26 of the 36 Medicare-certified nursing homes in Saint Louis, MO (72%) are chain-owned, and all are listed below. 0 of the 25 graded homes earn an A and 8 earn a D or F. They average 3.33 nursing hours per resident per day, 0.03 hours below the 3.36 for every home in Saint Louis, MO. Barnes-Jewish Extended Care in Saint Louis grades highest at B (83 out of 100).
How chain-owned homes in Saint Louis, MO compare
This group set against every nursing home in Saint Louis, MO, from the current CMS release.
Nursing hours per resident per day
3.33
All homes in Saint Louis, MO: 3.36
Worse than the local average
Nurse staff turnover
60.8%
All homes in Saint Louis, MO: 60.9%
Better than the local average
Average ElderGrade score
59.8/100
All homes in Saint Louis, MO: 61.5/100
Worse than the local average
Grade spread
B
C
D
5 grade B, 12 grade C, 8 grade D,
The best-graded chain-owned home in Saint Louis, MO is
Barnes-Jewish Extended Care
in Saint Louis, MO, grade B, 83/100.
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.
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.
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.
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.
U-City Forest Manor runs on 2.57 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 11% below its own weekday level. That thin staffing shows up in the numbers: 60.7% of staff left over the past year, well above the 45.8% national rate, and the health inspection record carries 73 deficiencies, including one at the harm or jeopardy level and five tied to abuse. Federal fines total $15,949, and the last inspection was May 7, 2024. For-profit ownership by a limited liability company rounds out the picture.
River Crossing runs on thin staffing. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and the gap widens on weekends, roughly 11% below its own weekday level, which is when families tend to visit and notice. Annual turnover of 65.6% against a 45.8% national average means aides and nurses cycle through faster than residents can get used to them, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, none at harm level but one tied to abuse, with the most recent inspection in January 2025. For-profit, LLC-owned, 120 beds.
Normandy Nursing Center runs on 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 12 percent below its own weekday staffing. That shortfall shows up in the numbers: 38 deficiencies on the current record, including 2 at the harm or jeopardy level and 3 tied to abuse, with staff turnover at 56.3 percent against a national 45.8 percent. The last inspection was in May 2025, so the record is recent, not stale. A for-profit corporation owns the 116-bed home.
Magnolia Wellness Center runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 16% below its own weekday coverage. That thin staffing shows in the numbers that matter: 63.6% annual turnover, 81 deficiencies on the current record, seven of them at harm or jeopardy level, and six tied to abuse. Four fines total $209,790, and the last inspection was February 2024. The four-star quality measure rating reflects resident assessments, not the hands available to act on them; the one-star inspection and staffing ratings come closer to daily reality. A for-profit individual owner with this record is worth asking hard questions about before you decide.
Hidden Lake runs on 2.52 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends drop another 4% below its own weekday level. The inspection record shows 83 deficiencies, seven of them serious enough to indicate harm or jeopardy, three tied to abuse, plus $123,610 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care, and ownership changed within the past year. The last inspection was August 2024.
Grand Manor runs on about 2.00 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 20% below its own weekday level. That thin coverage shows up in the record: 46 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus a $99,988 fine. Inspectors were last on site September 13, 2024, and the federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. The for-profit limited liability company that owns it has kept the building certified, but the numbers describe a home where residents get substantially less nursing time than most places in the country.
Frequently asked questions
How many chain-owned nursing homes are there in Saint Louis, MO?
There are 26 chain-owned Medicare-certified nursing homes in Saint Louis, MO, 72% of the 36 nursing homes there.
Are chain-owned nursing homes better staffed?
In Saint Louis, MO they average 3.33 total nursing hours per resident per day, against 3.36 for all nursing homes in Saint Louis, MO, a difference of -0.03 hours. Staff turnover averages 60.8% against 60.9%.
Which chain-owned nursing home grades best in Saint Louis, MO?