Federal inspection record · CMS data as of October 1, 2026
Life Care Center Of St Louis
3520 Chouteau Ave, Saint Louis, MO · (314) 771-2100
- Certified beds
- 100
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 6, 1995
1
How this home got 4 stars
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.
-
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
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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Life Care Center Of St Louis carries 64 inspection points. That is fewer than 60% 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
39 health citations on record since 2022. 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 (1)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care9E
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide activities to meet all resident's needs.
- D
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.
Resident Rights8F
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- F
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
Resident Assessment and Care Planning8F
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- E
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.
Pharmacy Service5E
- D
Ensure that residents are free from significant medication errors.
- 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.
- E
Ensure medication error rates are not 5 percent or greater.
- 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
Ensure that residents are free from significant medication errors.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Ensure staff are vaccinated for COVID-19
Nursing and Physician Services3E
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Observe each nurse aide's job performance and give regular training.
- E
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2026-01-16
9 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2024-04-23
15 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2022-03-30
15 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 54 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 54 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 66% of nursing staff and 67% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$15,646 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-21 | Fine | $15,646 |
6
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 days0.3 pts worse | 2.3 | 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 vaccine13.1 pts better | 97.1% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.9 pts better | 98.7% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts better | 0.7% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.1 pts better | 2.9% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.7 pts better | 0.4% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.9 pts better | 10.7% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17.3 pts better | 6.2% | 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 worsened10.4 pts better | 5.4% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.3 pts better | 10.1% | 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 infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.4 pts worse | 33.5% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 2.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine31.9 pts better | 97.6% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts better | 7.3% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 1.2% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine34.3 pts better | 95.7% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.5 pts better | 23.2% | 25.7% | 23.4% |
·
Who owns and runs it
9 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 |
|---|---|---|---|
| Crooks, Joanna | Corporate Director · Individual | 0% | 1 facilities |
| Crooks, Joanna | Corporate Officer · Individual | 0% | 1 facilities |
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Preston, Forrest | Corporate Director · Individual | 0% | 170 facilities |
| Preston, Forrest | Corporate Officer · Individual | 0% | 170 facilities |
| Preston, Forrest | Operational/Managerial Control · Individual | 0% | 170 facilities |
| Swanker, Richard | Corporate Officer · Individual | 0% | 168 facilities |
| Thurmond, Joan | Corporate Officer · Individual | 0% | 191 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress4F
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 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.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Miscellaneous3F
- E
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Services2F
- F
Have elevators that firefighters can control in the event of a fire.
- F
Have elevators that firefighters can control in the event of a fire.
Construction1E
- E
Use approved construction type or materials.
Emergency Preparedness1E
- E
Develop and maintain an Emergency Preparedness Program (EP).
·
Other homes nearby
-
Beauvais Rehab And Healthcare Center
Saint Louis, MO · Ama Holdings
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 23 min
- Fines
- $0
-
Bernard Care Center
Saint Louis, MO · Reliant Care Management · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 50 min
- Fines
- $37,388
-
Grand Manor Health Care Center
Saint Louis, MO · Reliant Care Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 1 h 38 min
- Fines
- $126,118