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Amberwood Estates Nursing and RehabilitationCMS ratings, inspections and fines

Address
5303 Bermuda Drive, Saint Louis, MO 63121
CCN
265719
Ownership type
For-profit, limited liability company
Certified beds
115
Chain
None in the CMS record
Residents per day
82
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measure rating2 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Amberwood Estates Nursing and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 4 Feb 2026. The latest survey cycle has 25 health citations. The median for nursing homes in Missouri is 9. CMS lists 2 fines with a total of $13,409 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Amberwood Estates Nursing and Rehabilitation, with medians
Rating (1 to 5 stars)This homeSt. Louis County medianMissouri medianUS average (CMS)
Overall rating12.02.03.0
Health inspection rating22.03.02.8
Staffing rating11.02.02.9
Quality measure rating23.03.03.6

A median is the middle value of the homes in the group: 69 homes in the county, 487 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Amberwood Estates Nursing and Rehabilitation in the last three survey cycles
Survey cycleStandard surveyCitationsMissouri median
Cycle 1 (latest)4 Feb 2026259
Cycle 218 Apr 20242710
Cycle 3No date149

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 66 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 25 citations

Standard survey of this cycle: .

Health citations of Amberwood Estates Nursing and Rehabilitation in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
4 Feb 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey16 Mar 2026
4 Feb 2026F0567Honor the resident's right to manage his or her financial affairs.EStandard survey16 Mar 2026
4 Feb 2026F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey26 Mar 2026
4 Feb 2026F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard survey16 Mar 2026
4 Feb 2026F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.DStandard survey16 Mar 2026
4 Feb 2026F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey16 Mar 2026
4 Feb 2026F0584Honor 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.EComplaint investigation16 Mar 2026
4 Feb 2026F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint investigation16 Mar 2026
4 Feb 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey16 Mar 2026
4 Feb 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EComplaint investigation16 Mar 2026
4 Feb 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey16 Mar 2026
4 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation16 Mar 2026
4 Feb 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey16 Mar 2026
4 Feb 2026F0693Ensure 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.DStandard survey16 Mar 2026
4 Feb 2026F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey27 Mar 2026
4 Feb 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey16 Mar 2026
4 Feb 2026F0761Ensure 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.DStandard survey16 Mar 2026
4 Feb 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation16 Mar 2026
4 Feb 2026F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.DComplaint investigation16 Mar 2026
4 Feb 2026F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard survey16 Mar 2026
4 Feb 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation16 Mar 2026
4 Feb 2026F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EStandard survey16 Mar 2026
4 Feb 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey16 Mar 2026
9 Sep 2025F0584Honor 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.EComplaint investigation19 Sep 2025
6 Aug 2025F0610Respond appropriately to all alleged violations.DComplaint investigation7 Aug 2025

Survey cycle 2: 27 citations

Standard survey of this cycle: .

Health citations of Amberwood Estates Nursing and Rehabilitation in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 May 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation10 Jun 2025
22 Nov 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation9 Dec 2024
22 Nov 2024F0584Honor 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.EComplaint investigation9 Dec 2024
22 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation9 Dec 2024
19 Sep 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation9 Dec 2024
19 Sep 2024F0584Honor 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.EComplaint investigation9 Dec 2024
19 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation2 Nov 2024
19 Sep 2024F0610Respond appropriately to all alleged violations.DComplaint investigation2 Nov 2024
19 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation2 Nov 2024
19 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation9 Dec 2024
18 Apr 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey28 May 2024
18 Apr 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey28 May 2024
18 Apr 2024F0584Honor 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.EComplaint investigation30 May 2024
18 Apr 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation28 May 2024
18 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation30 May 2024
18 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 May 2024
18 Apr 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey28 May 2024
18 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey28 May 2024
18 Apr 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey30 May 2024
18 Apr 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation28 May 2024
18 Apr 2024F0732Post nurse staffing information every day.CStandard survey28 May 2024
18 Apr 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey28 May 2024
18 Apr 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey28 May 2024
18 Apr 2024F0761Ensure 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.EStandard survey30 May 2024
18 Apr 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey28 May 2024
18 Apr 2024F0880Provide and implement an infection prevention and control program.DStandard survey30 May 2024
18 Apr 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey28 May 2024

Survey cycle 3: 14 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Amberwood Estates Nursing and Rehabilitation in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
9 Feb 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation21 Mar 2024
9 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Mar 2024
3 Jan 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation29 Jan 2024
3 Jan 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation30 Nov 2023
3 Jan 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EComplaint investigation29 Jan 2024
9 Sep 2022F0583Keep residents' personal and medical records private and confidential.DStandard survey7 Oct 2022
9 Sep 2022F0641Ensure each resident receives an accurate assessment.EStandard survey7 Oct 2022
9 Sep 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey7 Oct 2022
9 Sep 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey7 Oct 2022
9 Sep 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey7 Oct 2022
9 Sep 2022F0693Ensure 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.DStandard survey7 Oct 2022
9 Sep 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey7 Oct 2022
9 Sep 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Oct 2022
9 Sep 2022F0880Provide and implement an infection prevention and control program.DStandard survey7 Oct 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Amberwood Estates Nursing and Rehabilitation in the CMS penalties file
DateTypeFineDays without payment
25 Sep 2023Fine$3,882
5 Sep 2023Fine$9,527

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Amberwood Estates Nursing and Rehabilitation
StaffThis homeMissouri medianMissouri average (CMS)
All nurse staff0.713.403.43
Registered nurses (RN)0.140.400.46
Licensed practical nurses (LPN)0.180.68
Nurse aides0.392.29
All nurse staff, weekends0.622.903.02
Nurse staff turnover in a year
84.5%
Nurse staff turnover, Missouri median
56.1%
RN turnover in a year
83.3%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Amberwood Estates Nursing and Rehabilitation, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.4%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.3%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay23.7%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.6%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.0%21.0%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Island HC Operations LLC
Organisations in the CMS ownership record of Amberwood Estates Nursing and Rehabilitation
OrganisationRole in the CMS recordInterestSince
GS Capital Funding LLC5% or greater security interest1 Feb 2025
Forvis Mazars LLPOperational/managerial control1 Jan 2025
Forvis Mazars LLPAdp of the snf1 Jun 2023
GS Capital Funding LLCAdp of the snf1 Feb 2025
Revach LLCAdp of the snf1 Feb 2025

The site shows organisations only. It does not show the names of persons.

Other homes in St. Louis County

The 12 nearest other nursing homes in St. Louis County, Missouri
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Heritage Care CenterSpecial Focus candidateSaint Louis1 of 524$424,7489 Sep 2025
Oak Knoll Skilled Nursing & Rehabilitation CenterFerguson2 of 59$024 May 2024
Arbor Hills Care & Rehab CenterFerguson1 of 515$282,84020 Feb 2026
Normandy Nursing CenterSaint Louis1 of 518$9,31516 May 2025
Estates of St Louis, LLC, TheSaint Louis1 of 522$66,64023 Dec 2024
St Johns PlaceSaint Louis1 of 511$09 Dec 2025
U-City Forest ManorSaint Louis1 of 520$15,94927 Mar 2026
Monarch Springs Wellness & RehabilitationUniversity City2 of 513$07 May 2026
Crestwood Health Care CenterFlorissant1 of 519$146,8871 May 2026
Florissant Valley Health & Rehabilitation CenterFlorissant1 of 522$022 Nov 2024
Christian Extended Care & RehabilitationSaint Louis5 of 52$028 Mar 2025
Atrium Place Health and RehabilitationSaint Louis1 of 515$157,6672 Aug 2024

All 69 nursing homes in St. Louis County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Amberwood Estates Nursing and Rehabilitation (CCN 265719). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/amberwood-estates-nursing-and-rehabilitation-saint-louis-mo-265719/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Amberwood Estates Nursing and Rehabilitation last inspected?
The latest inspection with a citation in the CMS record was on 4 Feb 2026. It was a standard survey and a complaint investigation. It gave 23 citations. The standard survey before the last one was on 18 Apr 2024.
Who operates Amberwood Estates Nursing and Rehabilitation?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names Forvis Mazars LLP for operational or managerial control. This site does not show the names of persons.
Is Amberwood Estates Nursing and Rehabilitation a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.