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Nursing HomeMedicaid Investigative

Pine Grove Manor

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

4359 Taft Avenue, Bevo · Saint Louis, MO 6311677 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 8 Google reviews

5
4
3
2
1
Pine Grove Manor Nursing Home in Saint Louis, MO — Street View
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3/ 10
moderate 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)

Bottom 25% in MO · Below recommended RN staffing · Above average staffing · Worst in OPCO SKILLED MANAGEMENT chain · $22,155 in fines

Source: Medicare data

What this means for your family

Pine Grove Manor has shown positive momentum with recent renovations and active social programming, which can greatly improve a resident's quality of life. However, given the recent report of unreturned medical equipment and lack of administrative follow-up, we strongly advise families to document all personal property upon admission and maintain written records of all interactions with management.

Google Reviews

Google Reviews

8 reviews on Google
Pine Grove Manor has received praise for its recent improvements under new ownership, specifically regarding building renovations and resident engagement through activities. However, families should be aware of serious concerns regarding the handling of resident personal property and responsiveness to administrative requests following discharge.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean7.0Activities9.0MedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Engaging activities and social opportunities
  • Recent building renovations and facility upgrades
  • Responsive administrative communication for current residents

Concerns

  • Poor handling of resident personal property upon discharge

Rating Trends

Tap a year to see what changed

2344.82025(4)3.22026(5)

Distribution · 9 analyzed

5
5
4
2
3
0
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed the facility has undergone recent renovations; could you show me how these updates have improved the daily living environment for residents?
  • 2With the current staffing ratings, could you walk me through how your team ensures consistent, high-quality attention for all 77 residents throughout the day?
  • 3I see that you have a very active social calendar; what are some of the most popular activities that help residents build friendships here?
  • 4What specific protocols do you have in place to ensure that a resident's personal belongings are tracked and protected during transitions or discharges?
  • 5Given the recent health inspection reports, what specific steps is Pine Grove Manor taking to improve those outcomes and ensure the highest standard of care?
  • 6How does your nursing team coordinate with local hospitals to handle medical emergencies, and how quickly are families typically notified?

Personalized based on this facility's data


Key Review Excerpts

The staff are mostly attentive great response from administration if she has any concerns and since new ownership are even getting a facelift in the building, which was much needed.

Long-term resident's family · 2025★★★★

My mom was a resident at Pine Grove and made lots of friends. She loved the activities and loved the facility neighborhood cats!

Long-term resident's family · 2026★★★★

I was a resident and did not have all my belongings when I left 5 weeks ago. I was not given my charger to my power wheelchair. I've called and requested by phone and email to the administrator keysha to call. Never happened?????

Rehab patient · 2026☆☆☆☆
Source: 8 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
37%
Registered nurses for medical care
Total Nursing
3.42hrs
84%
All nurses + aides combined

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 · 16 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.6%
Better than Avg
Here
6.6%
US
12.1%
MO
16.7%
St. louis city
49.3%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility83.4%
Mixed vs Avgs
Here
83.4%
US
93.4%
MO
84.4%
St. louis city
57.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
95.5%
MO
90.9%
St. louis city
79.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.3%
MO
18.9%
St. louis city
16.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.6%
Mixed vs Avgs
Here
16.6%
US
19.5%
MO
25.4%
St. louis city
15.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.4%
Better than Avg
Here
11.4%
US
19.4%
MO
17.9%
St. louis city
15.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility19.6%
Worse than Avg
Here
19.6%
US
81.8%
MO
65.9%
St. louis city
41.8%
💊

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 city
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
3penalties
Above state avg (12.0)
11 complaint-triggered
$22,155 in fines

Families have filed complaints resulting in serious deficiencies including abuse protection failures, improper physical restraint use, and medication errors, with the most recent complaint-triggered issues occurring in December 2025. The facility shows recurring problems with accident prevention and safety hazards, food safety and temperature control, and basic life support preparedness across multiple surveys. While all deficiencies show correction dates, the pattern of repeated safety and care issues, combined with multiple family complaints, warrants careful consideration during any visit.

Mar 13, 2026Complaint
5
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

Dec 22, 2025Complaint
4
0678Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 3, 2024Routine
7
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

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

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0680Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 29, 2023Complaint
1
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.

Oct 13, 2023Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jun 10, 2022Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0678Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

0570Minimal · WidespreadCorrected

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

Federal Penalties

Fine

Dec 22, 2025

$9,510

Fine

Apr 3, 2024

$22,155

Payment Denial

Apr 3, 2024

13-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pine Grove Manor

Organization Type

for profit

Chain Affiliation

Chain Name

Opco Skilled Management

Chain Size

64 facilities nationwide

Chain avg rating: 2.4/5 · Rank 47 of 52 (Worst)

Ownership & Management

Owners

Lucent Advisors LLC

Owner (parent company) · Organization

Rimpau Holdings Trust

Owner (parent company) · Organization

Sasem Investments LLC

Owner (parent company) · Organization

Garetz, David

Owner (parent company)

Kaplan, Esther

Owner (parent company)

Hagins, Elizabeth

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Mindle, Adam

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Arches Healthcare LLC

Owner · Organization

Gurwitz, Solomon

Owner

Amber Hc Trust

Owner (parent company) · Organization

First Sweetzer Holdings LLC

Owner (parent company) · Organization

Key personnel

Bankwell Bank5% or Greater Security InterestForvis Mazars LlpManagerOpco CA Skilled Mgmt INC.ManagerPease Bell Cpas LLCManagerBrencick, MarkManager
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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