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Nursing HomeMedicaid Top Rated

Nhc Healthcare, St Charles

Strong Medicare quality ratings; families often praise highly effective rehabilitation therapy team. Still worth an in-person visit.

35 Sugar Maple Lane, Saint Charles, MO 63303120 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 33 Google reviews

5
4
3
2
1
Nhc Healthcare, St Charles Nursing Home in Saint Charles, MO — Street View
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What this means for your family

This facility is highly regarded for its rehabilitation therapy team, making it a strong candidate for post-surgical recovery. However, families must be vigilant; multiple reviewers have raised serious concerns regarding understaffing and management responsiveness. We recommend visiting during off-hours and asking specific questions about nurse-to-patient ratios and how the facility handles patient monitoring at night.

Google Reviews

Google Reviews

33 reviews on Google
NHC HealthCare, St. Charles receives polarized feedback, with many families praising the rehabilitation team and individual nurses for their compassionate, high-quality care. However, several reviewers report critical concerns regarding chronic understaffing, poor management oversight, and lapses in basic patient monitoring that have led to severe health outcomes.

Quality Themes

Tap a score for details
Food7.0Staff5.0Clean8.0Activities7.0Meds4.0MemoryN/AComms6.0Value3.0

Strengths

  • Highly effective rehabilitation therapy team
  • Attentive and compassionate individual nursing staff
  • Strong communication from social workers and therapists
  • Clean and well-maintained facility environment

Concerns

  • Chronic understaffing leading to neglect (mentioned by 6 reviewers)
  • Management and DON unresponsive to concerns (mentioned by 4 reviewers)
  • Inadequate monitoring of patient safety and health (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(5)'19(2)'21(2)'23(3)'25(7)'26(2)

Distribution · 38 analyzed

5
20
4
7
3
0
2
0
1
11

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that your therapy team is highly regarded, how do you integrate their rehabilitation plans into the daily routine of residents who aren't in active therapy?
  • 2With the current staffing levels, what specific protocols are in place to ensure consistent monitoring of resident health and safety throughout the evening and night shifts?
  • 3How does your leadership team ensure that family concerns are addressed promptly, and what is the best way for us to communicate with management if we have questions about our loved one's care?
  • 4I noticed medication management is a focus area for your team; could you walk us through the process for administering meds and how you track potential side effects or dosage adjustments?
  • 5What kind of daily activities or social programs are available to keep residents engaged, and how do you encourage those who might be hesitant to participate?
  • 6In the event of a medical emergency, what is your facility's process for stabilizing the resident and at what point do you involve the family or primary physician?

Personalized based on this facility's data


Key Review Excerpts

The entire staff was incredible - the nurses, therapists, aids, doctors, foodservice - EVERYBODY. They are compassionate and proactive.

Rehab patient's family · 2023★★★★★

I'm in over 200 facilities a year for my job. When I see "the horseshoe" of wheelchairs so 1 staff member can observe 8+ residents. I know you're short-staffed.

Professional visitor · 2025☆☆☆☆

They do not monitor food or water intake. My grandmother ended up so dehydrated and now has such a bad bladder and urinary tract infection she is in the icu.

Long-term resident's family · 2020☆☆☆☆
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.70hrs
94%
Registered nurses for medical care
Total Nursing
3.38hrs
82%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
10%
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
5/ 5
Better Than Avg

15

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
MO
16.7%
St. charles
14.2%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.4%
Better than Avg
Here
10.4%
US
15.4%
MO
23.6%
St. charles
16.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
93.4%
MO
84.4%
St. charles
91.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.9%
Better than Avg
Here
9.9%
US
14.4%
MO
19.1%
St. charles
15.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
15.3%
MO
18.9%
St. charles
16.7%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
95.5%
MO
90.9%
St. charles
95.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.6%
Better than Avg
Here
93.6%
US
79.7%
MO
63.5%
St. charles
73.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.7%
Better than Avg
Here
87.7%
US
81.8%
MO
65.9%
St. charles
78.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
MO
2.2%
St. charles
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (12.0)
1 complaint-triggered

NHC Healthcare St. Charles shows persistent issues across multiple surveys, particularly with building safety systems, emergency preparedness, and electrical/fire safety equipment. One family filed a complaint about protection of resident belongings. The facility has recurring problems with smoke barriers, emergency lighting, and electrical systems that appear across 2019, 2022, and 2024 surveys, suggesting ongoing maintenance and safety compliance challenges despite reported corrections.

Jun 20, 2024Routine
17
0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0919Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0100Potential for harm · PatternCorrected

Construction Deficiencies

Meet other general requirements.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0909Potential for harm · PatternCorrected

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.

0689Potential for harm · IsolatedCorrected

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 19, 2024Complaint
1
0602Potential for harm · PatternResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Nov 10, 2022Routine
15
0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0100Potential for harm · PatternCorrected

Construction Deficiencies

Meet other general requirements.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Potential for harm · IsolatedCorrected

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.

Oct 11, 2019Routine
5
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0730Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nhc Healthcare, St Charles

Organization Type

for profit

Chain Affiliation

Chain Name

National Healthcare Corporation

Chain Size

68 facilities nationwide

Chain avg rating: 3.9/5 · Rank 4 of 65 (Best)

Ownership & Management

Owners

Nhc/delaware INC

Owner · Organization

Key personnel

Rector, MelvinManaging Control - Governing BodyRector, MelvinOfficer / DirectorNational Healthcare CorporationManagerNhc-Op LpManagerBenson, DeniseManager
Source: Medicare provider data

Contact

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References & Resources

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