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-04-21

F688 · Quality of Life and Care Deficiencies

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 2025-05-16

D · Potential for more than minimal harm 2025-04-21

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 2025-05-16

D · Potential for more than minimal harm 2025-04-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-28

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-04-03

J · Immediate jeopardy 2025-03-19

F678 · Quality of Life and Care Deficiencies

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 2025-03-31

D · Potential for more than minimal harm 2025-03-19

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-03-31

D · Potential for more than minimal harm 2025-03-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-31

J · Immediate jeopardy 2025-03-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-02-19

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 2025-05-16

J · Immediate jeopardy 2025-01-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-01

E · Potential for more than minimal harm 2025-01-15

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-01

D · Potential for more than minimal harm 2025-01-15

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-01-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-16

J · Immediate jeopardy 2024-11-26

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-16

J · Immediate jeopardy 2024-11-26

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-05-16

G · Actual harm 2024-11-26

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 2025-05-16

F · Potential for more than minimal harm 2024-11-26

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2024-12-19

F · Potential for more than minimal harm 2024-11-26

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-01

E · Potential for more than minimal harm 2024-11-26

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-02-28

E · Potential for more than minimal harm 2024-11-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-16

D · Potential for more than minimal harm 2024-11-26

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 2024-12-19

D · Potential for more than minimal harm 2024-11-26

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-11-26

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-11-26

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-11-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-16

D · Potential for more than minimal harm 2024-11-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-11-26

F688 · Quality of Life and Care Deficiencies

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 2025-05-16

D · Potential for more than minimal harm 2024-11-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-16

F · Potential for more than minimal harm 2023-07-28

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 2023-08-20