St Peters Rehab and Healthcare Center
230 Spencer Road · Saint Peters, MO · 63376 · 6364412750
96 certified beds For profit - Limited Liability company Chain: Ama Holdings
Why this verdict
- Carries CMS’s abuse warning icon.
- 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: $26,475 in fines in the last 24 months.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
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.
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.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 4 · $168,026 |
Inspection citations (104 in the current record)
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Potential for harm · D February 20, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 21, 2026 · Resident Assessment and Care Planning
-
Actual harm · G September 4, 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 August 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E August 6, 2025 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected August 21, 2025 · Resident Rights
-
Potential for harm · D August 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 21, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 13, 2025 · Infection Control
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Actual harm · G November 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 22, 2024 · Quality of Life and Care
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Potential for harm · D November 27, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 27, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 27, 2024 · Environmental
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Potential for harm · E June 18, 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 July 18, 2024 · Resident Rights
-
Potential for harm · E June 18, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 18, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 18, 2024 · Quality of Life and Care
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Potential for harm · D June 18, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected July 18, 2024 · Quality of Life and Care
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Potential for harm · F June 18, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 18, 2024 · Nursing and Physician Services
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Potential for harm · E June 18, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 18, 2024 · Nutrition and Dietary
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Immediate jeopardy · J April 12, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J April 12, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G April 12, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 18, 2024 · Quality of Life and Care
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Potential for harm · D April 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 26, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected May 26, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected May 26, 2024 · Resident Rights
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Potential for harm · E April 12, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected May 26, 2024 · Resident Rights
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Potential for harm · E April 12, 2024
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 May 26, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 26, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
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 May 26, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 18, 2024 · 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 |
|---|---|---|
| September 4, 2025 | Fine | $12,425 |
| November 27, 2024 | Fine | $14,050 |
| April 12, 2024 | Fine | $65,247 |
| April 12, 2024 | Payment Denial | 51 days |
| September 12, 2023 | Fine | $76,304 |
| September 12, 2023 | Payment Denial | 78 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 265589 · certified since September 9, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.