Cycle 1
Health 2025-02-07 · Fire 2025-02-07
12 health deficiencies
Top issue: Resident Rights (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Eureka, MO
St Andrew's At Francis Place
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
400 Summerville Blvd, Eureka, MO
(636) 938-5151
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
106
Certified beds
Average residents
97
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1983-05-04
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
Hours and turnover
RN hours / resident day
0.24
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.49
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.47
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.20
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.73
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.09
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.28
CMS adjusted RN staffing hours
Adjusted total hours
3.83
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,550
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.36
Composite VBP score used to determine payment impact.
Payment multiplier
0.9816
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.93
Baseline 23.37% · Performance 19.29% · Measure score 5.93 · Achievement 4.61 · Improvement 5.93
Healthcare-associated infections
0.61
Baseline 6.00% · Performance 7.65% · Measure score 0.61 · Achievement 0.61 · Improvement 0
Total nurse turnover
0
Baseline 37.84% · Performance 70.67% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.73 hours · Performance 2.86 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.55% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 78 · Observed rate 14.1% · Lower 95% interval 7.62% |
| Discharge to community | 57.4% |
50.57%
6.8 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 53.45% · Lower 95% interval 45.87% |
| Medicare spending per beneficiary | 0.73 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 82.22% |
95.27%
13 pts worse
|
Numerator 37 · Denominator 45 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 45 |
| Discharge self-care score | 61.76% |
53.69%
8.1 pts better
|
Numerator 21 · Denominator 34 |
| Discharge mobility score | 38.24% |
50.94%
12.7 pts worse
|
Numerator 13 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 2.22% |
2.29%
0.1 pts better
|
Numerator 1 · Denominator 45 · Adjusted rate 2.66% |
| Healthcare-associated infections requiring hospitalization | 7.65% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 41 · Observed rate 9.76% · Lower 95% interval 4.34% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 92 |
| Staff flu vaccination coverage | 36.13% |
42%
5.9 pts worse
|
Numerator 43 · Denominator 119 |
| Discharge function score | 50% |
56.45%
6.5 pts worse
|
Numerator 17 · Denominator 34 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.1
0.5 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.2 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
2.3
1.7 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 73.8% |
84.8%
11 pts worse
|
93.4%
19.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.5% · Q2 75.0% · Q3 75.6% · Q4 64.0% · 4Q avg 73.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.8% |
90.9%
0.1 pts worse
|
95.5%
4.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
4.1%
0.1 pts better
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 5.3% · Q3 3.8% · Q4 3.4% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
14.7%
13.5 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 1.6% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 0.9% |
5.5%
4.6 pts better
|
5.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.7% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
25.3%
7.3 pts better
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 17.9% · Q3 14.8% · Q4 17.6% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.1% |
25.0%
7.9 pts better
|
16.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 17.8% · Q3 19.6% · Q4 14.9% · 4Q avg 17.1% · 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 | 36.3% |
20.3%
16 pts worse
|
16.3%
20 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 50.9% · Q3 39.0% · Q4 28.5% · 4Q avg 36.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.8% |
19.8%
12 pts worse
|
14.9%
16.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.0% · Q2 30.8% · Q3 31.0% · Q4 28.6% · 4Q avg 31.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.4%
0.1 pts better
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.9% · Q3 0.0% · Q4 1.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
2.6%
1 pts better
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 2.7% · Q4 2.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.1% |
18.1%
6 pts worse
|
19.8%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 19.8% · Q3 17.7% · Q4 32.6% · 4Q avg 24.1% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
5.0%
1.3 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.8% · Q3 4.5% · Q4 1.8% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 39.4% |
66.4%
27 pts worse
|
81.7%
42.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 37.7% · Q2 40.5% · Q3 37.5% · Q4 42.6% · 4Q avg 39.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.1% |
13.4%
3.7 pts worse
|
12.0%
5.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 14.3% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
2.2%
0.6 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.9% · Q3 2.3% · Q4 3.2% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.5% |
63.5%
23 pts worse
|
79.7%
39.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 40.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.1% |
25.3%
3.8 pts worse
|
23.9%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.1% · Observed 22.9% · Expected 18.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-12 · Fire 2023-10-12
14 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2020-10-23 · Fire 2020-10-23
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-07
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-27
F · Potential for more than minimal harm
2025-02-07
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-02-07
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-03-19
F · Potential for more than minimal harm
2023-10-12
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-11-10
F · Potential for more than minimal harm
2023-10-12
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-11-10
F · Potential for more than minimal harm
2023-10-12
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-15
E · Potential for more than minimal harm
2023-10-12
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-10
E · Potential for more than minimal harm
2023-10-12
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-11-10
E · Potential for more than minimal harm
2023-10-12
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-15
E · Potential for more than minimal harm
2023-10-12
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-10
F · Potential for more than minimal harm
2020-10-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-12-01
E · Potential for more than minimal harm
2020-10-23
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 2020-12-01
E · Potential for more than minimal harm
2020-10-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-12-01
E · Potential for more than minimal harm
2020-10-23
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-12-01
E · Potential for more than minimal harm
2020-10-23
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-12-01
Inspection history
Recent health citations
G · Actual harm
2025-11-19
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 2025-12-22
E · Potential for more than minimal harm
2025-08-29
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 2025-10-06
E · Potential for more than minimal harm
2025-02-07
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-02-07
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-02-07
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 2025-03-19
E · Potential for more than minimal harm
2025-02-07
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-02-07
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-02-07
F657 · Resident Assessment and Care Planning Deficiencies
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 2025-03-19
D · Potential for more than minimal harm
2025-02-07
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-02-07
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 2025-03-19
D · Potential for more than minimal harm
2025-02-07
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 2025-03-19
D · Potential for more than minimal harm
2025-02-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-19
D · Potential for more than minimal harm
2024-10-30
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-09-27
D · Potential for more than minimal harm
2024-10-30
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-03
D · Potential for more than minimal harm
2024-10-30
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 2024-12-03
E · Potential for more than minimal harm
2024-09-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-03
D · Potential for more than minimal harm
2024-09-19
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 2024-12-03
E · Potential for more than minimal harm
2024-03-21
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-04-30
E · Potential for more than minimal harm
2024-03-21
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 2024-04-30
E · Potential for more than minimal harm
2024-03-21
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-21
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 2024-04-30
E · Potential for more than minimal harm
2023-10-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-10
D · Potential for more than minimal harm
2023-10-12
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 2023-11-10
D · Potential for more than minimal harm
2023-10-12
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-11-10
C · Minimal harm
2023-10-12
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-11-10
J · Immediate jeopardy
2023-08-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-14
G · Actual harm
2023-08-16
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-09-14
D · Potential for more than minimal harm
2023-08-16
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-09-14
D · Potential for more than minimal harm
2023-07-26
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-08-22
D · Potential for more than minimal harm
2020-10-23
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-12-01
D · Potential for more than minimal harm
2020-10-23
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 2020-12-01
D · Potential for more than minimal harm
2020-10-23
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 2020-12-01
Penalties and ownership
What sits behind the stars
$77,664
2023-07-26
Fine
Fine · fine $77,664
Fine
Ownership
St Andrews Resources For Seniors System
5% Or Greater Direct Ownership Interest · Organization
Ursuline Sisters Eureka Member Corporation
5% Or Greater Indirect Ownership Interest · Organization
Agler, Christine
W-2 Managing Employee · Individual
Bregenhorn, Rita
Corporate Director · Individual
Bregenhorn, Rita
Corporate Officer · Individual
Girardi, Joseph
Corporate Director · Individual
Holman, William
Corporate Officer · Individual
Maguire, Sally
Corporate Director · Individual
St Andrews Resources For Seniors System
Operational/Managerial Control · Organization
Thaman, Ralph
Corporate Director · Individual
West, Courtney
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Marymount Manor
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
#2
Aegis Health And Rehabilitation
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
#3
Ellisville Rehabilitation And Nursing
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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