Federal inspection record · CMS data as of October 1, 2026
St Clair Nursing Center
1035 Plaza Court North, Saint Clair, MO · (636) 629-2100
- Certified beds
- 79
- Residents per day
- 55
- Ownership
- For-Profit
- Chain
- Americare Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1992
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
St Clair Nursing Center carries 23 inspection points. That is fewer than 88% of Missouri's 479 rated homes.
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
8 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care3E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2025-02-07
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-03-08
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2023-01-13
4 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 46 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 46 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 43% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-19 | Fine | $8,278 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts better | 0.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.2 pts better | 98.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 3.3% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20 pts better | 0.0% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 2.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication16.5 pts better | 9.1% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17.2 pts better | 6.3% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.9 pts worse | 16.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.1 pts worse | 17.5% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.3% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.7% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse | 19.9% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 2.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34.3 pts better | 100.0% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better | 12.8% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.5% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine36.4 pts better | 97.8% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts worse | 26.6% | 25.7% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Montgomery, Anna | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 16 facilities |
| Americare Systems, Inc. | Operational/Managerial Control · Organization | 0% | 23 facilities |
| Hatlestad, Steven | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Marsh, Denice | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Montgomery, Richard | Corporate Director · Individual | 0% | 16 facilities |
| Montgomery, Richard | Corporate Officer · Individual | 0% | 16 facilities |
| R H Montgomery Properties, Inc | 5% Or Greater Direct Ownership Interest · Organization | 0% | 15 facilities |
| Reiker, James | Contracted Managing Employee · Individual | 0% | 13 facilities |
| Reiker, James | W-2 Managing Employee · Individual | 0% | 13 facilities |
| Reiker, James | Corporate Officer · Individual | 0% | 13 facilities |
| Schade, Kyle | Contracted Managing Employee · Individual | 0% | 23 facilities |
| Schade, Kyle | Corporate Officer · Individual | 0% | 23 facilities |
| St. Clair Nursing LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Meet requirements for the installation and maintenance of electrical systems.
Egress1F
- F
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.
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Other homes nearby
-
Union Nursing
Union, MO · Community Care Centers
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 53 min
- Fines
- $0
-
Sunset Health Care Center
Union, MO · Mgm Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 3 min
- Fines
- $8,281
-
Grandview Healthcare Center
Washington, MO · James & Judy Lincoln
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 8 min
- Fines
- $0