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.
Carrie Elligson Gietner Health Care Center runs 130 certified beds in Saint Louis, and the numbers behind its record aren't reassuring. Nurse staffing sits at 2.48 hours per resident day, roughly 36% under the national average of 3.86, and weekends run about 13% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The inspection history carries 55 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, along with two CMS fines totaling $92,561. The most recent inspection was in June 2024. Corporate for-profit ownership and a one-star inspection and staffing rating round out a picture worth weighing carefully against other options.
Bluebird Wellness and Rehabilitation runs on 2.96 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 18% below what the home itself staffs Monday through Friday. Turnover sits at 62.3% against a national 45.8%, so the aides and nurses present on any given shift are often new to the building.
The inspection record backs up the numbers: 84 deficiencies, eight of them serious enough to put residents in harm’s way and four tied to abuse, plus a $234,836 fine. CMS gave its lowest marks to both staffing and health inspections. At 188 beds under for-profit LLC ownership, this is a home where the people providing care are stretched thin and frequently replaced.
Heritage Care Center runs on 1.85 nurse staffing hours per resident day, roughly half the national average, and weekends drop another 23% below its own weekday level. That thin coverage shows up in the record: 95 deficiencies, 15 of them involving harm or jeopardy to residents, 17 tied to abuse, and six fines totaling $424,748. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents keep changing. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was September 9, 2025. The four-out-of-five quality measure rating rests on a staffing and inspection picture that is among the weakest CMS tracks.
Hillside Health Care Center runs on 2.46 nurse staffing hours per resident day, roughly a third less than the national average, and weekends drop about 15% below what it manages on weekdays. Annual turnover of 60.3% means most of the staff you'd meet are relatively new. The record shows 122 deficiencies, 17 of them at the harm or jeopardy level and 10 tied to abuse, plus $106,588 in federal fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was July 2024. If you're considering this one, ask what specifically has changed since then.
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.
St. Louis Altenheim is a 73-bed for-profit home in the city, run by a limited liability company. Its current record shows ten deficiencies, none of which rose to actual harm or jeopardy, that's the key distinction, since most citations at this level are paperwork and process problems rather than incidents where a resident got hurt. One abuse-related deficiency is on the books, though, and that's worth asking about directly. The last inspection was October 2025, so the findings are recent, not stale. What the numbers don't show is how the place is staffed day to day, and with a for-profit LLC operator, that's the question I'd press on before deciding.
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?