Bonne Terre, MO

St Joe Manor

2-star overall rating with 4-star inspections with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

10 Lake Drive, Bonne Terre, MO

(573) 358-2800

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

155

Certified beds

Average residents

141

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Shafiq Malik

Operator or chain grouping

Approved since

1999-11-12

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

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

0.39

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.43

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.82

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

2.64

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.82

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.16

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.21

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

0.38

CMS adjusted RN staffing hours

Adjusted total hours

2.60

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

100%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

97%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,743

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

25.81

Composite VBP score used to determine payment impact.

Payment multiplier

0.9839

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.72

Baseline 19.96% · Performance 20.17% · Measure score 2.72 · Achievement 2.72 · Improvement 0

Healthcare-associated infections

Baseline 9.50% · Performance 9.56% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.46

Baseline 57.03% · Performance 53.64% · Measure score 2.46 · Achievement 2.46 · Improvement 0.55

Adjusted total nurse staffing

5.14

Baseline 3.94 hours · Performance 4.54 hours · Measure score 5.14 · Achievement 5.14 · Improvement 2.75

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.19%	10.72% 2.5 pts worse	No Different than the National Rate · Eligible stays 90 · Observed rate 21.11% · Lower 95% interval 9.28%
Discharge to community	31.45%	50.57% 19.1 pts worse	Worse than the National Rate · Eligible stays 34 · Observed rate 14.71% · Lower 95% interval 20.96%
Medicare spending per beneficiary	1.4	1.02 0.4 pts worse
Drug regimen review with follow-up	97.73%	95.27% 2.5 pts better	Numerator 43 · Denominator 44
Falls with major injury	4.55%	0.77% 3.8 pts worse	Numerator 2 · Denominator 44
Discharge self-care score	54.55%	53.69% 0.9 pts better	Numerator 12 · Denominator 22
Discharge mobility score	50%	50.94% 0.9 pts worse	Numerator 11 · Denominator 22
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 44 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	9.56%	7.12% 2.4 pts worse	No Different than the National Rate · Eligible stays 65 · Observed rate 16.92% · Lower 95% interval 5.63%
Staff COVID-19 vaccination coverage	0.78%	8.2% 7.4 pts worse	Numerator 1 · Denominator 128
Staff flu vaccination coverage	6.67%	42% 35.3 pts worse	Numerator 8 · Denominator 120
Discharge function score	45.45%	56.45% 11 pts worse	Numerator 10 · Denominator 22
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · 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	1.8	2.1 0.3 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.1 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.7	2.3 2.4 pts worse	1.8 2.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.7 · Observed 5.1 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	84.8% 10.8 pts better	93.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.6% · Q2 97.0% · Q3 95.6% · Q4 94.1% · 4Q avg 95.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.1%	90.9% 4.2 pts better	95.5% 0.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.1%
Percentage of long-stay residents experiencing one or more falls with major injury	2.4%	4.1% 1.7 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.2% · Q3 2.2% · Q4 1.5% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	34.2%	14.7% 19.5 pts worse	11.4% 22.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 48.4% · Q3 42.3% · Q4 23.1% · 4Q avg 34.2%
Percentage of long-stay residents who lose too much weight	11.0%	5.5% 5.5 pts worse	5.4% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 9.0% · Q3 13.8% · Q4 9.2% · 4Q avg 11.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	41.1%	25.3% 15.8 pts worse	19.6% 21.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 43.0% · Q2 39.5% · Q3 39.7% · Q4 42.3% · 4Q avg 41.1%
Percentage of long-stay residents who received an antipsychotic medication	34.3%	25.0% 9.3 pts worse	16.7% 17.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 32.5% · Q3 36.0% · Q4 37.3% · 4Q avg 34.3% · 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	29.8%	20.3% 9.5 pts worse	16.3% 13.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.5% · Q2 42.4% · Q3 27.3% · Q4 12.6% · 4Q avg 29.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	28.5%	19.8% 8.7 pts worse	14.9% 13.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 42.9% · Q3 22.2% · Q4 13.6% · 4Q avg 28.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.8%	1.4% 0.4 pts worse	1.0% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.3% · Q3 2.2% · Q4 1.9% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.7%	2.6% 0.9 pts better	1.7% About the same	Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.5% · Q3 0.8% · Q4 3.8% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	10.1%	18.1% 8 pts better	19.8% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 11.1% · Q3 12.8% · Q4 7.6% · 4Q avg 10.1%
Percentage of long-stay residents with pressure ulcers	6.5%	5.0% 1.5 pts worse	5.1% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 3.4% · Q3 6.2% · Q4 8.4% · 4Q avg 6.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	65.2%	66.4% 1.2 pts worse	81.7% 16.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 63.2% · Q2 63.2% · Q3 61.0% · Q4 73.7% · 4Q avg 65.2%
Percentage of short-stay residents who had an outpatient emergency department visit	23.9%	13.4% 10.5 pts worse	12.0% 11.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 27.4% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	6.0%	2.2% 3.8 pts worse	1.6% 4.4 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	32.5%	63.5% 31 pts worse	79.7% 47.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 32.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.4%	25.3% 6.9 pts better	23.9% 5.5 pts better	Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 19.4% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-01-11 · Fire 2024-01-11

13 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-05-06 · Fire 2022-05-06

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-13

K223 · Egress Deficiencies

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 2025-03-30

F · Potential for more than minimal harm 2025-02-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-30

F · Potential for more than minimal harm 2025-02-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-30

F · Potential for more than minimal harm 2025-02-13

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-30

F · Potential for more than minimal harm 2025-02-13

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 2025-03-30

F · Potential for more than minimal harm 2025-02-13

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-03-30

F · Potential for more than minimal harm 2025-02-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-30

F · Potential for more than minimal harm 2024-01-11

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-03-06

F · Potential for more than minimal harm 2022-05-06

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-06-20

F · Potential for more than minimal harm 2022-05-06

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 2022-06-20

F · Potential for more than minimal harm 2022-05-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-06-20

F · Potential for more than minimal harm 2022-05-06

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-06-20

F · Potential for more than minimal harm 2022-05-06

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 2022-06-20

F · Potential for more than minimal harm 2022-05-06

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2022-06-20

F · Potential for more than minimal harm 2022-05-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-06-20

F · Potential for more than minimal harm 2022-05-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-06-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-13

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 2025-03-30

D · Potential for more than minimal harm 2025-02-13

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 2025-03-30

D · Potential for more than minimal harm 2025-02-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-02-13

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 2025-03-30

D · Potential for more than minimal harm 2025-02-13

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 2025-03-30

D · Potential for more than minimal harm 2025-02-13

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 2025-03-30

D · Potential for more than minimal harm 2025-02-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-02-13

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-03-30

D · Potential for more than minimal harm 2025-02-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-30

D · Potential for more than minimal harm 2024-11-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-08-20

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 2024-10-04

E · Potential for more than minimal harm 2024-01-11

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 2024-03-06

E · Potential for more than minimal harm 2024-01-11

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 2024-03-06