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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E19 | F6 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Nov 19, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 7, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 7, 2025 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Oct 30, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Oct 12, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Oct 12, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Oct 23, 2020 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 23, 2020 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E19 | F6 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Nov 19, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Dec 22, 2025 | Complaint |
| Aug 29, 2025 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 6, 2025 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| St Andrews Resources for Seniors System | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2017 |
| Ursuline Sisters Eureka Member Corporation | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2014 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| St Andrews Resources for Seniors System | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2017 |
| Ursuline Sisters Eureka Member Corporation | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2014 |
| St Andrews Resources for Seniors System | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 7, 1968 |
| Rita Bregenhorn | Individual | Corporate officer / director | CORPORATE DIRECTOR |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Marymount Manor 313 Augustine Rd, Eureka, MO 63025 CCN 265140 | 2.9 km | 174 | Aug 5, 2026 | 762 IJ2 harm | $270k | |
| Aegis Health and Rehabilitation 1441 Charic Drive, Wildwood, MO 63021 CCN 265539 | 6.7 km | 66 | Sep 16, 2025 | 773 IJ2 harm | $276k | |
| Ellisville Rehabilitation and Nursing 322 Old State Road, Ellisville, MO 63021 CCN 265766SFF CandidateAbuse icon | 9 km | 210 | Jul 8, 2026 | 8610 IJ4 harm | $256k | |
| Pacific Care Center 105 South Sixth Street, Pacific, MO 63069 CCN 265337 | 9.7 km | 118 | Feb 12, 2026 | 67 | — | |
| Lutheran Senior Services at Meramec Bluffs 50 Meramec Trails Drive, Ballwin, MO 63021 CCN 265805 | 12.4 km | 32 | Dec 29, 2025 | 16 | — | |
| Delmar Gardens on the Green 15197 Clayton Road, Chesterfield, MO 63017 CCN 265156 | 13.5 km | 120 | Nov 26, 2025 | 642 harm | $47k | |
| Manchester Rehab and Healthcare Center 312 Solley Drive, Ballwin, MO 63021 CCN 265352 | 13.5 km | 137 | May 23, 2025 | 831 IJ1 harm2 open | $197k | |
| Big Bend Woods Healthcare Center 110 Highland Avenue, Valley Park, MO 63088 CCN 265130 | 14.4 km | 135 | Sep 12, 2025 | 861 IJ2 harm2 open | $85k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265195 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265195 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 06430 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Feb 7, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 27, 2025 |
| Feb 7, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 19, 2025 |
| Feb 7, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 19, 2025 |
| Feb 7, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 19, 2025 |
| Feb 7, 2025 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 7, 2025 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 19, 2025 |
| Feb 7, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 7, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 7, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 19, 2025 |
| Feb 7, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 7, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 7, 2025 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Mar 19, 2025 |
| Oct 30, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Sep 27, 2024 | Complaint |
| Oct 30, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 3, 2024 | Complaint |
| Oct 30, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 3, 2024 | Complaint |
| Sep 19, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 3, 2024 | Complaint |
| Sep 19, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 3, 2024 | Complaint |
| Mar 21, 2024 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 30, 2024 | Complaint |
| Mar 21, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 30, 2024 | Complaint |
| Mar 21, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 30, 2024 | Complaint |
| Mar 21, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2024 | Complaint |
| Mar 21, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2024 | Complaint |
| Oct 12, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 10, 2023 |
| Oct 12, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 10, 2023 |
| Oct 12, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 12, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 15, 2023 |
| Oct 12, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 12, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2023 |
| Oct 12, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 12, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 12, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 12, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 12, 2023 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Nov 10, 2023 |
| Oct 23, 2020 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 1, 2020 |
| Oct 23, 2020 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 1, 2020 |
| Oct 23, 2020 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 1, 2020 |
| Oct 23, 2020 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 1, 2020 |
| Oct 23, 2020 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 1, 2020 |
| Oct 23, 2020 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 1, 2020 |
| Oct 23, 2020 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 1, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.32 (case-mix index 1.13).
| not provided |
| Aug 1, 2014 |
| Joseph Girardi | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 15, 2023 |
| Sally Maguire | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 10, 2023 |
| Ralph Thaman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 29, 2019 |
| Rita Bregenhorn | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2014 |
| William Holman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 4, 2022 |
| Christine Agler | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Mar 27, 2024 |
| Courtney West | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Oct 24, 2024 |
| St Andrews Resources for Seniors System | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| Ursuline Sisters Eureka Member Corporation | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| Christine Agler | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |
| Courtney West | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 24, 2025 |