Every one of the 15 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
1 of these hold the top CMS rating of five. 5 sit at one. Registered nurse cover averages 0.57 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| LUTHERAN SENIOR SERVICES AT BREEZE PARK | Saint Charles | 5 | 4 | 5 | 0.72 | 50 | $41,347 |
| COTTAGES OF LAKE ST LOUIS | Lake Saint Louis | 4 | 4 | 4 | 0.71 | 60 | $17,696 |
| NHC HEALTHCARE, ST CHARLES | Saint Charles | 4 | 4 | 4 | 0.69 | 120 | $0 |
| ABBEY SENIOR HEALTH ⚑ | O Fallon | 3 | 2 | 5 | 0.73 | 55 | $0 |
| DELMAR GARDENS OF O'FALLON | O Fallon | 3 | 2 | 4 | 0.37 | 198 | $0 |
| MCCLAY SENIOR CARE | Saint Peters | 3 | 3 | 3 | 0.27 | 60 | $0 |
| SUNTERRA SPRINGS DARDENNE PRAIRIE | Dardenne Prairie | 2 | 2 | 3 | 1.10 | 38 | $49,722 |
| LAUREL MEADOWS WELLNESS & REHABILITATION | Saint Charles | 2 | 2 | 3 | 0.55 | 103 | $11,536 |
| GARDEN VIEW CARE CENTER ⚑ | O Fallon | 2 | 2 | 4 | 0.49 | 80 | $3,145 |
| ASPEN POINT HEALTH AND REHABILITATION | Saint Charles | 1 | 1 | 2 | 0.83 | 180 | $464,634 |
| ST PETERS REHAB AND HEALTHCARE CENTER ⚑ | Saint Peters | 1 | 1 | 2 | 0.57 | 96 | $168,026 |
| LEWIS & CLARK GARDENS | Saint Charles | 1 | 1 | 4 | 0.32 | 142 | $139,916 |
| ST PETERS POST ACUTE | Saint Peters | 1 | 1 | 2 | 0.30 | 130 | $69,999 |
| WINDSOR ESTATES OF ST CHARLES ⚑ | Saint Charles | 1 | 1 | 1 | 0.20 | 81 | $229,906 |
| IGNITE MEDICAL RESORT ST PETERS | Saint Peters | - | - | - | 0.68 | 91 | $0 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 11 |
| For profit - Corporation | 2 |
| Non profit - Church related | 1 |
| For profit - Individual | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.