McClay Senior Care
3801 McClay Road · Saint Peters, MO · 63376 · 6362443323
60 certified beds For profit - Individual
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 3 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 3.38 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Actual harm · G April 4, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · E April 4, 2024
Ensure that residents are free from significant medication errors.
Corrected May 17, 2024 · Pharmacy Service
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Potential for harm · E April 4, 2024
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 May 17, 2024 · Pharmacy Service
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Potential for harm · F April 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 17, 2024 · Nutrition and Dietary
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Potential for harm · D September 13, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 25, 2023 · Quality of Life and Care
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Potential for harm · E September 13, 2023 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 25, 2023 · Nutrition and Dietary
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Potential for harm · E August 29, 2022
Reasonably accommodate the needs and preferences of each resident.
Corrected October 6, 2022 · Resident Rights
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Potential for harm · E August 29, 2022
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected October 6, 2022 · Resident Rights
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Potential for harm · D August 29, 2022
Keep residents' personal and medical records private and confidential.
Corrected October 6, 2022 · Resident Rights
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Potential for harm · E August 29, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 6, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 6, 2022 · Quality of Life and Care
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Potential for harm · D August 29, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 6, 2022 · Quality of Life and Care
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Potential for harm · D August 29, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 6, 2022 · Quality of Life and Care
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Potential for harm · E August 29, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 6, 2022 · Quality of Life and Care
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Potential for harm · D August 29, 2022
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 October 6, 2022 · Quality of Life and Care
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Potential for harm · E August 29, 2022
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 October 6, 2022 · Pharmacy Service
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Potential for harm · F August 29, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 6, 2022 · Nutrition and Dietary
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Potential for harm · D August 29, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 6, 2022 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2022
Provide and implement an infection prevention and control program.
Corrected October 6, 2022 · Infection Control
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Potential for harm · E August 29, 2022
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 6, 2022 · Environmental
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Actual harm · G November 26, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 5, 2020 · Quality of Life and Care
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Potential for harm · E November 26, 2019
Honor the resident's right to manage his or her financial affairs.
Corrected January 5, 2020 · Resident Rights
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Potential for harm · E November 26, 2019
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected January 5, 2020 · Resident Rights
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Potential for harm · E November 26, 2019
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected January 5, 2020 · 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 265875 · certified since January 10, 2019. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.