Abbey Senior Health
206 North Main Street · O Fallon, MO · 63366 · 6362405754
55 certified beds For profit - Limited Liability company Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.84 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Potential for harm · D September 11, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 19, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 25, 2024
Give residents a notice of rights, rules, services and charges.
Corrected December 13, 2024 · Resident Rights
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Potential for harm · E October 25, 2024
The resident has the right to receive notices in a format and a language he or she understands.
Corrected December 13, 2024 · Resident Rights
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Potential for harm · E October 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · E October 25, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · F October 25, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 13, 2024 · Nutrition and Dietary
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Potential for harm · E October 25, 2024
Provide and implement an infection prevention and control program.
Corrected December 13, 2024 · Infection Control
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Potential for harm · E October 25, 2024
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected December 13, 2024 · Environmental
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No harm found · B October 25, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected December 13, 2024 · Resident Rights
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No harm found · B October 25, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 13, 2024 · Resident Assessment and Care Planning
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Actual harm · G June 9, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 24, 2023 · Quality of Life and Care
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Potential for harm · D June 9, 2023
Assess the resident when there is a significant change in condition
Corrected July 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected July 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · E June 9, 2023
Ensure the activities program is directed by a qualified professional.
Corrected July 24, 2023 · Quality of Life and Care
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Potential for harm · D June 9, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 24, 2023 · Quality of Life and Care
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Potential for harm · D June 9, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 24, 2023 · Pharmacy Service
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Potential for harm · D June 9, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 24, 2023 · Pharmacy Service
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Potential for harm · F June 9, 2023
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected July 24, 2023 · Administration
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Potential for harm · D June 9, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected July 24, 2023 · Administration
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Potential for harm · D June 9, 2023
Provide and implement an infection prevention and control program.
Corrected July 24, 2023 · Infection Control
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Potential for harm · D June 9, 2023
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected July 24, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F June 9, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected July 24, 2023 · Administration
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Potential for harm · D November 7, 2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 20, 2019 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265839 · certified since March 1, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.