ElderGrade
F

13.5/100

Poor

St Peters Rehab And Healthcare Center

230 Spencer Road, Saint Peters, MO 63376

CMS 1/5 stars #14 of 14 in St. Charles County (636) 441-2750
Certified beds
96
Occupancy
93%
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.

  • 6 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.

  • $168,026 in federal fines

    CMS has fined this facility across 4 penalty action(s).

  • Nursing staff turnover of 67%

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

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

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 2 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 4 actual-harm citation(s) in the last 3 years
  • -10 for 61 total citations against a national median of 17

Staffing

6.5/30

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

  • 3.16 total nurse hours per resident per day (national median 3.77)
  • 0.57 RN hours per resident per day
  • Weekend staffing drops 18% against weekdays

Staff stability

2/15

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

  • 67% of nursing staff left in the last year

Resident outcomes

5/15

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

  • 2 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.

  • $168,026 in federal fines across 4 action(s)
  • -2 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 3.32 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.57 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.73 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 67.00%
National average 45.80% Below average

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

Recent inspection findings

All 101 citations

Last standard health inspection: April 12, 2024 (2 years ago).

D Feb 20, 2026 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

G Sep 4, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

E Aug 6, 2025 F0565 From a complaint

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

D Aug 6, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

E Feb 27, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

G Nov 27, 2024 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

E Nov 27, 2024 F0919 From a complaint

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

No actual harm, potential for more than minimal harm

D Nov 27, 2024 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AMA HOLDINGS, which operates 13 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
KAMINS, ELIYAHU Individual W-2 MANAGING EMPLOYEE
MARX, ASHER Individual CORPORATE DIRECTOR
WOLF, JACQUES Individual CORPORATE DIRECTOR
MARX, ASHER Individual OPERATIONAL/MANAGERIAL CONTROL
WOLF, JACQUES Individual OPERATIONAL/MANAGERIAL CONTROL
AMA HOLDINGS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
DEF HOLDINGS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
ST PETERS PARTNERS LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
MARX, ASHER Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
WOLF, JACQUES Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
ST PETERS HOLDCO LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about St Peters Rehab And Healthcare Center

What is the ElderGrade for St Peters Rehab And Healthcare Center? +

St Peters Rehab And Healthcare Center holds an ElderGrade of F (13.5 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 St Peters Rehab And Healthcare Center? +

Residents receive an average of 3.32 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has St Peters Rehab And Healthcare Center been cited for harming residents? +

Yes. 6 of the 101 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 St Peters Rehab And Healthcare Center accept Medicaid? +

Yes, St Peters Rehab And Healthcare Center 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.