12 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Ferguson, MO
2-star overall rating with 3-star inspections with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
37 North Clark Avenue, Ferguson, MO
(314) 521-7419
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
72
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-08-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.22
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.87
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.80
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.75
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.27
CMS adjusted RN staffing hours
Adjusted total hours
3.43
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
12,249
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
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
1.08
Baseline 46.51% · Performance 59.26% · Measure score 1.08 · Achievement 1.08 · Improvement 0
Adjusted total nurse staffing
1.56
Baseline 3.68 hours · Performance 3.52 hours · Measure score 1.56 · Achievement 1.56 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 1.47% |
8.2%
6.7 pts worse
|
Numerator 1 · Denominator 68 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
2.3
About the same
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.4 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.0% |
84.8%
1.8 pts worse
|
93.4%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.3% · Q2 66.1% · Q3 93.3% · Q4 89.4% · 4Q avg 83.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.4% |
90.9%
4.5 pts better
|
95.5%
0.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.5% |
4.1%
2.4 pts worse
|
3.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 6.8% · Q3 8.3% · Q4 9.1% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
14.7%
11.9 pts better
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.8% · Q3 2.0% · Q4 3.6% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 11.1% |
5.5%
5.6 pts worse
|
5.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 9.6% · Q3 10.9% · Q4 16.4% · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.2% |
25.3%
3.1 pts better
|
19.6%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 19.6% · Q3 24.6% · Q4 25.4% · 4Q avg 22.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 40.5% |
25.0%
15.5 pts worse
|
16.7%
23.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 43.8% · Q3 43.3% · Q4 37.1% · 4Q avg 40.5% · 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 | 18.7% |
20.3%
1.6 pts better
|
16.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.1% · Q2 6.1% · Q3 16.6% · Q4 15.8% · 4Q avg 18.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.7% |
19.8%
3.9 pts worse
|
14.9%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 29.4% · Q3 16.7% · Q4 25.0% · 4Q avg 23.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
1.4%
0.7 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.0% · Q3 1.8% · Q4 2.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.6%
1.3 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.7% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.6% |
18.1%
12.5 pts better
|
19.8%
14.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 7.3% · Q3 3.2% · Q4 4.4% · 4Q avg 5.6% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
5.0%
0.7 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 2.3% · Q3 2.3% · Q4 7.6% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 45.9% |
66.4%
20.5 pts worse
|
81.7%
35.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 45.9% |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Resident Assessment and Care Planning (5 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-08
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-07-08
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-01-06
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-01-11
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-01-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-16
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-01-06
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 2023-01-06
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-01-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-01-06
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-01-06
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-06
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-11-08
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-11-08
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-11-08
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2019-11-08
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-11-08
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2019-11-08
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 2019-11-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-11-08
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-11-08
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-11-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-11-08
Inspection history
Health
Respond appropriately to all alleged violations.
Corrected 2025-07-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-20
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-08
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 2024-07-08
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 2024-07-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-08
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 2024-07-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-12
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-08
Health
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.
Corrected 2024-07-08
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-30
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-12-26
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-12-26
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-12-26
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-12-26
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-12-26
Health
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.
Corrected 2022-12-26
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-12-26
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-26
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-12-26
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 2022-12-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-11
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-12-26
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 2022-12-26
Health
Post nurse staffing information every day.
Corrected 2022-12-26
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-11-08
Health
Provide activities to meet all resident's needs.
Corrected 2019-11-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-11-08
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 2019-11-08
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2019-11-08
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2019-11-08
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Nearby options
Ferguson, MO
1-star overall rating with 1-star inspections with abuse icon flag with $282,840 in total fines with 33 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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
Saint Louis, MO
1-star overall rating with 2-star inspections with $22,934 in total fines with 20 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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