46 Chain-Owned Nursing Homes in St. Louis County, Missouri
46 of the 69 Medicare-certified nursing homes in St. Louis County, Missouri (67%) are chain-owned, and all are listed below. 4 of the 46 graded homes earn an A and 16 earn a D or F. They average 3.5 nursing hours per resident per day, 0.12 hours below the 3.62 for every home in St. Louis County, Missouri. Lutheran Convalescent Home in Webster Groves grades highest at A (99 out of 100).
How chain-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
3.5
All homes in St. Louis County, Missouri: 3.62
Worse than the local average
Nurse staff turnover
58.9%
All homes in St. Louis County, Missouri: 58.7%
Worse than the local average
Average ElderGrade score
61.9/100
All homes in St. Louis County, Missouri: 64.3/100
Worse than the local average
Grade spread
A
B
C
D
4 grade A, 9 grade B, 17 grade C, 16 grade D,
The best-graded chain-owned home in St. Louis County, Missouri is
Lutheran Convalescent Home
in Webster Groves, MO, grade A, 99/100.
Every chain-owned nursing home in St. Louis County, Missouri
Manchester Rehab and Healthcare Center is a 137-bed for-profit in Ballwin, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about another 10 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Its current inspection file carries 53 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus a single $197,132 fine. Federal ratings give it one star each for staffing and quality measures and two for health inspections, with the most recent inspection in May 2025.
Athene Nursing and Rehabilitation runs 282 certified beds in Town and Country under for-profit LLC ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover runs 61.2% against a national 45.8%, meaning the aides and nurses caring for residents are, more often than not, new to the building. The inspection record shows 111 deficiencies, including four at harm or jeopardy level and nine tied to abuse, with eight fines totaling $145,782. The most recent inspection was January 13, 2026, so the record is current, not old.
Crestwood runs on 2.62 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 12% under its own weekday level. That thin coverage shows up in the numbers families can verify: a 1-star health inspection rating, 81 deficiencies on record, 8 of them serious enough to threaten harm, and 25 tied to abuse. Annual turnover sits at 64.6%, well past the 45.8% national figure, meaning the aides and nurses around your relative are likely new to the building. Two fines totaling $146,887 are on file from the state's last visit in June 2024, and the limited liability company that owns this 150-bed home answers to no one above it.
Atrium Place runs on 2.19 nurse staffing hours per resident day, roughly 43 percent under the national average, and weekends drop about 18 percent below what the home itself manages on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, with annual turnover at 82 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. The record shows 46 deficiencies, four at harm or jeopardy level and four abuse-related, plus six fines totaling $171,429, with the most recent inspection in August 2024. For-profit, limited liability ownership rounds out the picture.
Bentwood runs 116 certified beds in Florissant under for-profit LLC ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, which matters because that's when families often visit and when problems can go unnoticed. The bigger signal is turnover: 77.3 percent of staff leaving in a year, well above the 45.8 percent national figure. On the record are 60 deficiencies, four of them serious enough to involve harm or jeopardy, plus three tied to abuse, and two fines totaling $107,465. The most recent inspection was February 24, 2026.
Arbor Hills runs 150 beds in Ferguson under for-profit LLC ownership that changed hands less than a year ago. Nurse staffing sits at 3.37 hours per resident day against a national average of 3.86, and weekends dip about 18% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 79.8% is far above the 45.8% national figure, meaning the aides and nurses your relative sees are likely to keep changing. The current record carries 65 deficiencies, including 7 at harm or jeopardy level and 10 abuse-related, plus $282,840 in fines across two penalties. A February 2026 inspection is recent, but the pattern behind it isn't.
Frequently asked questions
How many chain-owned nursing homes are there in St. Louis County, Missouri?
There are 46 chain-owned Medicare-certified nursing homes in St. Louis County, Missouri, 67% of the 69 nursing homes there.
Are chain-owned nursing homes better staffed?
In St. Louis County, Missouri they average 3.5 total nursing hours per resident per day, against 3.62 for all nursing homes in St. Louis County, Missouri, a difference of -0.12 hours. Staff turnover averages 58.9% against 58.7%.
Which chain-owned nursing home grades best in St. Louis County, Missouri?