37 health deficiencies
Top issue: Resident Rights (10 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Saint Louis, MO
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $343,318 in total fines with 37 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
4401 North Hanley Road, Saint Louis, MO
(314) 521-7471
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
106
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Reliant Care Management
Operator or chain grouping
Approved since
1993-06-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.19
Registered nurse staffing
LPN hours / resident day
0.47
Licensed practical nurse staffing
Aide hours / resident day
1.74
Nurse aide staffing
Weekend hours
1.94
Weekend nurse staffing
RN turnover
80%
Annual RN turnover
Total nurse turnover
66%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
2.1
0.7 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.8 |
2.3
1.5 pts worse
|
1.8
2 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 35.8% |
84.8%
49 pts worse
|
93.4%
57.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 70.9% |
90.9%
20 pts worse
|
95.5%
24.6 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
4.1%
1.1 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 38.4% |
14.7%
23.7 pts worse
|
11.4%
27 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 4.4% |
5.5%
1.1 pts better
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.0% |
25.3%
3.7 pts worse
|
19.6%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 49.2% |
25.0%
24.2 pts worse
|
16.7%
32.5 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 | 40.7% |
20.3%
20.4 pts worse
|
16.3%
24.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 46.8% |
19.8%
27 pts worse
|
14.9%
31.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.4%
1.4 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
2.6%
2.4 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.3% |
18.1%
3.8 pts better
|
19.8%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
5.0%
2.6 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 11.0% |
66.4%
55.4 pts worse
|
81.7%
70.7 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.0% |
13.4%
2.4 pts better
|
12.0%
1 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 6.8% |
25.3%
18.5 pts better
|
23.9%
17.1 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Rights (10 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (9 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-10-15
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-10-15
Fire Safety
Use approved construction type or materials.
Corrected 2025-10-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-02-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-10-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-10-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-10-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-13
Fire Safety
Establish staff and initial training requirements.
Corrected 2019-09-09
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-09-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-09-09
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-09-09
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2019-09-09
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-09-09
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 2019-09-09
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-09-09
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-09-08
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-09-09
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-09-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-09-09
Inspection history
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2025-10-15
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-10-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-15
Health
Implement a program that monitors antibiotic use.
Corrected 2025-10-15
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-10-15
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 2025-10-15
Health
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.
Corrected 2025-10-15
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-10-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-10-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-10-15
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-10-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-15
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-10-15
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-15
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-10-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-10-15
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 2025-10-15
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-07-25
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2025-07-25
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-24
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-05-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-24
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2025-05-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-24
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-05-24
Health
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2025-05-24
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-07-25
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-04-14
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-05-24
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-24
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2025-05-24
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2025-07-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-16
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-16
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-16
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-21
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-09
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-08-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-11
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-13
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 2024-03-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-13
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-13
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-16
Health
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.
Corrected 2024-03-13
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 2024-03-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-13
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-13
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-12-07
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-13
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-11-13
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-11-13
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2023-11-13
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-13
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-13
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-13
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-11-13
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-11-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-13
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-11-13
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2023-11-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-13
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-11-13
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-11-13
Health
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.
Corrected 2023-11-13
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-18
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-07-24
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-06-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-07-24
Health
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.
Corrected 2023-06-12
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-07-24
Health
Respond appropriately to all alleged violations.
Corrected 2023-06-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-07-24
Health
Provide and implement an infection prevention and control program.
Corrected 2019-09-08
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2019-09-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-09-08
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-09-08
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2019-09-08
Health
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.
Corrected 2019-09-08
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-09-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-09-08
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2019-09-08
Health
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.
Corrected 2019-09-08
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 2019-09-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-09-09
Penalties and ownership
Fine · fine $146,162
Fine
Payment Denial · denial start 2025-04-17 · 99 days
99 day denial
Fine · fine $108,179
Fine
Fine · fine $16,801
Fine
Fine · fine $45,311
Fine
Payment Denial · denial start 2024-01-13 · 60 days
60 day denial
Fine · fine $26,865
Fine
Payment Denial · denial start 2023-11-07 · 6 days
6 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Nearby options
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Ferguson, MO
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Saint Louis, MO
1-star overall rating with 2-star inspections with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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