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54 For-Profit Nursing Homes in St. Louis County, Missouri

54 of the 69 Medicare-certified nursing homes in St. Louis County, Missouri (78%) are for-profit, and all are listed below. 2 of the 54 graded homes earn an A and 22 earn a D or F. They average 3.4 nursing hours per resident per day, 0.22 hours below the 3.62 for every home in St. Louis County, Missouri. Lutheran Convalescent Home in Webster Groves grades highest at A (99 out of 100).

How for-profit homes in St. Louis County, Missouri compare

This group set against every nursing home in St. Louis County, Missouri, from the current CMS release.

Nursing hours per resident per day

3.4

All homes in St. Louis County, Missouri: 3.62

Worse than the local average

Nurse staff turnover

61.9%

All homes in St. Louis County, Missouri: 58.7%

Worse than the local average

Average ElderGrade score

59.9/100

All homes in St. Louis County, Missouri: 64.3/100

Worse than the local average

Grade spread

B
C
D

2 grade A, 12 grade B, 18 grade C, 22 grade D,

The best-graded for-profit home in St. Louis County, Missouri is Lutheran Convalescent Home in Webster Groves, MO, grade A, 99/100.

Every for-profit nursing home in St. Louis County, Missouri

Showing 1 to 20 of 54, best-graded first.

A

99/100

Lutheran Convalescent Home

Webster Groves, MO · St. Louis County

CMS 5/5251 bedsFor-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
32%
Serious cites
0

Lutheran Convalescent Home runs 4.82 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff tends to stay, 31.5% turnover against a 45.8% national figure. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record shows nine deficiencies, none at the harm level, though one is abuse-related, and the last full inspection was in November 2024. For a 251-bed for-profit home, that combination of heavy staffing and low turnover is the main thing separating it from the pack.

A

85/100

Nhc Healthcare, Maryland Heights

Maryland Heights, MO · St. Louis County

CMS 4/5220 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
29%
Serious cites
0

Nhc Healthcare, Maryland Heights runs 220 certified beds under for-profit limited liability ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating with 15 total deficiencies, none at the harm or jeopardy level. One abuse-related deficiency is on the record, which is worth asking about directly. Staffing is where the picture gets mixed: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends run roughly 10% thinner than weekdays. The offsetting strength is retention, 28.6% annual turnover against a 45.8% national average means familiar faces, which matters for daily care. Quality measures also rate 4/5.

B

82/100

Garden View Care Center Of Chesterfield

Chesterfield, MO · St. Louis County

CMS 4/552 bedsFor-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
62%
Serious cites
0

Garden View Care Center Of Chesterfield runs a for-profit corporate home with 52 certified beds, and its nurse staffing sits at 5.39 hours per resident day, roughly 40% above the national average of 3.86. That's real coverage, though weekend hours dip about 8% below the home's own weekday level, and annual staff turnover is 61.6% against a national average of 45.8%. The current record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, with the last inspection dated January 9, 2025. High staffing and clean harm-level findings carry weight; the turnover and abuse citations are the parts a family should ask about directly.

B

79/100

Mcknight Place Extended Care

Saint Louis, MO · St. Louis County

CMS 4/570 bedsFor-profit
Nurse hours
5.22 /day
Staff turnover
57%
Serious cites
0

Mcknight Place Extended Care sits in Saint Louis with 70 certified beds and a corporate for-profit owner. The staffing numbers are the real story here: 5.22 nurse hours per resident day, roughly a third more than the national average of 3.86, and weekend coverage holds fairly steady, only about 6% below weekdays. Turnover is the weak spot, 56.9% of staff leave annually against a national 45.8%, which means new faces are constantly rotating through. The inspection record is current, dated April 2025, and shows 25 deficiencies with none at harm or jeopardy level and nothing abuse-related, which points to documentation and process issues rather than resident safety failures.

B

76.5/100

Garden View Care Center At Dougherty Ferry

Valley Park, MO · St. Louis County

CMS 4/566 bedsFor-profitMedicaid
Nurse hours
5.96 /day
Staff turnover
n/a
Serious cites
0

Garden View Care Center At Dougherty Ferry runs 5.96 nurse hours per resident day, roughly half again the national average of 3.86, and that staffing shows up in a 4-out-of-5 staffing star. Weekend coverage dips about 8% below its own weekday level, so the weekday-to-Saturday gap is worth asking about directly. The five-star health inspection rating reflects the survey from June 2024, which found 14 deficiencies, none of them serious enough to cause harm or jeopardy, though two were abuse-related, a small number against strong staffing, but abuse citations are the kind you want explained rather than counted. The 1-out-of-5 quality measure rating is the clear weak spot here, and it sits oddly beside the staffing picture.

B

76.5/100

Fieser Nursing Center

Fenton, MO · St. Louis County

CMS 2/547 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
n/a
Serious cites
0

Fieser Nursing Center runs 47 beds in Fenton under individual for-profit ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekends about 12% thinner than its own weekdays. The inspection record is the bigger concern: 56 deficiencies, including one at the harm or jeopardy level and four tied to abuse. That combination of below-average hours and a recent, lengthy deficiency list is what drags the inspection rating to 2 out of 5. The last survey was September 30, 2025, so the findings are current, not stale. If you're weighing this one, ask specifically how the abuse-related citations were resolved and who covers the floor on weekends.

B

73/100

Delmar Gardens South

Saint Louis, MO · St. Louis County

CMS 4/5184 bedsFor-profitMedicaid
Nurse hours
5.42 /day
Staff turnover
56%
Serious cites
0

Delmar Gardens South runs on more nursing hours than most homes in the country, 5.42 per resident day against a national average of 3.86, and weekend coverage slips only about 6% below weekdays. That's the strongest thing it has going. The trade-off shows up in turnover: 55.9% of staff leave each year, well above the 45.8% national figure, which matters for how well residents know their caregivers. Inspections look solid, ten deficiencies with one at the harm level and no abuse citations, and the most recent visit was September 2024. Quality measures score low, though, so the daily care picture is more mixed than the staffing numbers suggest.

B

72/100

Delmar Gardens Of Chesterfield

Chesterfield, MO · St. Louis County

CMS 3/5227 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
49%
Serious cites
0

Delmar Gardens of Chesterfield runs 227 certified beds under a for-profit limited liability company, and its staffing sits a bit thin, 3.77 nurse hours per resident day, roughly 2% under the national average, with weekends about 9% lighter than its own weekdays. Annual turnover is 48.8%, above the 45.8% national figure, which means the people caring for residents keep changing. The current record shows 39 deficiencies, including one tied to abuse; none reached harm or jeopardy level, and the most recent inspection was August 2025. Federal ratings land at 3 of 5 for health inspections and 2 of 5 for both quality measures and staffing.

B

72/100

Parkwood Skilled Nursing And Rehabilitation Center

Maryland Heights, MO · St. Louis County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
52%
Serious cites
0

Parkwood runs on 3.18 nursing hours per resident day, about 18% under the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 51.6%, above the 45.8% national figure, which means many of the people caring for your relative are new to the building. The current record carries 65 deficiencies, including one at the harm or jeopardy level and two tied to abuse; its last inspection was August 2024. Inspections and quality measures each score 2 out of 5, staffing 1 out of 5. Corporate-owned, 130 beds. Ask how the low-staffing shifts are actually covered.

B

72/100

Oak Knoll Skilled Nursing & Rehabilitation Center

Ferguson, MO · St. Louis County

CMS 2/579 bedsFor-profitMedicaid
Nurse hours
3.04 /day
Staff turnover
41%
Serious cites
0

Oak Knoll runs about 3.04 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip another 6% under its own weekday levels. Turnover sits at 41.1%, actually a bit better than the 45.8% national figure, so the issue here looks more like thin coverage than a churning workforce. The current record carries 33 deficiencies, none flagged at harm or jeopardy level, but four are abuse-related, worth asking about directly. That last inspection was May 2024, so the picture is reasonably current. A for-profit corporation operates its 79 beds, and quality measures score 1 out of 5.

B

71/100

Delmar Gardens West

Town And Country, MO · St. Louis County

CMS 2/5321 bedsFor-profitMedicaid
Nurse hours
3.62 /day
Staff turnover
42%
Serious cites
0

Delmar Gardens West is a 321-bed for-profit home in Town and Country, and the numbers pull in different directions. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends run roughly 3% thinner than weekdays, so the floor is leanest exactly when families tend to visit. Turnover at 42.4% is slightly better than the 45.8% national figure, which matters for consistency of care. What weighs things down is the inspection record: 30 deficiencies, two at harm or jeopardy level and one abuse-related, plus $22,623 in fines, with the most recent inspection in April 2025. The staffing rating is strong; the quality measure rating is not. Ask about weekend coverage and how those harm-level deficiencies were corrected.

B

71/100

Delmar Gardens Of Meramec Valley

Fenton, MO · St. Louis County

CMS 5/5190 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
48%
Serious cites
0

Delmar Gardens of Meramec Valley runs 190 beds under corporate ownership, and its inspection record comes back clean where it counts most: zero deficiencies at the harm or jeopardy level, which is not nothing given 22 total findings on the books. Three of those are abuse-related, worth asking about directly. Where the numbers get shakier is staffing, 3.36 nurse hours per resident day sits about 13% under the national average, and weekends drop roughly another 10% below its own weekday levels. Turnover runs 47.8%, slightly above the national 45.8%. A recent December 2025 inspection means the picture is current.

B

70.5/100

Pillars Of North County Health & Rehab Center, The

Florissant, MO · St. Louis County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
2.39 /day
Staff turnover
48%
Serious cites
0

Pillars of North County runs about 2.39 nurse hours per resident day against a national average near 3.86, roughly 38% less hands-on time than the typical home. Weekends dip even further, about 16% below what the building staffs on weekdays, and nearly half the nursing staff turned over in the past year. State inspectors cited 59 deficiencies on the current record, including two at the harm level and four tied to abuse. The five-star quality measure score reflects how well the home documents resident care, but the one-star staffing rating and the inspection history tell you what those daily hours actually look like.

B

70/100

Lemay Nursing

Saint Louis, MO · St. Louis County

CMS 2/560 bedsFor-profitMedicaid
Nurse hours
2.86 /day
Staff turnover
37%
Serious cites
0

Lemay Nursing runs 60 beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly a quarter below the national average of 3.86. That thin coverage is the number to weigh most heavily, since it's the daily reality of how quickly call lights get answered. Weekend staffing dips about 3% below its own weekday level, so the gap doesn't close when families visit. Turnover is 36.8%, actually better than the 45.8% national figure, which means aides and nurses stick around longer than at many homes. But the inspection record carries 37 deficiencies, including one at harm level and two abuse-related, with the last inspection in May 2025. Ask about those directly.

C

68.5/100

Sherbrooke Village

Saint Louis, MO · St. Louis County

CMS 2/5149 bedsFor-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
61%
Serious cites
0

Sherbrooke Village runs a nonprofit shop with 149 beds in Saint Louis, and the nurses' hours look generous on paper, 4.85 per resident day, about a quarter above the national average. The catch is consistency: weekends drop roughly 18% below weekday coverage, and more than six in ten staff members leave each year, well above the 45.8% national rate. That churn shows up in the inspection record, where 49 deficiencies include 3 at harm or jeopardy level and 4 tied to abuse, with the most recent look coming in June 2024. Quality measures score well, but staffing and health inspection ratings sit at 2 out of 5.

C

65/100

Delmar Gardens North

Black Jack, MO · St. Louis County

CMS 2/5240 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
43%
Serious cites
0

Delmar Gardens North runs 240 beds in Black Jack, and the staffing numbers are the first thing worth knowing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly another 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 42.9%, is slightly better than the 45.8% national figure, which is one genuine bright spot. The rest is harder: 34 deficiencies on the current record, including 3 at harm or jeopardy level and 2 tied to abuse, plus a $39,299 fine. Its last inspection was November 2025, so the record is recent.

C

64.5/100

St Johns Place

Saint Louis, MO · St. Louis County

CMS 1/594 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

St. Johns Place is a 94-bed for-profit home in St. Louis County with a recent inspection on record from December 2025, so the findings are current. That inspection record carries 36 deficiencies, one of them abuse-related, though none rose to the level of immediate harm or jeopardy. Staffing is where the numbers get harder to explain away: the federal staffing rating sits at 1 out of 5, and the quality measure rating is also 1 out of 5, against a national average that most homes at least approach. Health inspections came in slightly better at 2 stars, but a low mark across all three categories at once is the pattern worth paying attention to.

C

64.5/100

Monarch Springs Wellness & Rehabilitation

University City, MO · St. Louis County

CMS 2/5119 bedsFor-profitMedicaid
Nurse hours
2.87 /day
Staff turnover
n/a
Serious cites
0

Monarch Springs runs thin on nursing staff, 2.87 hours per resident day against a national average of 3.86, and weekends drop roughly 12% below what the building already provides on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and notice. The inspection record adds weight: 34 deficiencies, two serious enough to involve harm or jeopardy, with the most recent state visit in July 2024. Corporate for-profit ownership and 119 certified beds round out the picture. Nothing here suggests abuse, and quality measures land mid-range, but the staffing numbers and the harm-level findings are the two things I'd ask about directly before choosing this one.

C

63.5/100

Life Care Center Of Bridgeton

Bridgeton, MO · St. Louis County

CMS 2/591 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
68%
Serious cites
0

Life Care Center of Bridgeton runs on thin nursing coverage. At 3.32 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly another 15% below its own weekday levels. Staff turnover is the bigger tell: 68.2% annually, well above the 45.8% national figure, which means caregivers are constantly new to residents. The inspection record backs that up, 58 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus one fine of $21,801. The last inspection was February 2025, so the record is current. Ownership is for-profit, a limited liability company. Quality measures look decent; staffing is where the problems concentrate.

C

60.5/100

Stonebridge Florissant

Florissant, MO · St. Louis County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
76%
Serious cites
0

Stonebridge Florissant runs on thin staffing. At 3.28 nurse hours per resident day, it sits roughly 15 percent under the national average, and weekends drop another 18 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover tells a related story: 75.9 percent of staff leave within a year, well above the 45.8 percent national figure, which means unfamiliar faces and constant retraining. The inspection record is current, dated August 2025, with 37 deficiencies but none flagged at harm or jeopardy level, and none abuse-related. That's a meaningful distinction. Still, a 1-out-of-5 staffing rating with that churn rate is the number to weigh hardest when you tour.

Frequently asked questions

How many for-profit nursing homes are there in St. Louis County, Missouri?
There are 54 for-profit Medicare-certified nursing homes in St. Louis County, Missouri, 78% of the 69 nursing homes there.
Are for-profit nursing homes better staffed?
In St. Louis County, Missouri they average 3.4 total nursing hours per resident per day, against 3.62 for all nursing homes in St. Louis County, Missouri, a difference of -0.22 hours. Staff turnover averages 61.9% against 58.7%.
Which for-profit nursing home grades best in St. Louis County, Missouri?
Lutheran Convalescent Home in Webster Groves, MO, grade A, 99 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 54 graded for-profit homes in St. Louis County, Missouri, 2 grade A and 22 grade D or F.
Do for-profit nursing homes in St. Louis County, Missouri accept Medicaid?
53 of the 54 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in St. Louis County, Missouri