Florissant, MO

Pillars Of North County Health & Rehab Center, The

2-star overall rating with 2-star inspections with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

13700 Old Halls Ferry Road, Florissant, MO

(314) 355-0760

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

64

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Helia Healthcare

Operator or chain grouping

Approved since

1989-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.24

Registered nurse staffing

LPN hours / resident day

0.57

Licensed practical nurse staffing

Aide hours / resident day

1.57

Nurse aide staffing

Weekend hours

1.96

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

53%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.1
About the same
1.9
0.2 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
2.3
1.4 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.5%
84.8%
9.7 pts better
93.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
90.9%
9.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.7%
4.1%
2.4 pts better
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
14.7%
14.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.5%
5.5%
5 pts better
5.4%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.6%
25.3%
16.7 pts better
19.6%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.9%
25.0%
8.1 pts better
16.7%
0.2 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 16.5%
20.3%
3.8 pts better
16.3%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.6%
19.8%
7.2 pts better
14.9%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
1.4%
1.1 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
2.6%
2.6 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.7%
18.1%
6.4 pts better
19.8%
8.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.9%
5.0%
3.1 pts better
5.1%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 42.8%
66.4%
23.6 pts worse
81.7%
38.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.2%
2.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 54.5%
63.5%
9 pts worse
79.7%
25.2 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-21 · Fire 2025-03-21

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2023-11-01 · Fire 2023-11-01

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2020-10-06 · Fire 2020-10-06

24 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-21

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-04-17

E · Potential for more than minimal harm 2025-03-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-17

E · Potential for more than minimal harm 2025-03-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-17

E · Potential for more than minimal harm 2025-03-21

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-04-17

F · Potential for more than minimal harm 2023-11-01

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-11-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-11-01

K321 · Smoke Deficiencies

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 2023-12-19

E · Potential for more than minimal harm 2023-11-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-12-01

F · Potential for more than minimal harm 2020-10-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-11-10

F · Potential for more than minimal harm 2020-10-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-11-10

F · Potential for more than minimal harm 2020-10-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-11-10

E · Potential for more than minimal harm 2020-10-06

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2020-11-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-11

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-11

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-10-03

E · Potential for more than minimal harm 2025-03-21

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-04-17

E · Potential for more than minimal harm 2025-03-21

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-17

E · Potential for more than minimal harm 2025-03-21

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-03-21

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-21

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-04-17

G · Actual harm 2024-07-02

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-07-29

D · Potential for more than minimal harm 2024-03-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-15

D · Potential for more than minimal harm 2023-12-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-12-19

D · Potential for more than minimal harm 2023-12-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-10

E · Potential for more than minimal harm 2023-11-01

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-11-01

F571 · Resident Rights Deficiencies

Health

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-11-01

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-11-01

F700 · Quality of Life and Care Deficiencies

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 2023-12-20

E · Potential for more than minimal harm 2023-11-01

F770 · Administration Deficiencies

Health

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

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-11-01

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-11-01

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-11-01

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-11-01

F909 · Environmental Deficiencies

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 2023-12-01

D · Potential for more than minimal harm 2023-11-01

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-11-01

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-12-18

D · Potential for more than minimal harm 2023-11-01

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-01

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-01

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-01

F761 · Pharmacy Service Deficiencies

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 2023-12-01

G · Actual harm 2020-10-06

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2020-11-10

F · Potential for more than minimal harm 2020-10-06

F620 · Resident Rights Deficiencies

Health

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Corrected 2020-11-10

F · Potential for more than minimal harm 2020-10-06

F725 · Nursing and Physician Services Deficiencies

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 2020-11-10

F · Potential for more than minimal harm 2020-10-06

F756 · Pharmacy Service Deficiencies

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 2020-11-10

F · Potential for more than minimal harm 2020-10-06

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2020-11-10

F · Potential for more than minimal harm 2020-10-06

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F570 · Resident Rights Deficiencies

Health

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F625 · Resident Rights Deficiencies

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 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F700 · Quality of Life and Care Deficiencies

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 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F758 · Pharmacy Service Deficiencies

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 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F761 · Pharmacy Service Deficiencies

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 2020-11-10

E · Potential for more than minimal harm 2020-10-06

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2020-11-10

D · Potential for more than minimal harm 2020-10-06

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2020-11-10

D · Potential for more than minimal harm 2020-10-06

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2020-11-10

D · Potential for more than minimal harm 2020-10-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2020-11-10

D · Potential for more than minimal harm 2020-10-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2020-11-10

D · Potential for more than minimal harm 2020-10-06

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2020-11-10

Penalties and ownership

What sits behind the stars

Ownership

Miller, Stephen

5% Or Greater Direct Ownership Interest · Individual

100% 20 facilities 2008-04-01
Miller, Stephen

Corporate Officer · Individual

0% 20 facilities 2008-04-01
Miller, Stephen

Contracted Managing Employee · Individual

0% 20 facilities 2008-04-01

Nearby options

Other facilities in reach

#1

Lakeview Post Acute

Florissant, MO

1-star overall rating with 1-star inspections with $194,454 in total fines with 26 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$194,454
#2

Delmar Gardens North

Black Jack, MO

3-star overall rating with 3-star inspections with $39,299 in total fines with 6 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$39,299
#3

Crestwood Health Care Center, LLC

Florissant, MO

1-star overall rating with 1-star inspections with abuse icon flag with $155,928 in total fines with 20 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$155,928

Jump out

Supporting pages