Federal inspection record · CMS data as of October 1, 2026

Garden View Care Center

700 Garden Path, O Fallon, MO · (636) 240-2840

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
80
Residents per day
54
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 19, 1988

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 1)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Missouri homes

Garden View Care Center carries 168 inspection points. That is fewer than 16% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 168 pts · 1★

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

45 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 19 8 pts
F 9 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 3 0 pts
C 1 0 pts

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 (2)

  1. G

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

    July 1, 2026 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

  2. G

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

    June 23, 2023 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected June 14, 2023

Everything else, by area of care

Quality of Life and Care11E
  1. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    March 14, 2025 · Complaint · F742 · Corrected April 7, 2025

  2. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 16, 2025 · Standard · F677 · Corrected March 4, 2025

  3. E

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

    January 16, 2025 · Standard · F689 · Corrected March 4, 2025

  4. E

    Provide safe and appropriate respiratory care for a resident when needed.

    January 16, 2025 · Standard · F695 · Corrected March 4, 2025

  5. D

    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.

    January 16, 2025 · Standard · F700 · Corrected March 4, 2025

  6. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    June 23, 2023 · Standard · F677 · Corrected September 18, 2023

  7. E

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

    June 23, 2023 · Standard · F686 · Corrected September 18, 2023

  8. D

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

    June 23, 2023 · Standard · F689 · Corrected August 3, 2023

  9. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 13, 2019 · Standard · F677 · Corrected October 25, 2019

  10. D

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

    September 13, 2019 · Standard · F689 · Corrected October 25, 2019

  11. D

    Provide enough food/fluids to maintain a resident's health.

    September 13, 2019 · Standard · F692 · Corrected October 25, 2019

Freedom from Abuse, Neglect, and Exploitation7F
  1. E

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

    November 5, 2025 · Complaint · F600 · Corrected December 19, 2025

  2. E

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

    November 5, 2025 · Complaint · F609 · Corrected December 19, 2025

  3. D

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

    March 14, 2025 · Complaint · F609 · Corrected April 7, 2025

  4. D

    Respond appropriately to all alleged violations.

    March 14, 2025 · Complaint · F610 · Corrected April 7, 2025

  5. F

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    June 23, 2023 · Standard · F606 · Corrected August 3, 2023

  6. F

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

    June 23, 2023 · Standard · F607 · Corrected August 3, 2023

  7. D

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

    September 13, 2019 · Standard · F609 · Corrected October 25, 2019

Infection Control6F
  1. F

    Provide and implement an infection prevention and control program.

    January 16, 2025 · Standard · F880 · Corrected March 4, 2025

  2. F

    Implement a program that monitors antibiotic use.

    June 23, 2023 · Standard · F881 · Corrected August 3, 2023

  3. F

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    June 23, 2023 · Standard · F882 · Corrected August 3, 2023

  4. F

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    June 23, 2023 · Standard · F883 · Corrected August 3, 2023

  5. E

    Provide and implement an infection prevention and control program.

    June 23, 2023 · Standard · F880 · Corrected September 18, 2023

  6. D

    Provide and implement an infection prevention and control program.

    September 13, 2019 · Standard · F880 · Corrected October 25, 2019

Resident Rights6E
  1. B

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    January 16, 2025 · Standard · F623 · Corrected March 4, 2025

  2. B

    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.

    January 16, 2025 · Standard · F625 · Corrected March 4, 2025

  3. E

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

    June 23, 2023 · Standard · F550 · Corrected August 3, 2023

  4. E

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    June 23, 2023 · Standard · F561 · Corrected September 18, 2023

  5. 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.

    June 23, 2023 · Standard · F578 · Corrected August 3, 2023

  6. B

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    September 13, 2019 · Standard · F582 · Corrected October 25, 2019

Nutrition and Dietary4F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 16, 2025 · Standard · F812 · Corrected March 4, 2025

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 23, 2023 · Standard · F812 · Corrected August 3, 2023

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 13, 2019 · Standard · F812 · Corrected October 25, 2019

  4. 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.

    September 13, 2019 · Standard · F803 · Corrected October 25, 2019

Pharmacy Service3E
  1. 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.

    January 16, 2025 · Standard · F761 · Corrected March 4, 2025

  2. 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.

    June 23, 2023 · Standard · F761 · Corrected August 3, 2023

  3. 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.

    September 13, 2019 · Standard · F761 · Corrected October 25, 2019

Nursing and Physician Services3E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    June 23, 2023 · Standard · F725 · Corrected August 3, 2023

  2. E

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    June 23, 2023 · Standard · F947 · Corrected August 3, 2023

  3. C

    Post nurse staffing information every day.

    June 23, 2023 · Standard · F732 · Corrected August 3, 2023

Environmental2E
  1. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    January 16, 2025 · Standard · F925 · Corrected March 4, 2025

  2. D

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    January 16, 2025 · Standard · F909 · Corrected March 4, 2025

Resident Assessment and Care Planning1D
  1. D

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

    September 13, 2019 · Standard · F658 · Corrected October 25, 2019

Inspection history

  1. 2025-01-16

    14 health deficiencies · 14 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  2. 2023-06-23

    21 health deficiencies · 13 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

  3. 2019-09-13

    10 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 27 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

4 h 27 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 72% of nursing staff and 80% of registered nurses left in the past year, along with 2 administrators.

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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.1 pts worse3.12.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.9 pts worse4.12.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.8 pts better90.8%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts worse89.6%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury5.2 pts worse9.2%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms17.7 pts better2.3%20.0%13.5%
Percentage of long-stay residents who lose too much weight1.8 pts worse6.9%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.5 pts better10.1%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.6 pts worse33.1%23.5%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.1 pts worse24.9%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.8 pts worse25.2%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better0.8%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection3.3 pts worse5.5%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.8 pts worse33.9%17.1%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts better3.0%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine26.9 pts better92.6%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts worse13.9%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better1.9%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine27.2 pts better88.6%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts worse30.0%25.7%23.4%

·

Who owns and runs it

40 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Larus Corporation5% Or Greater Direct Ownership Interest · Organization100%3 facilities
Baker, ShawnOperational/Managerial Control · Individual0%1 facilities
Baker, ShawnAdp Of The SNF · Individual0%1 facilities
Bank Of WashingtonAdp Of The SNF · Organization0%2 facilities
Choice Rehabilitation LLCOperational/Managerial Control · Organization0%5 facilities
Choice Rehabilitation LLCAdp Of The SNF · Organization0%5 facilities
Forvis Mazars LlpAdp Of The SNF · Organization0%295 facilities
G. William Weier And Patricia R. Weier Trust5% Or Greater Indirect Ownership Interest · Organization0%2 facilities
G. William Weier And Patricia R. Weier TrustAdp Of The SNF · Organization0%2 facilities
Larus CorporationOperational/Managerial Control · Organization0%3 facilities
Larus CorporationAdp Of The SNF · Organization0%3 facilities
Larus Management CorporationOperational/Managerial Control · Organization0%2 facilities
Larus Management CorporationAdp Of The SNF · Organization0%2 facilities
Litle, CharlotteCorporate Officer · Individual0%2 facilities
Litle, CharlotteOperational/Managerial Control · Individual0%2 facilities
Litle, CharlotteAdp Of The SNF · Individual0%2 facilities
Luaders, JodiCorporate Officer · Individual0%3 facilities
Luaders, JodiOperational/Managerial Control · Individual0%3 facilities
Luaders, JodiAdp Of The SNF · Individual0%3 facilities
Nhi PartnershipAdp Of The SNF · Organization0%1 facilities
Nieves, CourtneyCorporate Officer · Individual0%2 facilities
Nieves, CourtneyOperational/Managerial Control · Individual0%2 facilities
Nieves, CourtneyAdp Of The SNF · Individual0%2 facilities
Patwardhan, SanjayOperational/Managerial Control · Individual0%2 facilities
Patwardhan, SanjayAdp Of The SNF · Individual0%2 facilities
Richard Lawrence Winter Trust5% Or Greater Indirect Ownership Interest · Organization0%2 facilities
Strickland, CherylOperational/Managerial Control · Individual0%5 facilities
Strickland, CherylAdp Of The SNF · Individual0%5 facilities
Weier, George5% Or Greater Indirect Ownership Interest · Individual0%3 facilities
Weier, GeorgeCorporate Director · Individual0%3 facilities
Weier, GeorgeCorporate Officer · Individual0%3 facilities
Weier, GeorgeOperational/Managerial Control · Individual0%3 facilities
Weier, GeorgeAdp Of The SNF · Individual0%3 facilities
Weier, Patricia R.5% Or Greater Indirect Ownership Interest · Individual0%2 facilities
Weier, Patricia R.Adp Of The SNF · Individual0%2 facilities
Winter, Richard5% Or Greater Indirect Ownership Interest · Individual0%3 facilities
Winter, RichardCorporate Director · Individual0%3 facilities
Winter, RichardCorporate Officer · Individual0%3 facilities
Winter, RichardOperational/Managerial Control · Individual0%3 facilities
Winter, RichardAdp Of The SNF · Individual0%3 facilities

·

Fire safety

35 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke19F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 16, 2025 · K345 · Corrected March 4, 2025

  2. F

    Install corridor and hallway doors that block smoke.

    January 16, 2025 · K363 · Corrected March 4, 2025

  3. E

    Have an enclosure around a vertical opening shaft.

    January 16, 2025 · K311 · Corrected March 4, 2025

  4. E

    Install an approved automatic sprinkler system.

    January 16, 2025 · K351 · Corrected March 4, 2025

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    January 16, 2025 · K353 · Corrected March 4, 2025

  6. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 16, 2025 · K372 · Corrected March 4, 2025

  7. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    January 16, 2025 · K374 · Corrected March 4, 2025

  8. D

    Provide properly protected cooking facilities.

    January 16, 2025 · K324 · Corrected March 4, 2025

  9. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 23, 2023 · K372 · Corrected August 3, 2023

  10. E

    Have an enclosure around a vertical opening shaft.

    June 23, 2023 · K311 · Corrected August 3, 2023

  11. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    June 23, 2023 · K321 · Corrected August 3, 2023

  12. E

    Inspect, test, and maintain automatic sprinkler systems.

    June 23, 2023 · K353 · Corrected August 3, 2023

  13. E

    Install corridor and hallway doors that block smoke.

    June 23, 2023 · K363 · Corrected August 3, 2023

  14. D

    Provide properly protected cooking facilities.

    June 23, 2023 · K324 · Corrected August 3, 2023

  15. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 13, 2019 · K321 · Corrected October 25, 2019

  16. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 13, 2019 · K353 · Corrected October 25, 2019

  17. E

    Install corridor and hallway doors that block smoke.

    September 13, 2019 · K363 · Corrected October 25, 2019

  18. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 13, 2019 · K372 · Corrected October 25, 2019

  19. D

    Provide properly protected cooking facilities.

    September 13, 2019 · K324 · Corrected October 25, 2019

Gas, Vacuum, and Electrical Systems5F
  1. F

    Ensure proper usage of power strips and extension cords.

    January 16, 2025 · K920 · Corrected March 4, 2025

  2. F

    Ensure that testing and maintenance of electrical equipment is performed.

    June 23, 2023 · K921 · Corrected August 3, 2023

  3. E

    Ensure proper usage of power strips and extension cords.

    June 23, 2023 · K920 · Corrected August 3, 2023

  4. E

    Have proper medical gas storage and administration areas.

    June 23, 2023 · K923 · Corrected August 3, 2023

  5. E

    Ensure proper usage of power strips and extension cords.

    September 13, 2019 · K920 · Corrected October 25, 2019

Egress4E
  1. 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.

    January 16, 2025 · K222 · Corrected March 4, 2025

  2. E

    Have exits that are accessible at all times.

    January 16, 2025 · K271 · Corrected March 4, 2025

  3. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    June 23, 2023 · K211 · Corrected August 3, 2023

  4. 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.

    June 23, 2023 · K222 · Corrected August 3, 2023

Miscellaneous3F
  1. F

    Have simulated fire drills held at unexpected times.

    January 16, 2025 · K712 · Corrected March 4, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    June 23, 2023 · K712 · Corrected August 3, 2023

  3. E

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

    September 13, 2019 · K741 · Corrected October 25, 2019

Construction3E
  1. D

    Meet other general requirements.

    January 16, 2025 · K100 · Corrected March 4, 2025

  2. D

    Meet other general requirements.

    June 23, 2023 · K100 · Corrected August 3, 2023

  3. E

    Use approved construction type or materials.

    September 13, 2019 · K161 · Corrected October 25, 2019

Emergency Preparedness1F
  1. F

    Establish roles under a Waiver declared by secretary.

    January 16, 2025 · E26 · Corrected March 4, 2025

·

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