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.
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.
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.
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?