13 Nursing Homes That Accept Medicaid in St. Charles County, Missouri
13 of the 15 Medicare-certified nursing homes in St. Charles County, Missouri (87%) are Medicaid-certified, and all are listed below. 1 of the 12 graded homes earn an A and 2 earn a D or F. They average 3.95 nursing hours per resident per day, 0.17 hours below the 4.12 for every home in St. Charles County, Missouri. Delmar Gardens Of O'fallon in O Fallon grades highest at A (90 out of 100).
How Medicaid-certified homes in St. Charles County, Missouri compare
This group set against every nursing home in St. Charles County, Missouri, from the current CMS release.
Nursing hours per resident per day
3.95
All homes in St. Charles County, Missouri: 4.12
Worse than the local average
Nurse staff turnover
54.2%
All homes in St. Charles County, Missouri: 56.2%
Better than the local average
Average ElderGrade score
67.9/100
All homes in St. Charles County, Missouri: 69/100
Worse than the local average
Grade spread
A
B
C
D
1 grade A, 4 grade B, 5 grade C, 2 grade D,
The best-graded Medicaid-certified home in St. Charles County, Missouri is
Delmar Gardens Of O'fallon
in O Fallon, MO, grade A, 90/100.
Every Medicaid-certified nursing home in St. Charles County, Missouri
Delmar Gardens of O'Fallon runs on more nurse hours than most homes, 4.20 per resident day against a national average of 3.86, and staffing barely dips on weekends. Turnover sits at 42.7%, a bit better than the 45.8% national figure, which matters for whether your parent sees the same faces. The trouble is the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, and a 2-out-of-5 health inspection rating from CMS. The 5/5 quality measure score reflects clinical metrics like falls and infections, not the survey findings. A for-profit LLC operates the building. Five stars on quality measures with a two-star inspection history is a split record worth asking about directly.
Lutheran Senior Services At Breeze Park runs a 50-bed nonprofit home in Saint Charles, and its nurse staffing sits around 4.71 hours per resident day, roughly a fifth above the national average, though weekends drop about 11% below its own weekday coverage. Staff turnover is 37.9%, better than the 45.8% national figure, and the last inspection was in March 2024. The record also shows 16 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a single fine of $41,347. Strong daily staffing and steadier retention count for a lot here, but those harm-level findings and the abuse citation are the kind of history worth asking about directly before you decide.
McClay Senior Care runs 60 certified beds in Saint Peters under individual for-profit ownership. Its 3.82 nurse staffing hours per resident day sit just under the national average of 3.86, and weekends run about 9% leaner than weekdays there. Staff turnover is 43.5%, slightly better than the national 45.8%. The inspection record is where it gets heavier: 42 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with the most recent inspection in April 2024. Quality measure scores land at 2 out of 5 stars, inspection and staffing at 3 each. What that combination suggests is a home with adequate coverage on paper but a documented history worth asking about directly, particularly those harm-level and abuse-related findings.
Nhc Healthcare, St Charles runs about 3.34 nurse hours per resident each day, roughly 14% under the national average of 3.86, and weekends dip another 11% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover sits at 59% against a national 45.8%, which means many of the aides and nurses you'd meet are relatively new to the building. The inspection record is cleaner: eight deficiencies, none at the harm level, though one is abuse-related, and the last survey was in June 2024. Ownership is corporate for-profit, with 120 certified beds.
Laurel Meadows runs 4.31 total nurse hours per resident per day, about 12% above the national average of 3.86, but weekend staffing drops roughly 14% below its own weekday level. That staffing star sits at 3 of 5, and the inspection record is the weaker part: 23 deficiencies on file, including 2 at harm or jeopardy level and 2 abuse-related, plus 4 fines totaling $11,536. The last inspection was June 6, 2024. For-profit, limited liability ownership. If you're considering this one in Saint Charles, ask how the weekend coverage gap gets filled and what changed after those harm-level citations.
Lewis & Clark Gardens runs 142 certified beds under for-profit LLC ownership, and its staffing sits around 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends about 13% thinner than weekdays. Turnover is 53.4% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 63 deficiencies, four at harm or jeopardy level, nine abuse-related, and $139,916 in fines across three events, with the last inspection in August 2024. A 1-out-of-5 health inspection rating alongside a 4-out-of-5 staffing rating tells you the hours exist on paper, but the survey history shows what happens in practice.
Garden View Care Center runs 80 certified beds in O'Fallon under corporate for-profit ownership, and its staffing is genuinely above average: 4.67 nurse hours per resident day against a national figure of 3.86. That advantage softens on weekends, when hours drop roughly 13 percent below the home's own weekday level. The harder numbers are elsewhere. Staff turnover sits at 62.1 percent, well above the 45.8 percent national average, and the current record carries 44 deficiencies, including one at the harm level and eight tied to abuse. State inspectors were last in on January 16, 2025, and fines total $3,145. Strong daily coverage, a thin margin on weekends, and a long inspection record.
Abbey Senior Health runs on a for-profit LLC model with 55 beds in O'Fallon, and its strongest signal by far is nurse staffing: 4.74 hours per resident day, roughly 23% above the national average, which is why CMS hands it five stars there. Turnover of 35.6% also beats the 45.8% national figure. The trouble sits elsewhere. Inspections in October 2024 turned up 28 deficiencies, including one at the harm level and three tied to abuse. Quality measures score two stars, inspections two. Weekends run about 13% thinner than weekdays. The people caring for residents appear to be there in numbers, what the record flags is what happens around them.
Aspen Point runs 180 beds in Saint Charles under limited-liability ownership, and the direct-care staffing sits at 3.41 hours per resident day, roughly 12% under the national average, while weekend coverage drops another 11% below its own weekday level. The inspection record is what stands out: 74 deficiencies, 20 of them serious enough to put residents in harm or jeopardy, 8 tied to abuse, and 9 fines totaling $464,634, with the most recent inspection in February 2026. Turnover runs at 52.1% against a national 45.8%, so aides cycle out faster than average. The quality-measure score (4 of 5) may look reassuring, but it measures a narrower set of clinical outcomes than the staffing and inspection picture, and those two tell a harder story.
St. Peters Post Acute runs 130 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 72% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs that up: 63 deficiencies, four of them at harm or jeopardy level and one abuse-related, with a single $69,999 fine. The last inspection was December 2024, so the picture is current, not stale.
Windsor Estates of St Charles runs on thin staffing: 3.53 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. That shortfall shows up in the workforce itself, 71.4% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents weren't there a year ago. The inspection record is heavier still: 77 deficiencies, 13 involving harm or jeopardy, 4 tied to abuse, and 8 fines totaling $229,906. The last inspection was in March 2024. This is a for-profit limited liability company, and the numbers suggest care that has been under-resourced and under-scrutinized for a while.
St. Peters Rehab and Healthcare Center carries a record that families should look at closely before deciding. The home is in CMS's Special Focus Facility program, a designation reserved for nursing homes with a persistent pattern of poor inspections, and the numbers behind that status are hard to read any other way: 101 deficiencies on the current record, six of them at the harm or jeopardy level, three tied to abuse, and four fines totaling $168,026. Staffing sits about 14% under the national average, weekends run roughly 18% thinner than weekdays, and annual turnover hits 67% against a 45.8% national figure, meaning the aides and nurses who do stay are often new.
Ignite Medical Resort St Peters runs 91 certified beds as a for-profit limited liability company, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. That's a real edge on paper, but weekends dip about 19% below the home's own weekday level, so the care you'd see on a Saturday isn't the care reflected in the headline number. The inspection record is the heavier issue: 23 deficiencies, two of them serious enough to reach harm or jeopardy. None were abuse-related. The last inspection was October 2025, so the findings are recent rather than stale.
Frequently asked questions
How many Medicaid-certified nursing homes are there in St. Charles County, Missouri?
There are 13 Medicaid-certified Medicare-certified nursing homes in St. Charles County, Missouri, 87% of the 15 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In St. Charles County, Missouri they average 3.95 total nursing hours per resident per day, against 4.12 for all nursing homes in St. Charles County, Missouri, a difference of -0.17 hours. Staff turnover averages 54.2% against 56.2%.
Which Medicaid-certified nursing home grades best in St. Charles County, Missouri?