23 Independent Nursing Homes in St. Louis County, Missouri
23 of the 69 Medicare-certified nursing homes in St. Louis County, Missouri (33%) are independently owned, and all are listed below. 3 of the 23 graded homes earn an A and 6 earn a D or F. They average 3.9 nursing hours per resident per day, 0.28 hours above the 3.62 for every home in St. Louis County, Missouri. Surrey Place St Lukes Hospital Skilled Nursing in Chesterfield grades highest at A (87 out of 100).
How independently owned homes in St. Louis County, Missouri compare
This group set against every nursing home in St. Louis County, Missouri, from the current CMS release.
Staffing is the strongest thing going for this nonprofit home in Chesterfield, 4.72 nurse hours per resident day, roughly 22% above the national average, which earned it a top federal staffing rating. Turnover sits at 44.3%, slightly better than the national average of 45.8%, though weekend coverage drops about 11% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Its inspection record shows 13 deficiencies with nothing at the harm level, but one is abuse-related, worth asking about directly. The last full inspection was in August 2024, so the record is reasonably current.
Friendship Village Chesterfield runs a nonprofit home of 98 beds in St. Louis County, and the staffing numbers are its strongest card: 4.40 nurse hours per resident day, roughly 14 percent above the national average, which is why CMS gives it five stars on staffing. The catch is consistency, weekend coverage drops about 13 percent below its own weekday level, so care on a Saturday isn't quite what it is on a Tuesday. Turnover sits at 46.6 percent, essentially the national rate. Inspections from September 2024 produced 21 deficiencies, none at the harm level, but four tied to abuse.
Friendship Village Sunset Hills runs 4.60 nurse staffing hours per resident day, about 19% above the national average of 3.86, a real margin, though weekends dip roughly 4% below its own weekday level. That strong staffing sits alongside a rougher inspection record: 24 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $14,433 and a January 2025 inspection. Staff turnover of 48.1% edges past the national 45.8%, meaning the people providing that above-average care are still cycling out. High staffing hours and a meaningful resident census don't erase what inspectors found here.
Bethesda Southgate runs on better-than-average staffing for a 130-bed nonprofit home in St. Louis County, 4.32 nurse hours per resident day, roughly 12% above the national figure. Weekend coverage dips about 12% below its own weekday level, and annual turnover sits at 31.5%, well under the 45.8% national average, which suggests people tend to stay. The tradeoff shows up in the record: 15 deficiencies, including one at the harm level and one abuse-related, against an otherwise strong inspection history from July 2024. Quality measure scores land mid-range, so the clinical picture is decent but not standout.
Aberdeen Heights runs a genuinely strong staffing operation: 4.86 nurse hours per resident day, roughly a quarter above the national average, and a perfect federal staffing star to match. The catch is turnover, which sits at 65.4% against a national average of 45.8%, that much churn undercuts consistency even when the daily hours look good on paper, and weekend coverage drops about 14% below weekday levels. Inspections are current and clean where it counts: nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related.
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.
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.
St Andrew's at Francis Place runs 106 certified beds as a nonprofit, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 5% below the home's own weekday coverage, and turnover runs 48.5% against a national 45.8%, so the crews covering those shifts keep changing.
The inspection record is where the bigger questions are. CMS has cited 33 deficiencies on the current record, including 3 at harm or jeopardy level and 4 tied to abuse, with a $77,664 fine and a February 2025 inspection. Federal ratings give 2 of 5 stars for both health inspections and quality measures, 3 for staffing.
Brooking Park runs a nonprofit home of 49 beds in Chesterfield, and its nurse staffing sits at 4.65 hours per resident day, about 21 percent above the national average of 3.86. That higher staffing is real, but weekend coverage drops roughly 15 percent below its own weekday level, so the extra help isn't evenly spread across the week. The inspection record is where the picture gets messier: 36 deficiencies on file, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One fine totaling $15,646 has been levied. The last inspection was July 2024. If you're weighing this one, ask how the weekend shifts are actually covered.
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.
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.
Bethesda Dilworth is a 350-bed nonprofit home in St. Louis County, and its staffing is the strongest part of the picture: 5.00 nurse hours per resident day, roughly 29% above the national average, with a four-star staffing rating to match. Turnover sits at 43.5%, a bit better than the national 45.8%, though weekend coverage drops about 11% below weekday levels. The concerns are elsewhere. Inspections turned up 24 deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, plus a single fine of $88,946. The most recent inspection was July 2025, so the record is current. Strong daily staffing, but the inspection history is what's holding this one back.
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.
Mary, Queen And Mother Center runs 217 certified beds under church-related nonprofit ownership, and its inspection record is the part that stands out. Federal inspectors logged 41 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $19,133. The last inspection was March 24, 2025, so that record is recent. Nurse staffing sits at 3.31 hours per resident day, roughly 14 percent under the national average of 3.86, and weekends run about 11 percent thinner than weekdays. Staff turnover is 52.1 percent against a national 45.8. The 4/5 quality measure rating reflects resident care measures, but the 2/5 inspection rating and thin coverage tell a harder story.
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.
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.
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.
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.
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.
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.
Frequently asked questions
How many independently owned nursing homes are there in St. Louis County, Missouri?
There are 23 independently owned Medicare-certified nursing homes in St. Louis County, Missouri, 33% of the 69 nursing homes there.
Are independently owned nursing homes better staffed?
In St. Louis County, Missouri they average 3.9 total nursing hours per resident per day, against 3.62 for all nursing homes in St. Louis County, Missouri, a difference of +0.28 hours. Staff turnover averages 58.3% against 58.7%.
Which independently owned nursing home grades best in St. Louis County, Missouri?