St Clair Nursing Center — nursing home in Saint Clair, MO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 79 CMS-certified beds (not state-licensed beds)
Licensed beds: 79 state-licensed beds · Missouri Department of Health and Senior Services
State license: 052348 active · licensee ST CLAIR NURSING, LLC
Average residents per day: 55.3 CMS, MDS-derived
CMS Certification Number: 265495
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 1, 1992
Ownership type: For profit - Corporation
Operator (legal business name): St. Clair Nursing LLC
CMS chain: Americare Senior Living 23 facilities
Phone: (636) 629-2100
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Feb 19, 2026

Citations

19

8 health · 11 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D5	E5	F8
Minimal	A·	B·	C·

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,278

Payment denials

0

Latest

Feb 19, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 265495
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 79
First approved: Apr 1, 1992
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 4, 2026
Evidence: Verified

State license

Authority: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
License number: 052348
State facility ID: 13744
License type: Skilled nursing facility
License status: active
Licensed beds: 79
Link to CMS record: Linked by exact CCN Verified
Licensee: ST CLAIR NURSING, LLC · Limited Liability Company
Current license: Dec 10, 2024 → Dec 9, 2026
Certification (per state): Medicare/Medicaid
As of: Nov 4, 2026
Evidence: Verified source ↗

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Feb 19, 2026	Health	Health Complaint	1	Actual harm	—	Open →
Feb 7, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 7, 2025	Health	Health Standard	1	Potential harm	—	Open →
Mar 8, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 8, 2024	Health	Health Standard	2	Potential harm	—	Open →
Jan 13, 2023	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Jan 13, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Feb 19, 2026	Civil money penalty (fine)	$8,278	—	265495\|Fine\|138251

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D5	E5	F8
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Feb 19, 2026	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	G · Actual harm Isolated	Past non-compliance	Complaint
Feb 7, 2025	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	E · Potential harm Pattern	Corrected Mar 17, 2025
Mar 8, 2024	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 Apr 15, 2024
Mar 8, 2024	K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 15, 2024
Mar 8, 2024	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 15, 2024
Mar 8, 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	Corrected Apr 15, 2024
Mar 8, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 15, 2024
Jan 13, 2023	K-0222	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. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 14, 2023
Jan 13, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 14, 2023
Jan 13, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 14, 2023
Jan 13, 2023	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 14, 2023
Jan 13, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 14, 2023
Jan 13, 2023	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 14, 2023
Jan 13, 2023	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 14, 2023
Jan 13, 2023	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 Feb 14, 2023
Jan 13, 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 Feb 14, 2023
Jan 13, 2023	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 Feb 14, 2023
Jan 13, 2023	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 Feb 14, 2023
Jan 13, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 14, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.8

Staffingstate 2.2

Quality measuresstate 2.9

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.76

State avg 3.40US avg 3.90

Registered nurse (RN)0.40

State avg 0.46US avg 0.69

Licensed practical nurse1.00

State avg 0.68US avg 0.86

Nurse aide2.37

State avg 2.26US avg 2.35

Weekend total nurse3.23

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.74 (case-mix index 1.41).

Staff turnover

Total nursing staff turnover52.2%

State avg 56.9%US avg 45.3%

Registered nurse turnover42.9%

State avg 50.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Feb 7, 2025
Cycle 1 health score: 28
Total weighted score: 23

Operating entity

St. Clair Nursing LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Americare Senior Living

23 facilities in 2 states. CMS chain ID 34.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.6

Ownership disclosures

Disclosures

13

Organizations

3

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
R H Montgomery Properties, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2003
St. Clair Nursing LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2003
Anna Montgomery	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50%	Jan 1, 2013

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
R H Montgomery Properties, Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2003
St. Clair Nursing LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2003
Anna Montgomery	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50%	Jan 1, 2013
Americare Systems, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 4, 2002
Steven Hatlestad	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2002
Richard Montgomery	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 16, 2003
Richard Montgomery	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 1981
James Reiker	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2002
Kyle Schade	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2021
James Reiker	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Apr 1, 2002
Kyle Schade	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Mar 1, 2021
Denice Marsh	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Aug 15, 2016
James Reiker	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 1, 2003

Same chain in Missouri

All 22 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Pioneer Skilled Nursing Center 1500 South Kansas Avenue, Marceline, MO 64658 CCN 265169	96	Mar 20, 2025	501 IJ	—
Cypress Point-Skilled Nursing By Americare 801 Baliff Drive, Dexter, MO 63841 CCN 265367	79	Sep 18, 2025	191 IJ	$74k
Heritage Hall Nursing Center 750 E Highway 22, Centralia, MO 65240 CCN 265385	60	Nov 6, 2025	19	—
Southbrook Nursing Center 1101 Hazel Lane, Farmington, MO 63640 CCN 265389	104	Apr 10, 2026	18	—
Clark's Mountain Nursing Center 2100 Barnes, Piedmont, MO 63957 CCN 265416	91	May 14, 2026	13	—
Chaffee Nursing Center 12273 State Highway 77, Chaffee, MO 63740 CCN 265492	71	May 14, 2026	15	—
Heritage Nursing Center - Skilled Nursing By Ameri 1802 St Francis, Kennett, MO 63857 CCN 265531	72	Feb 18, 2026	14	—
The Neighborhoods at Quail Creek 1514 West Lark, Springfield, MO 65810 CCN 265799	120	Jun 26, 2026	42	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1035 Plaza Court North, Saint Clair, MO 63077
ZIP: 63077
County: Franklin County FIPS 29071
State: Missouri
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Union Nursing 1080 Marie Lane, Union, MO 63084 CCN 265873	8.8 km	60	Nov 19, 2025	26	—
Sunset Health Care Center 400 West Park Avenue, Union, MO 63084 CCN 265390	10.8 km	120	May 30, 2025	531 IJ	$8,281
Life Care Center of Sullivan 875 Dunsford Drive, Sullivan, MO 63080 CCN 265340	24.3 km	118	Jun 25, 2026	491 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265495	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265495	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	13744	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Nov 4, 2026	Nov 7, 2026

Record-level source links for CCN 265495

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction