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
Hidden Lake runs on 2.52 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends drop another 4% below its own weekday level. The inspection record shows 83 deficiencies, seven of them serious enough to indicate harm or jeopardy, three tied to abuse, plus $123,610 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care, and ownership changed within the past year. The last inspection was August 2024.
Amberwood Estates runs on 0.71 nurse staffing hours per resident day, that's about a fifth of the national average of 3.86, and weekends drop roughly 13% below its own weekday level. Staff turnover sits at 84.5%, well above the national 45.8%, so the people around your family member change often. Inspectors documented 67 deficiencies, six tied to abuse, with $19,760 in fines; the most recent inspection was February 2026. It's a for-profit LLC with 115 beds. If you're considering this one, ask specifically how they cover nursing hours on weekends and how they screen and train staff.
Bluebird Wellness and Rehabilitation runs on 2.96 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 18% below what the home itself staffs Monday through Friday. Turnover sits at 62.3% against a national 45.8%, so the aides and nurses present on any given shift are often new to the building.
The inspection record backs up the numbers: 84 deficiencies, eight of them serious enough to put residents in harm’s way and four tied to abuse, plus a $234,836 fine. CMS gave its lowest marks to both staffing and health inspections. At 188 beds under for-profit LLC ownership, this is a home where the people providing care are stretched thin and frequently replaced.
Fountain Care At Sunset Hills runs 166 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop another 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to be there. Annual turnover is 79.8%, against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record shows 78 deficiencies, six at harm or jeopardy level and 13 abuse-related, with four fines totaling $119,588 and a survey completed in April 2025.
Ellisville Rehabilitation and Nursing runs 210 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.92 hours per resident day, only about 1% above the national average, but weekends drop roughly 12% below its own weekday level, and annual turnover is 71.9% against a national 45.8%, meaning most of the people caring for residents are new to the building.
The inspection record is harder to explain away: 65 deficiencies, 12 at harm or jeopardy level, 12 abuse-related, and $260,092 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's poorest performers. The last inspection was November 2024.
Lakeview Post Acute runs 3.97 nurse hours per resident day, which edges past the national average of 3.86, but that number hides a staffing churn problem. Turnover sits at 83.3%, nearly double the national rate, and weekend coverage drops about 11% below weekdays, so the aide who knows your mother on Tuesday may be gone by next month. The inspection record is where it gets hard to ignore: 92 deficiencies, 8 at harm or jeopardy level, 5 tied to abuse, and a $176,501 fine, with the last inspection in October 2024. For-profit LLC ownership, and CMS rates staffing and health inspections 1 out of 5.
Heritage Care Center runs on 1.85 nurse staffing hours per resident day, roughly half the national average, and weekends drop another 23% below its own weekday level. That thin coverage shows up in the record: 95 deficiencies, 15 of them involving harm or jeopardy to residents, 17 tied to abuse, and six fines totaling $424,748. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents keep changing. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was September 9, 2025. The four-out-of-five quality measure rating rests on a staffing and inspection picture that is among the weakest CMS tracks.
Manchester Rehab and Healthcare Center is a 137-bed for-profit in Ballwin, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about another 10 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Its current inspection file carries 53 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus a single $197,132 fine. Federal ratings give it one star each for staffing and quality measures and two for health inspections, with the most recent inspection in May 2025.
Athene Nursing and Rehabilitation runs 282 certified beds in Town and Country under for-profit LLC ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover runs 61.2% against a national 45.8%, meaning the aides and nurses caring for residents are, more often than not, new to the building. The inspection record shows 111 deficiencies, including four at harm or jeopardy level and nine tied to abuse, with eight fines totaling $145,782. The most recent inspection was January 13, 2026, so the record is current, not old.
Crestwood runs on 2.62 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 12% under its own weekday level. That thin coverage shows up in the numbers families can verify: a 1-star health inspection rating, 81 deficiencies on record, 8 of them serious enough to threaten harm, and 25 tied to abuse. Annual turnover sits at 64.6%, well past the 45.8% national figure, meaning the aides and nurses around your relative are likely new to the building. Two fines totaling $146,887 are on file from the state's last visit in June 2024, and the limited liability company that owns this 150-bed home answers to no one above it.
Atrium Place runs on 2.19 nurse staffing hours per resident day, roughly 43 percent under the national average, and weekends drop about 18 percent below what the home itself manages on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, with annual turnover at 82 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. The record shows 46 deficiencies, four at harm or jeopardy level and four abuse-related, plus six fines totaling $171,429, with the most recent inspection in August 2024. For-profit, limited liability ownership rounds out the picture.
Big Bend Woods runs on 2.84 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage drops about 11% below its own weekday level. Staff turnover sits at 67% against a national 45.8%. The inspection record shows 64 deficiencies, including four at harm or jeopardy level and five tied to abuse, plus an $85,176 fine and a 1-out-of-5 CMS rating on both staffing and quality measures. Ownership is for-profit and individual. The most recent inspection was September 2025.
Bentwood runs 116 certified beds in Florissant under for-profit LLC ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, which matters because that's when families often visit and when problems can go unnoticed. The bigger signal is turnover: 77.3 percent of staff leaving in a year, well above the 45.8 percent national figure. On the record are 60 deficiencies, four of them serious enough to involve harm or jeopardy, plus three tied to abuse, and two fines totaling $107,465. The most recent inspection was February 24, 2026.
Arbor Hills runs 150 beds in Ferguson under for-profit LLC ownership that changed hands less than a year ago. Nurse staffing sits at 3.37 hours per resident day against a national average of 3.86, and weekends dip about 18% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 79.8% is far above the 45.8% national figure, meaning the aides and nurses your relative sees are likely to keep changing. The current record carries 65 deficiencies, including 7 at harm or jeopardy level and 10 abuse-related, plus $282,840 in fines across two penalties. A February 2026 inspection is recent, but the pattern behind it isn't.
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?