St Louis Altenheim
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 21 Google reviews
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What this means for your family
While the facility is praised for its historic charm and attentive nursing care, recent reports of pest issues and high costs are concerning. We strongly recommend scheduling a tour to inspect the cleanliness of the rooms personally and asking management directly about their pest control protocols and current monthly fee structure.
Google Reviews
Google Reviews
21 reviews on Google“St. Louis Altenheim is a historic facility praised by many for its unique, boutique atmosphere and kind, attentive staff. However, recent reviews highlight significant concerns regarding high costs, outdated amenities, and reports of pest issues, suggesting a polarized experience for residents and their families.”
Quality Themes
Tap a score for detailsStrengths
- Historic, boutique-style building
- Kind and attentive nursing staff
- Scenic river views
- Responsive administrative team
Concerns
- Presence of pests/roaches (mentioned by 2 reviewers)
- High cost of care (mentioned by 2 reviewers)
- Outdated facility amenities (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 24 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the historic nature of the building, what specific steps are currently being taken to ensure the facility remains clean and pest-free?
- 2With the facility being on the smaller side, how do you ensure that the activity calendar remains engaging and varied for residents throughout the week?
- 3Could you walk us through the medical protocols in place for residents, especially considering the current staffing levels and the facility's approach to 24/7 care?
- 4We love the scenic river views here; how do you incorporate that unique setting into the residents' daily routines or outdoor time?
- 5How does the facility balance the costs of care with the need to modernize amenities to ensure residents have a comfortable, up-to-date living environment?
- 6With 11 recent state violations noted, what specific improvements or changes in policy have been implemented to address these concerns and improve the quality of care?
Personalized based on this facility's data
Key Review Excerpts
“The nursing staff is friendly, competent, caring, and responsive to his needs. The administration is easy to talk to and open to how best to meet his needs.”
“The food and support services are great and, when medical issues occur (and at 93 years old they will), the Altenheim staff are well trained and observant, handling what they can in-house and when necessary managing her hospital admission.”
“This is such a horrible facility. They charge outrageous prices that are so unobtainable where only people with excessive wealth can afford to live here.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
St Louis Altenheim has concerning patterns, with families filing 13 complaint-triggered deficiencies including recent issues with neglect protection and accident prevention. The facility struggles most with safety hazards and accident prevention, medication management, and fire safety compliance. While individual violations show correction dates, safety and medication problems persist across multiple surveys from 2023-2025, suggesting ongoing challenges in maintaining consistent standards of care.
Oct 10, 2025Routine19
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Oct 10, 2025Complaint1
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.
May 30, 2025Complaint2
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 12, 2024Routine5
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Oct 19, 2023Complaint7
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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.
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.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Sep 26, 2023Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ownership & Operations
Who Operates This Facility
St Louis Altenheim
for profit
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
21 reviews from families & visitors
Official Website
Visit altenheimstlouis.org
Medicare data downloads
Original nursing home datasets
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