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Nursing HomeMedicaid Top Rated

St Clair Nursing Center

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

1035 Plaza Court North, Saint Clair, MO 6307779 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 38 Google reviews

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

This facility is highly regarded for its rehabilitation therapy and clean environment, making it a strong candidate for short-term recovery. However, families must be vigilant regarding basic care; we strongly recommend asking for a detailed plan on how the facility manages call-light response times and hygiene assistance, as these are recurring points of failure.

Google Reviews

Google Reviews

38 reviews on Google
St. Clair Nursing Center receives consistent praise for its rehabilitation services and friendly, compassionate staff, with many families noting that residents are treated with respect. However, there are serious, recurring reports of understaffing that lead to significant delays in basic care, such as pain medication administration and hygiene assistance. Families should be aware that while many have positive experiences, there are documented instances of neglected medical needs and slow response times.

Quality Themes

Tap a score for details
Food8.0Staff6.0Clean9.0ActivitiesN/AMeds3.0Memory8.0Comms7.0ValueN/A

Strengths

  • Effective rehabilitation therapy team
  • Friendly and welcoming atmosphere
  • Clean and well-maintained facility
  • Accessible and responsive management

Concerns

  • Chronic understaffing leading to slow response times (mentioned by 3 reviewers)
  • Delays in pain medication administration (mentioned by 2 reviewers)
  • Neglect of basic hygiene and wound care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(5)'21(1)'23(9)'25(4)'26(5)

Distribution · 41 analyzed

5
27
4
7
3
1
2
2
1
4

How They Respond to Reviews

77%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about how welcoming and friendly the atmosphere is here; how does the team work to make new residents feel at home?
  • 2Since we've noticed the management is very responsive to feedback, how do you typically handle it if a family member has a concern about daily care?
  • 3Can you walk us through your process for ensuring medications are administered precisely on schedule, especially during busy shifts?
  • 4With the focus on rehabilitation being a strength here, what kind of personalized therapy plans are available for residents working on their mobility?
  • 5How does the nursing staff manage response times during the night or during shift changes to ensure everyone's needs are met promptly?
  • 6What kind of daily activities or social outings do you have planned to keep the residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

The aides and nurses were great loving people, but overworked because this place is understaffed! My father did not receive the physical therapy nor the speech therapy we were promised.

Long-term resident's family · 2018☆☆☆☆

I moved my mother to St Clair Nursing Center Memory Care from another facility and have been thankful ever since. She received excellent care and the staff took care of her like she was part of their family.

Memory care family member · 2020★★★★★

My mom and dad there 2 weeks neither one received a shower. My moms surgery bandage was not removed are the wound cleaned. One day my dad was still in bed at 11 am. Laying in his wet diaper and bed.

Long-term resident's family · 2023☆☆☆☆
Source: 38 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
51%
Registered nurses for medical care
Total Nursing
3.77hrs
92%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
33%
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

14

measures

Worse Than Avg

2

measures

Mixed Results

1

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%
Franklin
12.1%

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 Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MO
84.4%
Franklin
95.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
15.5%
MO
23.6%
Franklin
17.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.9%
Better than Avg
Here
12.9%
US
19.5%
MO
25.4%
Franklin
22.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MO
90.9%
Franklin
95.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.6%
Worse than Avg
Here
24.6%
US
19.4%
MO
17.9%
Franklin
19.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
MO
63.5%
Franklin
78.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
MO
65.9%
Franklin
85.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Mixed vs Avgs
Here
1.7%
US
1.6%
MO
2.2%
Franklin
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
1penalties
Well below state avg (12.0)
1 complaint-triggered

St. Clair Nursing Center shows recurring fire safety violations across multiple surveys, with deficiencies in smoke detection systems, sprinkler maintenance, and fire barriers appearing in both 2023 and 2024 inspections. The facility also had issues with accident prevention that persisted across surveys, plus problems with resident rights and respiratory care. While all deficiencies show correction dates, the pattern of repeated fire safety violations suggests ongoing maintenance challenges that families should discuss during visits.

Feb 19, 2026Complaint
1
0689Actual 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.

Feb 7, 2025Routine
1
0689Potential for harm · 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.

Mar 8, 2024Routine
5
0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 13, 2023Routine
12
0222Potential for harm · WidespreadCorrected

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.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

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.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

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.

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.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Federal Penalties

Fine

Feb 19, 2026

$12,735

Ownership & Operations

Who Operates This Facility

Owner / Operator

St Clair Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Americare Senior Living

Chain Size

23 facilities nationwide

Chain avg rating: 3.6/5 · Rank 1 of 23 (Best)

Ownership & Management

Owners

R H Montgomery Properties, INC

Owner · Organization

St. Clair Nursing LLC

Owner · Organization

Montgomery, Anna

Owner (parent company)

50%

Key personnel

Reiker, JamesContracted Managing EmployeeSchade, KyleContracted Managing EmployeeMarsh, DeniceW-2 Managing EmployeeReiker, JamesW-2 Managing EmployeeMontgomery, RichardOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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