St Andrew's at Francis Place
400 Summerville Blvd · Eureka, MO · 63025 · 6369385151
106 certified beds Non profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.85 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5
| Total nurse hours / resident-day | 2.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.61 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $77,664 |
Inspection citations (33 in the current record)
-
Actual harm · G November 19, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected December 22, 2025 · Resident Rights
-
Potential for harm · E August 29, 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 October 6, 2025 · Quality of Life and Care
-
Potential for harm · E February 7, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 19, 2025 · Resident Rights
-
Potential for harm · D February 7, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected March 19, 2025 · Resident Rights
-
Potential for harm · E February 7, 2025
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 March 19, 2025 · Resident Rights
-
Potential for harm · D February 7, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 7, 2025
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 March 19, 2025 · Pharmacy Service
-
Potential for harm · E February 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 19, 2025 · Nutrition and Dietary
-
Potential for harm · D February 7, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 7, 2025
Provide and implement an infection prevention and control program.
Corrected March 19, 2025 · Infection Control
-
Potential for harm · E February 7, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected March 19, 2025 · Nursing and Physician Services
-
Potential for harm · D October 30, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 27, 2024 · Resident Rights
-
Potential for harm · D October 30, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 3, 2024 · Quality of Life and Care
-
Potential for harm · D October 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 3, 2024 · Quality of Life and Care
-
Potential for harm · E September 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 3, 2024 · Quality of Life and Care
-
Potential for harm · D September 19, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 3, 2024 · Quality of Life and Care
-
Potential for harm · E March 21, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 21, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 21, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 30, 2024 · Quality of Life and Care
-
Potential for harm · D March 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2024 · Quality of Life and Care
-
Potential for harm · D October 12, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 10, 2023 · Resident Rights
-
Potential for harm · D October 12, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 10, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E October 12, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 10, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 26, 2023 | Fine | $77,664 |
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 265195 · certified since May 4, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.