Pine Grove Manor
4359 Taft Avenue · Saint Louis, MO · 63116 · 3147522022
77 certified beds For profit - Corporation Chain: Opco Skilled Management
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $9,510 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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
2 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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $31,665 |
Inspection citations (30 in the current record)
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Potential for harm · D March 13, 2026 · 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 March 28, 2026 · Resident Rights
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Potential for harm · E March 13, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 13, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 28, 2026 · Quality of Life and Care
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Potential for harm · E March 13, 2026 · found via complaint
Provide activities to meet all resident's needs.
Corrected March 28, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 28, 2026 · Infection Control
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Immediate jeopardy · J December 22, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D December 22, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected December 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · E December 22, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 23, 2025 · Pharmacy Service
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Immediate jeopardy · K April 3, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · E April 3, 2024
Provide activities to meet all resident's needs.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · E April 3, 2024
Ensure the activities program is directed by a qualified professional.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · D April 3, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · E April 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 28, 2024 · Nutrition and Dietary
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Potential for harm · E April 3, 2024
Provide and implement an infection prevention and control program.
Corrected May 7, 2024 · Infection Control
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Potential for harm · D November 29, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 6, 2023 · Quality of Life and Care
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Actual harm · G October 13, 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 October 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 10, 2022
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 July 20, 2022 · Resident Rights
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Potential for harm · E June 10, 2022
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected July 20, 2022 · Quality of Life and Care
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Potential for harm · E June 10, 2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 20, 2022 · Nutrition and Dietary
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Potential for harm · F June 10, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 20, 2022 · Nutrition and Dietary
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Potential for harm · E June 10, 2022
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 July 20, 2022 · Environmental
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No harm found · C June 10, 2022
Assure the security of all personal funds of residents deposited with the facility.
Corrected July 29, 2022 · Resident Rights
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Potential for harm · D September 9, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 30, 2019 · Resident Assessment and Care Planning
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Potential for harm · E September 9, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 30, 2019 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 22, 2025 | Fine | $9,510 |
| April 3, 2024 | Fine | $22,155 |
| April 3, 2024 | Payment Denial | 13 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 265828 · certified since May 1, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.