SHAFIQ MALIK

Nurse hours

4.99 /day

Staff turnover

49%

Serious cites

0

Fountainbleau Lodge runs 33 beds in Cape Girardeau, and its nurse staffing sits at 4.99 hours per resident day, roughly 29% above the national average of 3.86. That's a real margin, though weekends drop about 18% below its own weekday level, so coverage thins out when families tend to visit. Turnover is 48.7%, a bit above the national 45.8%. The inspection record shows 20 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,827. The most recent inspection was September 2025, so the picture is fairly current.

Nurse hours

4.10 /day

Staff turnover

49%

Serious cites

0

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.

Nurse hours

2.66 /day

Staff turnover

44%

Serious cites

0

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.

Nurse hours

3.44 /day

Staff turnover

57%

Serious cites

0

Beautiful Savior Home runs 126 certified beds in Belton under for-profit LLC ownership, and its nurse staffing sits about 11 percent under the national average, 3.44 hours per resident day against 3.86. That gap widens on weekends, when coverage drops roughly 10 percent below the home's own weekday levels, and turnover runs 56.8 percent compared with a national 45.8 percent. Its current record carries 22 deficiencies, none flagged at harm or jeopardy level, though two are abuse-related. The last inspection was December 13, 2024, so the picture is fairly recent. Federal ratings land at three stars for health inspections and quality measures, two for staffing. Nothing here reads as dangerous, but the staffing numbers explain why the grade lands where it does.

Nurse hours

3.14 /day

Staff turnover

53%

Serious cites

0

Lutheran Nursing Home runs 113 certified beds in Concordia under for-profit LLC ownership, and its staffing is the number that stands out: 3.14 nurse hours per resident day, about 19% under the national average, with weekends dipping roughly 12% below its own weekday coverage. Annual turnover sits at 52.5% against a 45.8% national figure, so the people providing that care are cycling through faster than average. Inspections look better on paper, a 4/5 health inspection rating as of August 2025, no deficiencies at the harm level, but 27 total deficiencies include 4 tied to abuse, and one fine of $41,886 is on record. The staffing rating of 2/5 tells you where the pressure actually lives.

Nurse hours

3.03 /day

Staff turnover

56%

Serious cites

0

Riverview At The Park runs about 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekend coverage drops another 17% below what it manages on weekdays. Staff turnover sits at 56% against a national rate near 46%, and the home is licensed for 120 beds under individual for-profit ownership. Inspectors visited recently, in September 2025, and found 22 deficiencies on the current record, none rising to actual harm or jeopardy, though one is abuse-related. The five-star inspection rating reflects a clean survey in that narrow sense, but the two-star quality measure score and one-star staffing score tell you where the strain actually lives.

Nurse hours

2.91 /day

Staff turnover

58%

Serious cites

0

Community Manor runs on 2.91 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 17% below what it manages on weekdays. Turnover sits at 58.3%, well above the 45.8% norm, which matters because the people most familiar with your relative's routines are the ones most likely to leave. The record isn't alarming on safety: 29 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent June 2025 inspection. But staffing is where the strain shows, and a family should ask directly how many aides are on the floor on a Saturday night.

Nurse hours

2.73 /day

Staff turnover

73%

Serious cites

0

St Joe Manor runs 155 certified beds in Bonne Terre under for-profit LLC ownership, and its most recent inspection in February 2025 produced 28 deficiencies, none at the harm level, but one tied to abuse, which is the kind of citation families should ask about directly. Staffing tells a starker story than the inspection record: the home earns just 1 of 5 stars for staffing, and annual turnover hits 73.3% against a national average of 45.8%, meaning roughly three of every four employees leave within a year. High turnover at that scale usually shows up as inconsistent caregivers and less experienced hands on the floor. Worth weighing carefully against the quality measure rating of 1 out of 5.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

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.