16 health deficiencies
Top issue: Infection Control (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Eureka, MO
2-star overall rating with 2-star inspections with $132,696 in total fines with 16 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
313 Augustine Rd, Eureka, MO
(636) 938-6770
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
174
Certified beds
Average residents
73
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Riley Spence Senior Living
Operator or chain grouping
Approved since
1979-03-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 2 overall / 3 health / 2 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.40
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
3.40
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.36
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.96
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
4.04
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
5.80
CMS adjusted total nurse staffing hours
Case-mix index
1.03
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
7,001
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9863
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
3.55
Baseline 76.43% · Performance 55.56% · Measure score 3.55 · Achievement 1.99 · Improvement 3.55
Adjusted total nurse staffing
2.67
Baseline 5.4 hours · Performance 3.84 hours · Measure score 2.67 · Achievement 2.67 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.71% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 26 · Observed rate 23.08% · Lower 95% interval 7.79% |
| Discharge to community | 47.81% |
50.57%
2.8 pts worse
|
No Different than the National Rate · Eligible stays 27 · Observed rate 37.04% · Lower 95% interval 36.58% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 55 · Denominator 55 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 55 |
| Discharge self-care score | 44.74% |
53.69%
8.9 pts worse
|
Numerator 17 · Denominator 38 |
| Discharge mobility score | 15.79% |
50.94%
35.1 pts worse
|
Numerator 6 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 55 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 118 |
| Staff flu vaccination coverage | 5.17% |
42%
36.8 pts worse
|
Numerator 6 · Denominator 116 |
| Discharge function score | 13.16% |
56.45%
43.3 pts worse
|
Numerator 5 · Denominator 38 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 26 · Denominator 26 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.7% |
25.2%
21.5 pts worse
|
Numerator 1 · Denominator 27 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 52.4% |
84.8%
32.4 pts worse
|
93.4%
41 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 60.5% · Q2 52.1% · Q3 49.3% · Q4 47.2% · 4Q avg 52.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.2% |
90.9%
10.7 pts worse
|
95.5%
15.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.6% |
4.1%
2.5 pts worse
|
3.3%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 8.5% · Q3 7.5% · Q4 2.8% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.3% |
14.7%
10.4 pts better
|
11.4%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.9% · Q3 1.7% · Q4 3.0% · 4Q avg 4.3% |
| Percentage of long-stay residents who lose too much weight | 14.5% |
5.5%
9 pts worse
|
5.4%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 17.5% · Q3 18.6% · Q4 13.6% · 4Q avg 14.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.8% |
25.3%
6.5 pts worse
|
19.6%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 41.3% · Q3 39.0% · Q4 14.8% · 4Q avg 31.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.3% |
25.0%
3.3 pts worse
|
16.7%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 27.7% · Q3 31.1% · Q4 29.2% · 4Q avg 28.3% · 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 | 13.2% |
20.3%
7.1 pts better
|
16.3%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 18.5% · Q3 3.9% · Q4 15.4% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.9% |
19.8%
6.9 pts better
|
14.9%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 14.8% · Q3 10.3% · Q4 10.9% · 4Q avg 12.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.1% |
1.4%
2.7 pts worse
|
1.0%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.3% · Q3 3.9% · Q4 3.5% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.9% |
2.6%
1.3 pts worse
|
1.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 7.0% · Q3 1.5% · Q4 1.4% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.6% |
18.1%
2.5 pts worse
|
19.8%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 24.2% · Q3 21.3% · Q4 19.2% · 4Q avg 20.6% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
5.0%
0.1 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.8% · Q3 4.1% · Q4 12.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.9% |
66.4%
41.5 pts worse
|
81.7%
56.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 30.2% · Q3 26.2% · Q4 19.0% · 4Q avg 24.9% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.6% |
2.2%
1.4 pts worse
|
1.6%
2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.3% · Q4 4.5% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 16.7% |
63.5%
46.8 pts worse
|
79.7%
63 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 16.7% |
Survey summary
Top issue: Infection Control (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Rights (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
10 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-25
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-07-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-25
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-07-25
Fire Safety
Establish an Emergency Preparedness Program (EP).
Corrected 2024-04-29
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-04-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Not marked corrected
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-04-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-30
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 2024-04-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-01-08
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-11-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-11-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-13
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2022-11-07
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-11-07
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 2022-11-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-07
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-11-07
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-25
Health
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.
Corrected 2025-07-25
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 2025-07-25
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 2025-07-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-25
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-07-25
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 2025-07-25
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-25
Health
Provide activities to meet all resident's needs.
Corrected 2025-07-25
Health
Post nurse staffing information every day.
Corrected 2025-07-25
Health
Implement a program that monitors antibiotic use.
Corrected 2025-07-25
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-07-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-25
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-09-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-29
Health
Implement a program that monitors antibiotic use.
Corrected 2024-04-29
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-29
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 2024-04-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-29
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-29
Health
Provide activities to meet all resident's needs.
Corrected 2024-04-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-20
Health
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.
Corrected 2024-04-29
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2024-04-29
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 2024-04-29
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-29
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-01-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-19
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-01-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-07
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-11-07
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-11-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-11-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-11-07
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2022-11-07
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 2022-11-07
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-11-07
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-07
Health
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.
Corrected 2022-11-07
Health
Post nurse staffing information every day.
Corrected 2022-11-07
Penalties and ownership
Fine · fine $132,696
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
Eureka, MO
2-star overall rating with 2-star inspections with $77,664 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Wildwood, MO
1-star overall rating with 1-star inspections with $275,739 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Ellisville, MO
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
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