Ellisville Rehabilitation and Nursing

322 Old State Road · Ellisville, MO · 63021 · 6362273431

210 certified beds For profit - Limited Liability company

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $169,037 in fines in the last 24 months.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

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.

3 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$169,037 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

70% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 0
Staffing 20% 63
Federal penalties 15% 36
Trend 10% 40
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.153.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day3.63≈ weekday level
Nursing turnover / year70%median 45%
Fines (3-yr window)1 · $169,037

Inspection citations (61 in the current record)

  • Potential for harm · D March 4, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 7, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 4, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 4, 2026 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 7, 2026 · Quality of Life and Care

  • Potential for harm · D March 4, 2026 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 7, 2026 · Quality of Life and Care

  • Potential for harm · D March 4, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 7, 2026 · Pharmacy Service

  • Potential for harm · E March 4, 2026 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 7, 2026 · Nutrition and Dietary

  • Potential for harm · E March 4, 2026 · found via complaint

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected April 7, 2026 · Nutrition and Dietary

  • Immediate jeopardy · J January 16, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Potential for harm · D January 16, 2026 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected February 20, 2026 · Resident Rights

  • Potential for harm · D January 16, 2026 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 16, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 7, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 16, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 16, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 4, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2026 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 7, 2026 · Quality of Life and Care

  • Potential for harm · D January 16, 2026 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 7, 2026 · Quality of Life and Care

  • Potential for harm · D January 16, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 7, 2026 · Pharmacy Service

  • Potential for harm · E January 16, 2026 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 7, 2026 · Nutrition and Dietary

  • Potential for harm · E January 16, 2026 · found via complaint

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected April 7, 2026 · Nutrition and Dietary

  • Potential for harm · D June 26, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G May 16, 2025 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected May 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J April 21, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected May 16, 2025 · Quality of Life and Care

  • Actual harm · G April 21, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D April 21, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 21, 2025 · found via complaint

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D April 21, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 16, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 26, 2024Fine$169,037
November 26, 2024Payment Denial91 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265766 · certified since August 14, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.