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
Delmar Gardens On The Green runs 120 certified beds in Chesterfield under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.38 hours per resident day, roughly 13% above the national average, though weekends run about 4% thinner than weekdays and annual turnover hits 57.7% against a national 45.8%, meaning the people providing that above-average care are cycling through fast. The clinical record is harder to defend: 30 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $46,589. A recent October 2024 inspection gives you current information, but a 1/5 quality measure rating alongside that deficiency count suggests the extra staffing hours aren't translating into measured outcomes.
Westchester House runs 159 beds in Chesterfield under corporate ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, with weekends about 9 percent thinner than weekdays. On top of that, 69 percent of its nursing staff turns over in a year against a national rate near 46 percent, so the people providing hands-on care are constantly changing. The inspection record shows 43 deficiencies, including two at the harm level and three tied to abuse, with one fine of $83,824 and a health inspection rating of 2 out of 5. Its quality measure score is a bright spot at 4 out of 5, but quality numbers rest on the staffing that produces them.
Creve Coeur Manor runs on 2.47 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 74.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 66 deficiencies, including one at the harm level and one abuse-related, with a single fine of $9,440. It's a for-profit limited liability company, 149 beds, last inspected November 2024.
Florissant Valley runs 3.94 nurse hours per resident day, a hair above the national average of 3.86, but look closer and the picture changes. Weekend staffing drops roughly 17% below the home's own weekday level, and annual turnover sits at 68.8% against a national figure of 45.8%, meaning most of the people caring for residents are relatively new and the weekend crew is thinner. The inspection record shows 72 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in November 2024. For a 98-bed for-profit corporate home, those numbers, not the staffing headline, are what a family should weigh.
Aegis Health and Rehabilitation in Wildwood runs 66 certified beds under individual for-profit ownership, and its federal record is a heavy one: 66 deficiencies logged, five of them at the level where residents were actually harmed or put in jeopardy. Staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection history is the sharpest signal. This home's last full inspection was in May 2025, and its health inspection star rating stands at 1 out of 5. One fine on record totals $275,739. Turnover at 41.7% is slightly better than the 45.8% national figure, but that's the only number here that isn't working against it. Ask about the plan of correction for those five harm-level citations before you tour.
Bentleys Extended Care is a 72-bed for-profit home in Overland, and the inspection record is the first thing you should look at. The current file shows 67 deficiencies, including 10 at the level where residents were actually harmed or put in immediate jeopardy, and three tied to abuse. That is a lot of serious findings for a building this size, and the staffing rating sits at the bottom of CMS's scale, so the people working there are stretched thin against what the government expects. A single fine of $28,969 and a last inspection in October 2024 round out the picture.
Marymount Manor runs 174 beds in Eureka under corporate ownership, and its staffing is thinner than it looks at first glance, 3.69 nurse hours per resident day sits below the national average of 3.86, and weekends drop roughly 8% below what the home itself staffs on weekdays. The bigger concern is stability: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. On inspections, the record shows 51 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with a $132,696 fine and a June 2025 inspection. The pattern in these numbers, heavy turnover, weekend shortfalls, repeat serious findings, is what drives the low marks on quality and inspection performance despite the staffing star.
Avenir At Mark Twain runs on thin staffing: 3.47 nurse hours per resident day, roughly 10 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That gap matters most when families visit and when emergencies happen. The record shows 62 deficiencies, including five tied to abuse and two at the level of actual harm or jeopardy, plus eight fines totaling $195,310. Staff turnover sits at 71.4 percent against a national average of 45.8, most caregivers here are new to the building and still learning it. Ownership changed hands within the last year, and the most recent inspection was August 2025.
Stonebridge Maryland Heights runs 223 beds under corporate ownership, and the numbers suggest a building stretched thin. Nurses provide 3.50 hours of care per resident daily, roughly 9% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Turnover sits at 66.1% against a national 45.8%, meaning most of the people caring for your relative are new and likely to leave. The inspection record shows 46 deficiencies, two tied to abuse, with the most recent state visit in February 2025. Staffing, inspections, and quality measures all land at two stars.
U-City Forest Manor runs on 2.57 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 11% below its own weekday level. That thin staffing shows up in the numbers: 60.7% of staff left over the past year, well above the 45.8% national rate, and the health inspection record carries 73 deficiencies, including one at the harm or jeopardy level and five tied to abuse. Federal fines total $15,949, and the last inspection was May 7, 2024. For-profit ownership by a limited liability company rounds out the picture.
River Crossing runs on thin staffing. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and the gap widens on weekends, roughly 11% below its own weekday level, which is when families tend to visit and notice. Annual turnover of 65.6% against a 45.8% national average means aides and nurses cycle through faster than residents can get used to them, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, none at harm level but one tied to abuse, with the most recent inspection in January 2025. For-profit, LLC-owned, 120 beds.
Normandy Nursing Center runs on 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 12 percent below its own weekday staffing. That shortfall shows up in the numbers: 38 deficiencies on the current record, including 2 at the harm or jeopardy level and 3 tied to abuse, with staff turnover at 56.3 percent against a national 45.8 percent. The last inspection was in May 2025, so the record is recent, not stale. A for-profit corporation owns the 116-bed home.
Overall nurse staffing at The Quarters At Des Peres runs 4.04 hours per resident day, a bit above the national average, but weekends drop about 15% below the home's own weekday levels, so coverage thins out when families tend to visit. Annual turnover hits 68.8% against a national 45.8%, meaning most of the people caring for your relative are likely new to the building. The inspection record is the harder problem: 83 deficiencies, 12 at harm or jeopardy level, two abuse-related, and four fines totaling $334,933, with a 1-out-of-5 health inspection rating.
Willowcreek runs leaner on nursing hours than the typical American nursing home, about 3.48 hours per resident day against a national average near 3.86, and weekends get thinner still, roughly 17% below what the building staffs on weekdays. Nearly 93 deficiencies sit on the current record, seven of them serious enough to involve harm or jeopardy, nine tied to abuse, with three fines totaling $90,333. The federal government has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover of 54.3% runs above the national figure, meaning caregivers cycle through faster than residents can get to know them.
Grove At Kirkwood runs 117 certified beds as a nonprofit corporation, and its total nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, not exceeding it. The problem isn't the raw staffing number; it's that weekends run about 10% below the home's own weekday level, and CMS gives just 1 of 5 stars on staffing overall, plus 2 of 5 on quality measures and 1 of 5 on health inspections. That inspection record includes 52 deficiencies, six at harm or jeopardy level, one abuse-related, and a single $172,400 fine. The last inspection was May 2024, so the picture isn't stale.
St Sophia runs 240 beds in Florissant under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 2.86 nurse hours per resident per day against a national average of 3.86, with weekends about 16% thinner than weekdays. Turnover sits at 68.4%, roughly two-thirds of the nursing staff leaving in a year, well above the 45.8% norm, so the people caring for your relative are frequently new. The inspection record shows 87 deficiencies, including four at the harm level and three tied to abuse, with $69,203 in fines and a January 2025 inspection. Resident quality measures score well, but that's the one bright spot in an otherwise strained picture.
Country Villa runs 148 certified beds in Creve Coeur, and the staffing numbers are where the trouble shows. At 2.99 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about 18% below its own weekday coverage. Annual turnover hits 66% against a national 45.8%, so the people filling those shifts change often. The 21 deficiencies on record include one at the harm level, though none involve abuse. A recent June 2025 inspection and a four-star health inspection rating suggest the care environment itself has been watched closely. Ownership is for-profit corporate. If you're weighing this one, ask specifically how weekends and evenings are staffed.
The Estates of St. Louis runs on 2.49 nurse hours per resident per day, about 35% under the national average, and weekend coverage drops roughly a fifth below its own weekday level. Staff turnover sits at 65.6%, well above the 45.8% national rate, which means the people caring for residents are constantly changing. Its inspection record shows 60 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, plus a $66,640 fine. The quality measure score looks good on paper, but that's largely self-reported data, and it doesn't offset a one-star inspection history or thin staffing on weekends.
Rancho Rehab And Healthcare Center runs on about 3.30 nurse staffing hours per resident day, roughly 15 percent under the national average, and weekends drop another 15 percent below its own weekday levels. Staff turnover sits at 78.3 percent, well above the 45.8 percent national figure, so the people providing care keep changing. The current inspection record carries 52 deficiencies, three of them at the harm or jeopardy level and three abuse-related, with $28,060 in fines and a March 2025 inspection behind it. For-profit operation under an LLC, 120 certified beds. Families should ask directly who's on duty on weekends and how long the current director of nursing has been in place.
Estates of Spanish Lake runs on 2.30 nurse hours per resident day, roughly 40% under the national average, and weekend coverage dips about 13% below its own weekday level. The for-profit LLC carries 66 deficiencies on its current record, including 3 at harm or jeopardy level and 11 tied to abuse; two fines total $57,868, and the most recent inspection was April 2025. Staff turnover sits at 68.8% against a national 45.8%, meaning most of the people caring for residents are new to the building. The quality measure star comes in at 4 out of 5, but that number reflects charted outcomes, not the hands available to deliver care.
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?