Willowcreek Wellness & Rehabilitation

250 New Florissant Road South · Florissant, MO · 63031 · 3148382211

158 certified beds For profit - Limited Liability company Chain: Opco Skilled Management

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: $63,648 in fines in the last 24 months.

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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.

2 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.

$63,648 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.12 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 4
Serious harm & abuse 20% 0
Staffing 20% 46
Federal penalties 15% 15
Trend 10% 64
Context 5% 35

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-day3.533.48 min · 4.1 strong
RN hours / resident-day0.120.55–0.75
Weekend hours / resident-day2.89≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)2 · $63,648

Inspection citations (92 in the current record)

  • Potential for harm · D March 18, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 19, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 5, 2026 · 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 March 6, 2026 · Resident Rights

  • Potential for harm · D March 5, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected March 6, 2026 · Pharmacy Service

  • Potential for harm · D February 5, 2026 · 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 March 6, 2026 · Resident Rights

  • Potential for harm · D February 5, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · D February 5, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · D February 5, 2026 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 13, 2026 · Quality of Life and Care

  • Potential for harm · D February 5, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected March 6, 2026 · Pharmacy Service

  • Potential for harm · D January 7, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 8, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D November 18, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected November 28, 2025 · Quality of Life and Care

  • Potential for harm · D November 18, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected November 28, 2025 · Quality of Life and Care

  • Immediate jeopardy · J June 20, 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 July 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J June 20, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 14, 2025 · Quality of Life and Care

  • Potential for harm · E June 20, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 14, 2025 · Infection Control

  • Potential for harm · D May 13, 2025 · found via complaint

    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 16, 2025 · Resident Rights

  • Potential for harm · D May 13, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J March 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 March 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J March 4, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected March 5, 2025 · Quality of Life and Care

  • Potential for harm · E March 4, 2025 · found via complaint

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected March 5, 2025 · Resident Rights

  • Potential for harm · D March 4, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected April 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 4, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 4, 2025 · found via complaint

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected March 5, 2025 · Administration

  • Potential for harm · D October 22, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 8, 2024 · Quality of Life and Care

  • Potential for harm · D October 22, 2024 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected November 20, 2024 · Quality of Life and Care

  • Potential for harm · D October 3, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 8, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 20, 2025Fine$16,149
March 4, 2025Fine$47,499
March 4, 2025Payment Denial35 days
August 14, 2024Payment Denial6 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265607 · certified since April 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.