Nursing homes across Jefferson County, Missouri, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Hillcrest Care Center runs 120 certified beds in De Soto under corporate for-profit ownership. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Its inspection history is the strongest part of the picture: the last survey was in January 2026 and the health inspection rating is 4 out of 5, though the record still carries 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $10,845 fine. Staff turnover matches the national average at 45.8%.
Superior Manor Of Festus runs 55 beds as a for-profit LLC, and the staffing score is where the trouble sits, 1 out of 5 stars against the national average. That's the number families feel first, because it reflects how few aides are actually on the floor per resident. The inspection record shows 61 deficiencies, four tied to abuse, plus nine fines totaling $59,633. No harm-level citations appear on the current record, and the most recent inspection was May 2025, so the picture isn't outdated. Quality measures land at 3 out of 5, meaning some clinical outcomes track better than the staffing would suggest. If you're considering this home, ask directly how many CNAs work each shift and what the abuse-related findings involved.
Scenic Wellness and Rehabilitation Center runs 189 beds in Herculaneum under for-profit LLC ownership, and its staffing is the number that stands out. At 2.86 nurse hours per resident per day, it sits roughly a quarter below the national average of 3.86, and weekends dip about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit.
Turnover, at 43.5%, is actually a hair better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. Inspections look strong on paper: a five-star health inspection rating with the most recent visit in April 2025. But the record still carries 15 deficiencies, including one at the harm level and one abuse-related.
Crystal Oaks sits in Festus with 131 certified beds and a for-profit LLC behind it. Nurse staffing runs 4.10 hours per resident day, about 6% above the national average, but weekends dip roughly 11% below what the home staffs on weekdays, so the coverage your family member gets depends partly on which day they need it. Annual turnover of 48.6% edges past the national 45.8%, meaning nearly half the nursing staff turns over each year. Inspections landed 4 out of 5 stars and the most recent visit was December 2025, but the record still carries 12 deficiencies, one at harm or jeopardy level, and a single fine of $165,187.
Fountainbleau Nursing Center runs 116 certified beds in Festus under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.66 nurse hours per resident day, roughly 31 percent below the national average of 3.86. Weekend coverage drops about 19 percent below its own weekday levels, which matters if your family visits or calls on Saturdays and Sundays. Turnover sits at 44.1 percent, close to the national 45.8 percent, so retention isn't the outlier here, raw hours are. The current inspection record shows 20 deficiencies, none at the harm or jeopardy level but two tied to abuse, with the last inspection dated February 12, 2026.
Baisch Nursing Center runs 61 certified beds in De Soto, and its nurse staffing sits around 3.00 hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about another 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current record shows 36 deficiencies, none flagged at harm or jeopardy level, but two are abuse-related, which is worth asking about directly. The last inspection was in February 2025, so the picture is fairly current. For-profit corporate ownership, a 1-star staffing rating, and 2-star quality measures round out a home that passes the basics without much margin.
Woodland Manor runs 178 certified beds under for-profit LLC ownership, and its last health inspection came through in late March 2026 with a clean record on harm-level deficiencies, 39 findings total, none rising to actual harm or jeopardy, though one is abuse-related. The staffing picture is where the trouble sits: 3.76 nurse hours per resident day, a bit under the national average, with weekends about 8% thinner than weekdays and turnover at 63.1% against a national 45.8%. Inspectors rated the place 4 of 5, but quality measures and staffing both came back 1 of 5. High turnover plus weekend gaps is what tends to wear on day-to-day care.
Stonebridge Desoto runs 56 beds under a for-profit limited liability company, and its inspection history is the strongest thing going for it, four out of five stars, with the most recent visit in March 2025 and no abuse citations on record. The trouble sits elsewhere. Staffing earns one star, and the home loses about 68 percent of its staff each year against a national average near 46 percent, which is a lot of churn for a building this size. There are 25 deficiencies on the current record, one serious enough to involve harm, plus a single fine of $6,368. Quality measures land at two stars. Families should ask how the home keeps consistent caregivers on the floor.
Arbor View runs on 2.47 nurse hours per resident per day, roughly a third less than the 3.86 national average, and weekends drop about 15% below its own weekday staffing. With 53.8% annual turnover, more than half the nursing staff leaves each year, which matters when residents need consistent hands. The current record shows 55 deficiencies, including one at the harm level and four fines totaling $29,491, with the most recent inspection in April 2025. Ownership is a for-profit limited liability company. Families comparing options here should ask specifically how the home covers weekend shifts and what it's doing to keep nurses from walking out the door.
South County Health Care Center runs 1.40 nurse hours per resident per day, which is roughly 64 percent below the national average of 3.86, a gap that shows up most on weekends, when staffing drops about 14 percent below its own weekday level. The current record lists 28 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent inspection in August 2025 means the picture is current, not stale. With 153 certified beds under for-profit limited liability ownership, the staffing number is the one worth pressing on: ask how many nurses are actually on the floor on a Saturday.
Maple Grove Wellness & Rehabilitation runs 144 beds in Fenton under corporate ownership, and the staffing numbers are the first thing to notice: 2.61 nurse hours per resident per day, roughly a third below the national average, with a staffing star rating of 1 out of 5. Turnover sits at 70.7% against a national average near 46%, and weekend coverage drops about 9% below the home's own weekday level, so the gaps aren't evenly spread across the week. On the inspection side, 53 deficiencies are on the current record, including one at the harm level and one tied to abuse, and the most recent inspection was August 2025.