Garden View Care Center
700 Garden Path · O Fallon, MO · 63366 · 6362402840
80 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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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.
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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 1 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 4.15 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $3,145 |
Inspection citations (44 in the current record)
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Potential for harm · E November 5, 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 December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · E January 16, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 4, 2025 · Quality of Life and Care
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Potential for harm · E January 16, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2025 · Quality of Life and Care
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Potential for harm · E January 16, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 4, 2025 · Quality of Life and Care
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Potential for harm · D January 16, 2025
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 March 4, 2025 · Quality of Life and Care
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Potential for harm · E January 16, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected March 4, 2025 · Pharmacy Service
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Potential for harm · F January 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 4, 2025 · Nutrition and Dietary
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Potential for harm · F January 16, 2025
Provide and implement an infection prevention and control program.
Corrected March 4, 2025 · Infection Control
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Potential for harm · D January 16, 2025
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 March 4, 2025 · Environmental
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Potential for harm · E January 16, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected March 4, 2025 · Environmental
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No harm found · B January 16, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 4, 2025 · Resident Rights
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No harm found · B January 16, 2025
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 March 4, 2025 · Resident Rights
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Actual harm · G June 23, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 14, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 23, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected August 3, 2023 · Resident Rights
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Potential for harm · F June 23, 2023
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected August 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F June 23, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 23, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 3, 2023 · Pharmacy Service
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Potential for harm · F June 23, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 3, 2023 · Nutrition and Dietary
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Potential for harm · F June 23, 2023
Implement a program that monitors antibiotic use.
Corrected August 3, 2023 · Infection Control
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Potential for harm · F June 23, 2023
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected August 3, 2023 · Infection Control
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Potential for harm · F June 23, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 3, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 17, 2023 | Fine | $3,145 |
| June 23, 2023 | Payment Denial | 46 days |
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 265321 · certified since February 19, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.