ElderGrade
F

20/100

Poor

Ellisville Rehabilitation And Nursing

322 Old State Road, Ellisville, MO 63021

CMS 1/5 stars #62 of 69 in St. Louis County (636) 227-3431
Certified beds
210
Occupancy
57%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 12 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $260,092 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 72%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 9 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -10 for 55 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.06 total nurse hours per resident per day (national median 3.77)
  • 0.43 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 72% of nursing staff left in the last year
  • -2 for 4 administrator departures

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $260,092 in federal fines across 2 action(s)
  • -0 for 2 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.92 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.43 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.46 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 71.90%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 65 citations

Last standard health inspection: November 26, 2024 (1 year ago).

J Apr 28, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

D Apr 28, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

J Mar 4, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

E Mar 4, 2026 F0804 From a complaint

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

E Mar 4, 2026 F0806 From a complaint

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

No actual harm, potential for more than minimal harm

D Mar 4, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

D Mar 4, 2026 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

D Mar 4, 2026 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
ADS FAMILY TRUST Organization INDIRECT OWNERSHIP INTEREST
JJ FAMILY GRANTOR TRUST Organization INDIRECT OWNERSHIP INTEREST
PC8 CAPITAL GROUP LLC Organization INDIRECT OWNERSHIP INTEREST
ELLISVILLE PROPCO HOLDCO LLC Organization 5% OR GREATER MORTGAGE INTEREST
FISCHER, ELAZAR Individual MANAGING CONTROL - GOVERNING BODY
STERN, SIMON Individual MANAGING CONTROL - GOVERNING BODY
BARTH, MICHAEL Individual OPERATIONAL/MANAGERIAL CONTROL
FISCHER, ELAZAR Individual OPERATIONAL/MANAGERIAL CONTROL
PHATAK, SARINA Individual OPERATIONAL/MANAGERIAL CONTROL
STERN, AHARON Individual OPERATIONAL/MANAGERIAL CONTROL
STERN, SIMON Individual OPERATIONAL/MANAGERIAL CONTROL
BURTON, NOAH Individual TRUSTEE OF THE SNF

What families say

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Common questions about Ellisville Rehabilitation And Nursing

What is the ElderGrade for Ellisville Rehabilitation And Nursing? +

Ellisville Rehabilitation And Nursing holds an ElderGrade of F (20 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Ellisville Rehabilitation And Nursing? +

Residents receive an average of 3.92 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Ellisville Rehabilitation And Nursing been cited for harming residents? +

Yes. 12 of the 65 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Ellisville Rehabilitation And Nursing accept Medicaid? +

Yes, Ellisville Rehabilitation And Nursing is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.