11 Nursing Homes With a Clean Inspection Record in St. Charles County, Missouri

Nurse hours

4.20 /day

Staff turnover

43%

Serious cites

0

Delmar Gardens of O'Fallon runs on more nurse hours than most homes, 4.20 per resident day against a national average of 3.86, and staffing barely dips on weekends. Turnover sits at 42.7%, a bit better than the 45.8% national figure, which matters for whether your parent sees the same faces. The trouble is the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, and a 2-out-of-5 health inspection rating from CMS. The 5/5 quality measure score reflects clinical metrics like falls and infections, not the survey findings. A for-profit LLC operates the building. Five stars on quality measures with a two-star inspection history is a split record worth asking about directly.

Nurse hours

6.03 /day

Staff turnover

58%

Serious cites

0

Cottages Of Lake St Louis runs a lean 60 beds under limited-liability ownership, and the staffing numbers are genuinely strong: 6.03 nurse hours per resident day, roughly 56% above the national average. That cushion matters, though weekend coverage dips about 9% below its own weekday level, so care can thin out on Saturdays and Sundays. Turnover sits at 57.5% against a national 45.8%, a quarter of the staff cycling out each year adds up in familiarity and consistency. The current record shows 8 deficiencies, one serious enough to reach harm or jeopardy, plus a single $17,696 fine. Inspections were recent, in July 2025, and the survey history holds up reasonably well overall.

Nurse hours

4.71 /day

Staff turnover

38%

Serious cites

0

Lutheran Senior Services At Breeze Park runs a 50-bed nonprofit home in Saint Charles, and its nurse staffing sits around 4.71 hours per resident day, roughly a fifth above the national average, though weekends drop about 11% below its own weekday coverage. Staff turnover is 37.9%, better than the 45.8% national figure, and the last inspection was in March 2024. The record also shows 16 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a single fine of $41,347. Strong daily staffing and steadier retention count for a lot here, but those harm-level findings and the abuse citation are the kind of history worth asking about directly before you decide.

Nurse hours

3.82 /day

Staff turnover

44%

Serious cites

0

McClay Senior Care runs 60 certified beds in Saint Peters under individual for-profit ownership. Its 3.82 nurse staffing hours per resident day sit just under the national average of 3.86, and weekends run about 9% leaner than weekdays there. Staff turnover is 43.5%, slightly better than the national 45.8%. The inspection record is where it gets heavier: 42 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with the most recent inspection in April 2024. Quality measure scores land at 2 out of 5 stars, inspection and staffing at 3 each. What that combination suggests is a home with adequate coverage on paper but a documented history worth asking about directly, particularly those harm-level and abuse-related findings.

Nurse hours

3.34 /day

Staff turnover

59%

Serious cites

0

Nhc Healthcare, St Charles runs about 3.34 nurse hours per resident each day, roughly 14% under the national average of 3.86, and weekends dip another 11% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover sits at 59% against a national 45.8%, which means many of the aides and nurses you'd meet are relatively new to the building. The inspection record is cleaner: eight deficiencies, none at the harm level, though one is abuse-related, and the last survey was in June 2024. Ownership is corporate for-profit, with 120 certified beds.

Nurse hours

4.31 /day

Staff turnover

n/a

Serious cites

0

Laurel Meadows runs 4.31 total nurse hours per resident per day, about 12% above the national average of 3.86, but weekend staffing drops roughly 14% below its own weekday level. That staffing star sits at 3 of 5, and the inspection record is the weaker part: 23 deficiencies on file, including 2 at harm or jeopardy level and 2 abuse-related, plus 4 fines totaling $11,536. The last inspection was June 6, 2024. For-profit, limited liability ownership. If you're considering this one in Saint Charles, ask how the weekend coverage gap gets filled and what changed after those harm-level citations.

Nurse hours

4.46 /day

Staff turnover

76%

Serious cites

0

Sunterra Springs Dardenne Prairie runs a 38-bed for-profit home in St. Charles County where the nursing hours look better than average, 4.46 per resident day, roughly 15% above the national figure, but weekends drop about 12% below the home's own weekday level, so coverage isn't steady across the week. The bigger issue is stability: 76.1% annual turnover against a national average of 45.8% means most of the people caring for residents are new, and 31 deficiencies on the current record, three at harm or jeopardy level, with two fines totaling $49,722, point to real gaps in care delivery. The most recent inspection was January 2026, so the record is current, not stale.

Nurse hours

3.48 /day

Staff turnover

53%

Serious cites

0

Lewis & Clark Gardens runs 142 certified beds under for-profit LLC ownership, and its staffing sits around 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends about 13% thinner than weekdays. Turnover is 53.4% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 63 deficiencies, four at harm or jeopardy level, nine abuse-related, and $139,916 in fines across three events, with the last inspection in August 2024. A 1-out-of-5 health inspection rating alongside a 4-out-of-5 staffing rating tells you the hours exist on paper, but the survey history shows what happens in practice.

Nurse hours

3.41 /day

Staff turnover

52%

Serious cites

0

Aspen Point runs 180 beds in Saint Charles under limited-liability ownership, and the direct-care staffing sits at 3.41 hours per resident day, roughly 12% under the national average, while weekend coverage drops another 11% below its own weekday level. The inspection record is what stands out: 74 deficiencies, 20 of them serious enough to put residents in harm or jeopardy, 8 tied to abuse, and 9 fines totaling $464,634, with the most recent inspection in February 2026. Turnover runs at 52.1% against a national 45.8%, so aides cycle out faster than average. The quality-measure score (4 of 5) may look reassuring, but it measures a narrower set of clinical outcomes than the staffing and inspection picture, and those two tell a harder story.

Nurse hours

3.66 /day

Staff turnover

72%

Serious cites

0

St. Peters Post Acute runs 130 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 72% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs that up: 63 deficiencies, four of them at harm or jeopardy level and one abuse-related, with a single $69,999 fine. The last inspection was December 2024, so the picture is current, not stale.

Nurse hours

4.12 /day

Staff turnover

n/a

Serious cites

0

Ignite Medical Resort St Peters runs 91 certified beds as a for-profit limited liability company, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. That's a real edge on paper, but weekends dip about 19% below the home's own weekday level, so the care you'd see on a Saturday isn't the care reflected in the headline number. The inspection record is the heavier issue: 23 deficiencies, two of them serious enough to reach harm or jeopardy. None were abuse-related. The last inspection was October 2025, so the findings are recent rather than stale.