4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Sainte Genevieve, MO
3-star overall rating with 5-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1100 Progress Parkway, Sainte Genevieve, MO
(573) 883-3454
Overall
3 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
107
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Shafiq Malik
Operator or chain grouping
Approved since
2002-11-26
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 4 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
0.25
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.99
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
2.86
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.87
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.36
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.23
CMS adjusted RN staffing hours
Adjusted total hours
2.71
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
7,860
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9851
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.18
Baseline 22.98% · Performance 20.20% · Measure score 4.18 · Achievement 2.67 · Improvement 4.18
Healthcare-associated infections
3.60
Baseline 5.37% · Performance 6.76% · Measure score 3.60 · Achievement 3.60 · Improvement 0
Total nurse turnover
3.65
Baseline 50.00% · Performance 48.75% · Measure score 3.65 · Achievement 3.65 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.24 hours · Performance 3.18 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.29% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 60 · Observed rate 16.67% · Lower 95% interval 8.51% |
| Discharge to community | 31.8% |
50.57%
18.8 pts worse
|
Worse than the National Rate · Eligible stays 32 · Observed rate 15.63% · Lower 95% interval 18.2% |
| Medicare spending per beneficiary | 1.25 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 95% |
95.27%
0.3 pts worse
|
Numerator 38 · Denominator 40 |
| Falls with major injury | 7.5% |
0.77%
6.7 pts worse
|
Numerator 3 · Denominator 40 |
| Discharge self-care score | 37.93% |
53.69%
15.8 pts worse
|
Numerator 11 · Denominator 29 |
| Discharge mobility score | 17.24% |
50.94%
33.7 pts worse
|
Numerator 5 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 7.5% |
2.29%
5.2 pts worse
|
Numerator 3 · Denominator 40 · Adjusted rate 5.52% |
| Healthcare-associated infections requiring hospitalization | 6.76% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 43 · Observed rate 6.98% · Lower 95% interval 3.8% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 167 |
| Staff flu vaccination coverage | 7.47% |
42%
34.5 pts worse
|
Numerator 13 · Denominator 174 |
| Discharge function score | 27.59% |
56.45%
28.9 pts worse
|
Numerator 8 · Denominator 29 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.1
0.1 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.3
0.2 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.4 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.0% |
84.8%
4.8 pts worse
|
93.4%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 79.3% · Q2 57.3% · Q3 88.5% · Q4 95.1% · 4Q avg 80.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 78.2% |
90.9%
12.7 pts worse
|
95.5%
17.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 78.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.0% |
4.1%
0.9 pts worse
|
3.3%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.9% · Q3 3.8% · Q4 4.9% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 52.4% |
14.7%
37.7 pts worse
|
11.4%
41 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 57.3% · Q2 60.2% · Q3 44.8% · Q4 47.8% · 4Q avg 52.4% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
5.5%
0.2 pts worse
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 7.1% · Q3 4.5% · Q4 7.1% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.4% |
25.3%
3.1 pts worse
|
19.6%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 32.2% · Q3 24.2% · Q4 23.0% · 4Q avg 28.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.7% |
25.0%
1.7 pts worse
|
16.7%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 25.4% · Q3 23.5% · Q4 26.2% · 4Q avg 26.7% · 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 | 35.6% |
20.3%
15.3 pts worse
|
16.3%
19.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 48.0% · Q3 37.9% · Q4 31.0% · 4Q avg 35.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.6% |
19.8%
10.8 pts worse
|
14.9%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 41.2% · Q3 27.6% · Q4 30.2% · 4Q avg 30.6% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
2.6%
1 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.1% · Q3 2.0% · Q4 1.0% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.2% |
18.1%
3.9 pts better
|
19.8%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 14.5% · Q3 15.8% · Q4 17.6% · 4Q avg 14.2% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
5.0%
0.2 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.8% · Q3 7.3% · Q4 4.4% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 43.4% |
66.4%
23 pts worse
|
81.7%
38.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 42.3% · Q2 41.9% · Q3 43.2% · Q4 47.1% · 4Q avg 43.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
13.4%
2.1 pts better
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 12.1% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.0% |
2.2%
1.8 pts worse
|
1.6%
2.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 20.0% |
63.5%
43.5 pts worse
|
79.7%
59.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 20.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.5% |
25.3%
12.8 pts better
|
23.9%
11.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 12.1% · Expected 23.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Rights (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-10-26
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-10-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-26
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 2024-09-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-08
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-26
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-26
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 2025-10-26
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-09-06
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 2024-09-06
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-09-06
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-06
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 2024-09-06
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 2024-09-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-08
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 2023-09-08
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 2023-09-08
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-09-08
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 2023-09-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-09-08
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-09-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-08
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 2023-09-08
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 2023-09-08
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-09-08
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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