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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.

Nursing hours per resident per day

3.9

All homes in St. Louis County, Missouri: 3.62

Better than the local average

Nurse staff turnover

58.3%

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

Better than the local average

Average ElderGrade score

68.9/100

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

Better than the local average

Grade spread

A
B
C
D

3 grade A, 10 grade B, 4 grade C, 6 grade D,

The best-graded independently owned home in St. Louis County, Missouri is Surrey Place St Lukes Hospital Skilled Nursing in Chesterfield, MO, grade A, 87/100.

Every independently owned nursing home in St. Louis County, Missouri

Showing 21 to 23 of 23, best-graded first.

D

50/100

Fountain Care At Sunset Hills

Saint Louis, MO · St. Louis County

CMS 1/5166 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
80%
Serious cites
0

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.

D

50/100

Ellisville Rehabilitation And Nursing

Ellisville, MO · St. Louis County

CMS 1/5210 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
72%
Serious cites
0

Abuse icon on record

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.

D

42/100

Big Bend Woods Healthcare Center

Valley Park, MO · St. Louis County

CMS 1/5135 bedsFor-profitMedicaid
Nurse hours
2.84 /day
Staff turnover
67%
Serious cites
0

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?
Surrey Place St Lukes Hospital Skilled Nursing in Chesterfield, MO, grade A, 87 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 23 graded independently owned homes in St. Louis County, Missouri, 3 grade A and 6 grade D or F.
Do independently owned nursing homes in St. Louis County, Missouri accept Medicaid?
22 of the 23 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in St. Louis County, Missouri