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Nursing HomeMedicaid Investigative

Pillars of North County Health & Rehab Center, the

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

13700 Old Halls Ferry Road, Florissant, MO 63033120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 39 Google reviews

5
4
3
2
1
Pillars of North County Health & Rehab Center, the Nursing Home in Florissant, MO — Street View
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5/ 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 (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (17 vs median 10)
  • High staff turnover (53%)

Below average in MO · Critically understaffed (RN) · Significantly below average staffing · No penalties on record

Source: Medicare data

What this means for your family

While some families report a positive, homelike atmosphere, the recurring reports of severe understaffing, poor hygiene, and neglect are significant red flags. We strongly recommend visiting the facility unannounced to check for cleanliness and observing staff-to-resident interactions before making a decision.

Google Reviews

Google Reviews

39 reviews on Google
The Pillars of North County Health & Rehab Center receives highly polarized feedback, with some families praising the facility as a clean and loving home, while others report severe neglect and unprofessionalism. Common criticisms include chronic understaffing, poor facility maintenance, and unpleasant odors, while supporters highlight the dedication of the therapy and nursing teams.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean3.0ActivitiesN/AMeds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Top-notch therapy department
  • Some staff members show genuine love and compassion
  • Clean and welcoming environment (according to some reviewers)
  • Helpful and friendly staff interactions

Concerns

  • Chronic understaffing leading to poor resident care (mentioned by 5 reviewers)
  • Unpleasant odors and poor facility cleanliness (mentioned by 4 reviewers)
  • Unprofessional or rude staff/receptionists (mentioned by 3 reviewers)
  • Poor laundry management and lost personal items (mentioned by 2 reviewers)
  • Facility maintenance issues (broken beds, peeling walls) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(5)'20(4)'22(3)'24(4)'26(1)

Distribution · 43 analyzed

5
21
4
3
3
3
2
1
1
15

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance with daily needs like hygiene and call-light response?
  • 2I noticed the facility has a strong reputation for its therapy department; how do you integrate those therapy goals into the residents' daily routine and social activities?
  • 3Could you walk me through your current process for tracking and labeling personal belongings to ensure items like clothing don't go missing during laundry services?
  • 4What is your daily schedule for facility maintenance and housekeeping to ensure common areas and resident rooms remain fresh and well-maintained?
  • 5I appreciate that you actively engage with family feedback online; how do you use that communication to address concerns about medication management and overall care quality?
  • 6In the event of a medical emergency, how quickly can residents access specialized nursing care, and what is your protocol for keeping family members informed during those moments?

Personalized based on this facility's data


Key Review Excerpts

The Therapy Department is Top Notch !!! And the staff was very very good,but was always short staffed ,which made it rougher!!

Rehab patient · 2024★★★☆☆

The staff was rushing around, patients walking the halls. The room I was rolled into had a bed that had broken electrical cords. So it couldn’t be raised or lowered.

Rehab patient · 2024☆☆☆☆

My mom was at the Pillars for about a year. She came after having a bad experience at another facility out of state. All I can say is the way the staff at the Pillars helped her navigate through that experience is something I will never forget.

Long-term resident's family · 2023★★★★★
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.24hrs
32%
Registered nurses for medical care
Total Nursing
2.49hrs
61%
All nurses + aides combined
Staff Turnover
47%
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

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
😔

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 Facility8.8%
Better than Avg
Here
8.8%
US
19.5%
MO
25.4%
St. louis
16.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
14.4%
MO
19.1%
St. louis
15.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility94.0%
Better than Avg
Here
94.0%
US
93.4%
MO
84.4%
St. louis
83.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MO
90.9%
St. louis
91.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.4%
Better than Avg
Here
10.4%
US
19.4%
MO
17.9%
St. louis
18.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility39.0%
Worse than Avg
Here
39.0%
US
81.8%
MO
65.9%
St. louis
63.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility54.5%
Worse than Avg
Here
54.5%
US
79.8%
MO
63.5%
St. louis
65.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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

17deficiencies
Above state avg (12.0)
10 complaint-triggered

This facility shows concerning patterns with families filing 10 complaints that triggered federal inspections, including recent issues with pressure ulcer care, abuse prevention, and treatment quality. The most recurring problems involve medication management, food service and nutrition, and fire safety systems. While the facility has correction dates for all deficiencies, issues persist across multiple surveys from 2020 to 2024, indicating ongoing challenges with maintaining consistent care standards.

Sep 11, 2025Complaint
2
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Mar 21, 2025Routine
16
0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Mar 21, 2025Complaint
3
0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 2, 2024Complaint
1
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 28, 2024Complaint
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 19, 2023Complaint
2
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pillars of North County Health & Rehab Center, the

Organization Type

for profit

Chain Affiliation

Chain Name

Helia Healthcare

Chain Size

13 facilities nationwide

Chain avg rating: 2.5/5 · Rank 7 of 13

Ownership & Management

Owners

Miller, Stephen

Owner

100%

Key personnel

Miller, StephenContracted Managing EmployeeMiller, StephenOfficer / 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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