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

Nhc Healthcare, Maryland Heights

2920 Fee Fee Road, Maryland Heights, MO · (314) 291-0121

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
220
Residents per day
199
Ownership
For-Profit
Chain
National Healthcare Corporation
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 31, 1987

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.

  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

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

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

Nhc Healthcare, Maryland Heights carries 25 inspection points. That is fewer than 87% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 25 pts · 4★

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

15 health citations on record since 2022. 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 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Pharmacy Service4E
  1. 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.

    March 20, 2026 · Standard · F761 · Corrected April 21, 2026

  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.

    May 6, 2024 · Standard · F761 · Corrected May 17, 2024

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    October 3, 2022 · Standard · F755 · Corrected October 25, 2022

  4. 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.

    October 3, 2022 · Standard · F761 · Corrected October 25, 2022

Resident Rights3E
  1. E

    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.

    May 6, 2024 · Standard · F584 · Corrected May 13, 2024

  2. 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.

    October 3, 2022 · Standard · F578 · Corrected October 31, 2022

  3. D

    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.

    October 3, 2022 · Standard · F584 · Corrected October 31, 2022

Nutrition and Dietary2E
  1. E

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

    March 20, 2026 · Standard · F812 · Corrected April 21, 2026

  2. E

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

    May 6, 2024 · Standard · F812 · Corrected May 17, 2024

Quality of Life and Care2E
  1. E

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

    May 6, 2024 · Standard · F689 · Corrected May 17, 2024

  2. D

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

    May 6, 2024 · Standard · F695 · Corrected May 27, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    April 1, 2026 · Complaint · F609 · Corrected April 21, 2026

Resident Assessment and Care Planning1D
  1. D

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

    March 20, 2026 · Standard · F658 · Corrected April 21, 2026

Administration1D
  1. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    May 6, 2024 · Standard · F770 · Corrected May 17, 2024

Infection Control1D
  1. D

    Ensure staff are vaccinated for COVID-19

    October 3, 2022 · Standard · F888 · Corrected October 31, 2022

Inspection history

  1. 2026-03-20

    4 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  2. 2024-05-06

    6 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2022-10-03

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 26 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

3 h 26 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 28% of nursing staff and 6% 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

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 days0.3 pts worse2.32.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better1.72.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.2 pts better99.2%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.1 pts better98.9%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse5.1%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms16.6 pts better3.4%20.0%13.5%
Percentage of long-stay residents who lose too much weight1.1 pts better4.0%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.1 pts better16.5%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.6 pts better12.9%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 worsened7.7 pts better8.1%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts better13.5%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.2%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better0.7%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts worse17.7%17.1%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts better2.3%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.2 pts better97.9%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5 pts better8.4%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better1.3%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.5 pts better84.9%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts worse27.8%25.7%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Blackrock IncAdp Of The SNF · Organization0%85 facilities
Dodson, VickiOperational/Managerial Control · Individual0%65 facilities
Dodson, VickiAdp Of The SNF · Individual0%65 facilities
Kidd, BrianOperational/Managerial Control · Individual0%66 facilities
Kidd, BrianAdp Of The SNF · Individual0%66 facilities
Loraine, JeffreyOperational/Managerial Control · Individual0%1 facilities
National Health CorporationAdp Of The SNF · Organization0%59 facilities
National Healthcare CorporationOperational/Managerial Control · Organization0%61 facilities
National Healthcare CorporationAdp Of The SNF · Organization0%61 facilities
Nhc/Delaware IncIndirect Ownership Interest · Organization0%46 facilities
Rector, MelvinManaging Control - Governing Body · Individual0%9 facilities
Rector, MelvinCorporate Officer · Individual0%9 facilities
Rector, MelvinOperational/Managerial Control · Individual0%9 facilities
Sanford, AngelaOperational/Managerial Control · Individual0%1 facilities
Sanford, AngelaAdp Of The SNF · Individual0%1 facilities
Taylor, SusanOperational/Managerial Control · Individual0%1 facilities
Taylor, SusanAdp Of The SNF · Individual0%1 facilities
Ussery, RobertOperational/Managerial Control · Individual0%57 facilities
Vanguard Group IncAdp Of The SNF · Organization0%84 facilities

·

Fire safety

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

Smoke4F
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    March 20, 2026 · K353 · Corrected April 21, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 6, 2024 · K353 · Not yet marked corrected

  3. E

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

    May 6, 2024 · K372 · Corrected May 27, 2024

  4. E

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

    October 3, 2022 · K372 · Corrected October 27, 2022

Egress3F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    May 6, 2024 · K291 · Corrected May 13, 2024

  2. 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.

    May 6, 2024 · K222 · Not yet marked corrected

  3. E

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

    October 3, 2022 · K211 · Corrected October 27, 2022

Construction1E
  1. E

    Use approved construction type or materials.

    March 20, 2026 · K161 · Corrected April 21, 2026

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    May 6, 2024 · K712 · Corrected May 17, 2024

Gas, Vacuum, and Electrical Systems1F
  1. F

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

    October 3, 2022 · K914 · Corrected October 27, 2022

·

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