Every one of the 69 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
9 of these hold the top CMS rating of five. 32 sit at one. Registered nurse cover averages 0.42 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 MERAMEC BLUFFS | Ballwin | 5 | 5 | 5 | 1.52 | 32 | $0 |
| ABERDEEN HEIGHTS | Kirkwood | 5 | 5 | 5 | 1.21 | 38 | $0 |
| LUTHERAN CONVALESCENT HOME | Webster Groves | 5 | 4 | 5 | 0.89 | 251 | $0 |
| MASON POINTE CARE CENTER | Chesterfield | 5 | 5 | 4 | 0.88 | 63 | $0 |
| FRIENDSHIP VILLAGE CHESTERFIELD | Chesterfield | 5 | 4 | 5 | 0.69 | 98 | $0 |
| BETHESDA SOUTHGATE | Saint Louis | 5 | 5 | 4 | 0.66 | 130 | $0 |
| CHRISTIAN EXTENDED CARE & REHABILITATION | Saint Louis | 5 | 5 | 2 | 0.53 | 60 | $0 |
| DELMAR GARDENS SOUTH | Saint Louis | 5 | 5 | 4 | 0.44 | 184 | $0 |
| DELMAR GARDENS OF MERAMEC VALLEY | Fenton | 5 | 5 | 2 | 0.35 | 190 | $0 |
| SURREY PLACE ST LUKES HOSPITAL SKILLED NURSING | Chesterfield | 4 | 3 | 5 | 1.76 | 130 | $0 |
| GARDEN VIEW CARE CENTER AT DOUGHERTY FERRY | Valley Park | 4 | 5 | 4 | 0.66 | 66 | $0 |
| GARDEN VIEW CARE CENTER OF CHESTERFIELD | Chesterfield | 4 | 4 | 4 | 0.57 | 52 | $0 |
| NHC HEALTHCARE, MARYLAND HEIGHTS | Maryland Heights | 4 | 4 | 4 | 0.49 | 220 | $0 |
| MCKNIGHT PLACE EXTENDED CARE | Saint Louis | 4 | 4 | 4 | 0.39 | 70 | $0 |
| BROOKING PARK | Chesterfield | 3 | 3 | 4 | 0.91 | 49 | $15,646 |
| BARNES-JEWISH EXTENDED CARE | Saint Louis | 3 | 3 | 4 | 0.90 | 120 | $0 |
| FRIENDSHIP VILLAGE SUNSET HILLS | Saint Louis | 3 | 3 | 4 | 0.54 | 144 | $14,433 |
| SSM HEALTH DEPAUL HOSPITAL - ANNA HOUSE | Bridgeton | 3 | 3 | 3 | 0.53 | 105 | $0 |
| BETHESDA DILWORTH | Saint Louis | 3 | 3 | 4 | 0.41 | 350 | $88,946 |
| DELMAR GARDENS OF CHESTERFIELD | Chesterfield | 3 | 3 | 2 | 0.24 | 227 | $0 |
| COUNTRY VILLA WELLNESS & REHABILITATION | Creve Coeur | 3 | 4 | 1 | 0.12 | 148 | $0 |
| WESTCHESTER HOUSE, THE | Chesterfield | 2 | 2 | 2 | 0.59 | 159 | $83,824 |
| RIVER CROSSING REHAB AND HEALTHCARE CENTER | Saint Louis | 2 | 3 | 1 | 0.56 | 120 | $0 |
| FIESER NURSING CENTER | Fenton | 2 | 2 | 3 | 0.46 | 47 | $0 |
| DELMAR GARDENS WEST | Town And Country | 2 | 3 | 4 | 0.45 | 321 | $22,623 |
| MARY, QUEEN AND MOTHER CENTER | Shrewsbury | 2 | 2 | 3 | 0.39 | 217 | $19,133 |
| LIFE CARE CENTER OF BRIDGETON | Bridgeton | 2 | 3 | 1 | 0.38 | 91 | $21,801 |
| STONEBRIDGE MARYLAND HEIGHTS | Maryland Heights | 2 | 2 | 2 | 0.38 | 223 | $0 |
| DELMAR GARDENS ON THE GREEN | Chesterfield | 2 | 3 | 2 | 0.34 | 120 | $46,589 |
| SHERBROOKE VILLAGE | Saint Louis | 2 | 2 | 2 | 0.32 | 149 | $0 |
| BENTWOOD NURSING & REHAB | Florissant | 2 | 3 | 1 | 0.31 | 116 | $107,465 |
| OAK KNOLL SKILLED NURSING & REHABILITATION CENTER | Ferguson | 2 | 3 | 2 | 0.29 | 79 | $0 |
| ST ANDREW'S AT FRANCIS PLACE | Eureka | 2 | 2 | 3 | 0.26 | 106 | $77,664 |
| PILLARS OF NORTH COUNTY HEALTH & REHAB CENTER, THE | Florissant | 2 | 2 | 1 | 0.25 | 120 | $0 |
| LEMAY NURSING | Saint Louis | 2 | 3 | 1 | 0.23 | 60 | $0 |
| STONEBRIDGE FLORISSANT | Florissant | 2 | 3 | 1 | 0.23 | 120 | $0 |
| DELMAR GARDENS NORTH | Black Jack | 2 | 3 | 3 | 0.18 | 240 | $39,299 |
| QUARTERS AT DES PERES, THE | Des Peres | 1 | 1 | 2 | 0.66 | 147 | $334,933 |
| AVENIR AT MARK TWAIN | Bridgeton | 1 | 1 | 2 | 0.49 | 120 | $195,310 |
| MARYMOUNT MANOR | Eureka | 1 | 2 | 4 | 0.47 | 174 | $132,696 |
| ELLISVILLE REHABILITATION AND NURSING ⚑ | Ellisville | 1 | 1 | 2 | 0.43 | 210 | $260,092 |
| FLORISSANT VALLEY HEALTH & REHABILITATION CENTER | Florissant | 1 | 1 | 1 | 0.41 | 98 | $0 |
| AEGIS HEALTH AND REHABILITATION | Wildwood | 1 | 1 | 1 | 0.40 | 66 | $275,739 |
| MANCHESTER REHAB AND HEALTHCARE CENTER | Ballwin | 1 | 2 | 1 | 0.40 | 137 | $197,132 |
| RANCHO REHAB AND HEALTHCARE CENTER | Florissant | 1 | 1 | 1 | 0.35 | 120 | $28,060 |
| CREVE COEUR MANOR | Saint Louis | 1 | 1 | 1 | 0.33 | 149 | $9,440 |
| ATHENE NURSING AND REHABILITATION ⚑ | Town And Country | 1 | 1 | 1 | 0.32 | 282 | $145,782 |
| MONARCH SPRINGS WELLNESS & REHABILITATION | University City | 1 | 2 | 1 | 0.32 | 119 | $0 |
| NAZARETH LIVING CENTER | Saint Louis | 1 | 2 | 1 | 0.31 | 121 | $11,928 |
| ARBOR HILLS CARE & REHAB CENTER | Ferguson | 1 | 1 | 1 | 0.31 | 150 | $282,840 |
| ST SOPHIA HEALTH & REHABILITATION CENTER | Florissant | 1 | 1 | 1 | 0.28 | 240 | $69,203 |
| U-CITY FOREST MANOR ⚑ | Saint Louis | 1 | 2 | 1 | 0.23 | 120 | $15,949 |
| BIG BEND WOODS HEALTHCARE CENTER | Valley Park | 1 | 3 | 1 | 0.23 | 135 | $85,176 |
| NORMANDY NURSING CENTER ⚑ | Saint Louis | 1 | 2 | 1 | 0.22 | 116 | $9,315 |
| HIDDEN LAKE HEALTH CARE CENTER | Saint Louis | 1 | 1 | 1 | 0.22 | 67 | $123,610 |
| LAKEVIEW POST ACUTE | Florissant | 1 | 1 | 1 | 0.21 | 120 | $176,501 |
| BLUEBIRD WELLNESS AND REHABILITATION | Saint Louis | 1 | 1 | 1 | 0.20 | 188 | $234,836 |
| ATRIUM PLACE HEALTH AND REHABILITATION | Saint Louis | 1 | 2 | 1 | 0.18 | 120 | $171,429 |
| CRESTWOOD HEALTH CARE CENTER, LLC ⚑ | Florissant | 1 | 1 | 1 | 0.16 | 150 | $146,887 |
| GROVE AT KIRKWOOD, THE | Kirkwood | 1 | 1 | 1 | 0.16 | 117 | $172,400 |
| ESTATES OF ST LOUIS, LLC, THE | Saint Louis | 1 | 1 | 1 | 0.15 | 94 | $66,640 |
| AMBERWOOD ESTATES NURSING AND REHABILITATION | Saint Louis | 1 | 2 | 1 | 0.14 | 115 | $19,760 |
| PARKWOOD SKILLED NURSING AND REHABILITATION CENTER | Maryland Heights | 1 | 2 | 1 | 0.13 | 130 | $0 |
| FOUNTAIN CARE AT SUNSET HILLS | Saint Louis | 1 | 1 | 1 | 0.13 | 166 | $119,588 |
| WILLOWCREEK WELLNESS & REHABILITATION | Florissant | 1 | 1 | 1 | 0.11 | 158 | $90,333 |
| HERITAGE CARE CENTER ⚑ | Saint Louis | 1 | 1 | 1 | 0.09 | 120 | $424,748 |
| ESTATES OF SPANISH LAKE, THE | Saint Louis | 1 | 1 | 1 | 0.05 | 150 | $57,868 |
| BENTLEYS EXTENDED CARE ⚑ | Overland | 1 | 1 | 1 | 0.00 | 72 | $28,969 |
| ST JOHNS PLACE | Saint Louis | 1 | 2 | 1 | 0.00 | 94 | $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 - Corporation | 25 |
| For profit - Limited Liability company | 24 |
| Non profit - Corporation | 15 |
| For profit - Individual | 3 |
| Non profit - Church related | 2 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.