All 36 Medicare-certified nursing homes in Saint Louis,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
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.
Barnes-Jewish Extended Care runs 120 certified beds as a nonprofit, and its nurse staffing sits at 5.09 hours per resident day, roughly a third above the national average of 3.86. That's the strongest part of the picture, though weekends dip about 19% below the home's own weekday coverage. Staff turnover is 54.5%, higher than the 45.8% national average, so people are cycling through even with the generous staffing numbers. The inspection record shows 30 deficiencies, none at the harm level and none abuse-related, with the most recent survey dated March 2026. Federal ratings land at 3 stars for health inspections and quality measures, 4 for staffing.
Delhaven Manor runs 7.18 nurse hours per resident day, roughly 86% above the national average, and that staffing earns a 4-star CMS rating. The catch is the weekend drop: hours fall about 18% below the home's own weekday level, so coverage is thinner exactly when inspections are less frequent. The health inspection record is the weak point, 48 deficiencies on file, including one at the harm or jeopardy level and one tied to abuse, plus a $73,048 fine. Quality measures score 5 out of 5, and the last inspection was November 2024. Corporate for-profit ownership, 156 beds. Strong daily staffing and good clinical measures, but a recent, documented history of serious compliance problems.
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.
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.
Delmar Gardens South runs on more nursing hours than most homes in the country, 5.42 per resident day against a national average of 3.86, and weekend coverage slips only about 6% below weekdays. That's the strongest thing it has going. The trade-off shows up in turnover: 55.9% of staff leave each year, well above the 45.8% national figure, which matters for how well residents know their caregivers. Inspections look solid, ten deficiencies with one at the harm level and no abuse citations, and the most recent visit was September 2024. Quality measures score low, though, so the daily care picture is more mixed than the staffing numbers suggest.
Life Care Center Of St Louis runs about 8% under the national average for nurse staffing, and weekends dip roughly 11% below its own weekday levels, that's when families often notice the difference. Staff turnover sits at 66.4%, well above the 45.8% national figure, so the person caring for your relative may not be there in six months. The health inspection record shows 37 deficiencies, one serious enough to reach harm or jeopardy level, plus a $15,646 fine; the most recent inspection was in January 2026. Quality measures score well, but strong chart numbers and a thin, churning floor staff are two different pictures of the same building.
Lemay Nursing runs 60 beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly a quarter below the national average of 3.86. That thin coverage is the number to weigh most heavily, since it's the daily reality of how quickly call lights get answered. Weekend staffing dips about 3% below its own weekday level, so the gap doesn't close when families visit.
Turnover is 36.8%, actually better than the 45.8% national figure, which means aides and nurses stick around longer than at many homes. But the inspection record carries 37 deficiencies, including one at harm level and two abuse-related, with the last inspection in May 2025. Ask about those directly.
Christian Extended Care & Rehabilitation runs 60 beds as a nonprofit, and its last inspection in March 2025 came back clean at the serious end, 12 deficiencies on record, none causing harm or jeopardy, none tied to abuse. Nurse staffing sits at 3.69 hours per resident day, a bit under the national 3.86, and weekends dip about 12% below the home's own weekday coverage. Turnover is the bright spot: 38.7%, better than the 45.8% national figure, which suggests aides and nurses tend to stay. The tradeoff shows in the federal stars, five for inspections, but two for staffing. Consistent care from a stable team, thinner coverage on weekends.
Sherbrooke Village runs a nonprofit shop with 149 beds in Saint Louis, and the nurses' hours look generous on paper, 4.85 per resident day, about a quarter above the national average. The catch is consistency: weekends drop roughly 18% below weekday coverage, and more than six in ten staff members leave each year, well above the 45.8% national rate. That churn shows up in the inspection record, where 49 deficiencies include 3 at harm or jeopardy level and 4 tied to abuse, with the most recent look coming in June 2024. Quality measures score well, but staffing and health inspection ratings sit at 2 out of 5.
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.
Oak Park Care Center runs 120 beds under corporate ownership, and its numbers tell a mixed story. The health inspection and quality measure ratings both sit at 4 out of 5, and the most recent inspection in August 2024 turned up no abuse citations, but there are 39 deficiencies on record, one of them serious enough to cause harm or jeopardy. Staffing is where the cracks show: 3.80 nurse hours per resident day, just under the national average, with weekend coverage dropping roughly 16% below weekdays. Annual turnover of 55.4% is nearly ten points above the national rate, which means the people caring for residents are frequently new. Plenty of homes in worse shape, but the thin weekend staffing and constant churn are worth asking about directly.
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.
Nazareth Living Center runs on thin staffing margins. At 3.69 nurse hours per resident day, it sits below the national average, and weekends dip about 11% below its own weekday levels, so the hours when families visit most are often the leanest. The bigger warning sign is turnover: 77.4% of nursing staff leaving annually, well above the 45.8% national figure, which typically means less continuity for residents who need consistent caregivers. Its inspection record shows 49 deficiencies, including two at harm or jeopardy level and three tied to abuse, with one fine of $11,928. The most recent inspection was March 2025, so the record is current, not stale. This nonprofit has real problems worth asking about directly.
Pine Grove Manor runs 3.14 nurse hours per resident day, about 19 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday levels. That thin staffing sits alongside a one-star inspection record carrying 34 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus $31,665 in fines across two penalties. Quality measures score well, but that's family-reported and assessment-based data; the inspection and staffing numbers are what regulators actually observed. The last inspection was March 2026, so the record is current. For-profit corporate ownership, 77 beds, and a staffing picture that leaves little margin when a resident needs more attention than the schedule allows.
Creve Coeur Manor runs on 2.47 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 74.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 66 deficiencies, including one at the harm level and one abuse-related, with a single fine of $9,440. It's a for-profit limited liability company, 149 beds, last inspected November 2024.
Lansdowne Village runs 145 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 17% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 61.4% against a 45.8% national figure means aides and nurses are cycling through constantly. The inspection record backs that up: 71 deficiencies, five serious enough to involve harm or jeopardy, and one tied to abuse, with a $15,015 fine on file. Last inspected in November 2025.
Bernard Care Center runs on 1.99 nurse hours per resident day, roughly half the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up in its CMS staffing rating of 1 out of 5, and the health inspection and quality measure ratings sit at 2 out of 5 each. State inspectors have cited 68 deficiencies, none rising to harm or jeopardy and none abuse-related, with one fine of $37,388 on record. Turnover is 45.3%, basically in line with the national figure. The last inspection was December 2025. Ownership is a for-profit limited liability company.
Beauvais Rehab runs 184 beds in St. Louis under for-profit LLC ownership, and the staffing numbers tell the clearest story: 3.24 nurse hours per resident day against a national average of 3.86, with weekends dipping about 15% below its own weekday coverage. That thin margin shows up in who's actually there on a Sunday. Staff turnover sits at 64.1%, well above the 45.8% national figure, and the inspection record carries 66 deficiencies, including five at harm or jeopardy level and four tied to abuse, plus a $64,695 fine. The most recent inspection was March 2025, so the record is current rather than stale. A 1-out-of-5 staffing rating and 2s on inspections and quality measures describe a home where the gaps are consistent, not isolated.