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Nursing HomeMedicaid Investigative

Nazareth Living Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

#2 Nazareth Lane, Saint Louis, MO 63129121 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 130 Google reviews

5
4
3
2
1
Nazareth Living Center Nursing Home in Saint Louis, MO — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (24 vs median 10)
  • High staff turnover (71%)
  • High RN turnover (80%)

Bottom 25% in MO · Critically understaffed (RN) · Above average staffing · Very high staff turnover · Worst in BENEDICTINE HEALTH SYSTEM chain · $38,780 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for physical rehabilitation and the transition into assisted living due to their outstanding therapy and admissions teams. However, if your loved one requires skilled nursing, you must advocate closely for medication accuracy and hygiene, as multiple recent reviews indicate serious lapses in these areas.

Google Reviews

Google Reviews

130 reviews on Google
Nazareth Living Center receives high praise for its exceptional physical therapy department and the warmth of its admissions and administrative staff, particularly Andy. However, families should be extremely cautious regarding the skilled nursing and rehab wings, as multiple reviewers report serious issues with medication errors, neglect, and inadequate response to call lights.

Quality Themes

Tap a score for details
Food6.0Staff4.0Clean5.0Activities8.0Meds2.0Memory7.0Comms4.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy
  • Friendly and professional admissions/sales team
  • Beautiful campus and well-maintained amenities
  • Compassionate administrative and billing staff

Concerns

  • Medication management errors and delays (mentioned by 4 reviewers)
  • Staffing shortages and reliance on agency workers (mentioned by 3 reviewers)
  • Slow response to call lights/neglect (mentioned by 3 reviewers)
  • Poor cleanliness and unpleasant odors in certain units (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(3)'21(2)'23(19)'25(37)'26(14)

Distribution · 117 analyzed

5
75
4
9
3
5
2
3
1
25

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how those services are integrated into a resident's daily routine?
  • 2With the beautiful campus and amenities you have, what kind of daily social activities or outings are available to keep residents engaged?
  • 3Could you walk us through your specific protocols for medication administration and how you ensure accuracy and timely delivery for every resident?
  • 4How does the nursing team manage call light responses during shift changes or periods when the facility is particularly busy?
  • 5What steps are being taken to ensure consistent staffing levels and to maintain a familiar team of caregivers for the residents?
  • 6In the event of a medical emergency after hours, what is the immediate process for coordinating care between the facility staff and physicians?

Personalized based on this facility's data


Key Review Excerpts

The therapy department works well and they help get you stronger. The concierge service is phenomenal and is better than most hotels!

Long-term resident/visitor · 2024★★★★★

My father was placed there for rehab after a knee surgery and the docs, nurses, techs and THERAPISTS were absolutely amazing going above and beyond with actual compassion

Rehab patient's family · 2024★★★★★

She’s gone without proper food and water. At one point, she was hallucinating from lack of oxygen because they didn’t refill her oxygen machine.

Rehab patient's family · 2025☆☆☆☆
Source: 130 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.26hrs
35%
Registered nurses for medical care
Total Nursing
3.74hrs
91%
All nurses + aides combined
Staff Turnover
75%
Lower is better (< 30% = good)
RN Turnover
78%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility66.0%
Worse than Avg
Here
66.0%
US
93.4%
MO
84.4%
St. louis
83.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility39.2%
Worse than Avg
Here
39.2%
US
15.3%
MO
18.9%
St. louis
15.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility34.6%
Worse than Avg
Here
34.6%
US
14.4%
MO
19.1%
St. louis
15.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MO
16.7%
St. louis
19.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.4%
Better than Avg
Here
11.4%
US
19.5%
MO
25.4%
St. louis
16.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
15.4%
MO
23.6%
St. louis
18.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.5%
Better than Avg
Here
90.5%
US
79.7%
MO
63.5%
St. louis
64.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.6%
Mixed vs Avgs
Here
79.6%
US
81.8%
MO
65.9%
St. louis
63.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
MO
2.2%
St. louis
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

25deficiencies
2penalties
Well above state avg (12.0)
12 complaint-triggered
$38,780 in fines

Families filed complaints that led to deficiencies, including repeated issues with providing appropriate treatment and care, plus recent problems with resident belongings protection. The facility shows persistent challenges in medication management, care planning, and safety supervision across multiple surveys. Most deficiencies have correction dates, but the pattern of recurring issues in core care areas suggests ongoing quality concerns that families should investigate thoroughly during visits.

Feb 5, 2026Complaint
1
0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 8, 2026Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 16, 2025Complaint
1
0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 17, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 29, 2025Complaint
4
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Mar 14, 2025Routine
27
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0500Potential for harm · PatternCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0909Potential for harm · IsolatedCorrected

Environmental Deficiencies

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.

0847Minimal · PatternCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Federal Penalties

Payment Denial

Mar 14, 2025

4-day denial

Fine

Oct 26, 2023

$11,928

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nazareth Living Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Benedictine Health System

Chain Size

23 facilities nationwide

Chain avg rating: 2.9/5 · Rank 19 of 22 (Worst)

Ownership & Management

Owners

Sisters of St Joseph of Carondelet St Louis Province

Owner · Organization

50%

Key personnel

Collins, JulieContracted Managing EmployeeBruhn, JenniferOfficer / DirectorDeblois, BeverlyOfficer / DirectorEssig, LeonardOfficer / DirectorHadican, Mary KayOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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