Parkwood Skilled Nursing and Rehabilitation Center
3201 Parkwood Lane · Maryland Heights, MO · 63043 · 3142915911
130 certified beds For profit - Corporation Chain: Riley Spence Senior Living
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.10 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.10 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (65 in the current record)
-
Potential for harm · E March 12, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 31, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D November 25, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 16, 2025 · Resident Rights
-
Potential for harm · D November 25, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D November 6, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 25, 2025 · Resident Rights
-
Potential for harm · D November 6, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 25, 2025 · Quality of Life and Care
-
Potential for harm · D October 27, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 10, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 29, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 29, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 1, 2024 · Resident Rights
-
Potential for harm · E August 29, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected October 1, 2024 · Resident Rights
-
Potential for harm · E August 29, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 29, 2024
Ensure each resident receives an accurate assessment.
Corrected October 17, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 29, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 1, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 29, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 1, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E August 29, 2024
Provide activities to meet all resident's needs.
Corrected October 1, 2024 · Quality of Life and Care
-
Potential for harm · E August 29, 2024
Ensure the activities program is directed by a qualified professional.
Corrected October 1, 2024 · Quality of Life and Care
-
Potential for harm · D August 29, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 1, 2024 · Quality of Life and Care
-
Potential for harm · D August 29, 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 October 1, 2024 · Quality of Life and Care
-
Potential for harm · E August 29, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 1, 2024 · Pharmacy Service
-
Potential for harm · E August 29, 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 October 1, 2024 · Pharmacy Service
-
Potential for harm · D August 29, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected October 1, 2024 · Nutrition and Dietary
-
Potential for harm · E August 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 1, 2024 · Nutrition and Dietary
-
Potential for harm · E August 29, 2024
Provide and implement an infection prevention and control program.
Corrected October 1, 2024 · Infection Control
-
Potential for harm · E August 29, 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 October 1, 2024 · Environmental
-
Potential for harm · E August 29, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 1, 2024 · Resident Rights
-
Potential for harm · E August 29, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected October 1, 2024 · 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
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265523 · certified since January 14, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.