10 Independent Nursing Homes in Saint Louis, MO

Nurse hours

4.60 /day

Staff turnover

48%

Serious cites

0

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.

Nurse hours

4.32 /day

Staff turnover

32%

Serious cites

0

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.

Nurse hours

5.22 /day

Staff turnover

57%

Serious cites

0

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.

Nurse hours

5.00 /day

Staff turnover

44%

Serious cites

0

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.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

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.

Nurse hours

2.80 /day

Staff turnover

70%

Serious cites

0

Blue Circle Rehab And Nursing runs about 2.80 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 14% below its own weekday coverage. Staff turnover sits at 69.7% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 80 deficiencies, including four at harm or jeopardy level and three tied to abuse, with the most recent inspection in December 2024. That combination of thin staffing, heavy turnover, and serious citations is what sits behind the grade, not the 5/5 quality measure score. Worth asking direct questions before you decide.

Nurse hours

2.49 /day

Staff turnover

66%

Serious cites

0

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.

Nurse hours

2.30 /day

Staff turnover

69%

Serious cites

0

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.

Nurse hours

0.71 /day

Staff turnover

85%

Serious cites

0

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.

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.