Missouri › St. Louis County › Saint Louis
Fountain Care At Sunset Hills
10954 Kennerly Road, Saint Louis, MO 63128
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 166 beds, Fountain Care At Sunset Hills serves Saint Louis in St. Louis County, Missouri and has taken Medicare and Medicaid residents since 1988.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 78 health deficiencies across the three most recent survey cycles (15, 24, 39 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 47.0 per 100 beds, more than the state median of 32.1.
CMS lists 4 penalties in the period covered: fines totalling $106K and 1 payment denial.
Reported nurse staffing is 3.5 hours per resident per day (0.1 RN), close to the Missouri median of 3.4; nursing staff turnover is 79.8%.
78health deficiencies, 3 survey cycles6 at actual harm or worse
$106Kfines listed by CMS4 penalties in period
3.5nurse hours per resident per daystate median 3.4
51%occupancy (residents ÷ beds)85 residents a day
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 78 | 46 | 31 | 28.7 |
| Citations per 100 beds | 47.0 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.1 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 79.8% | 60.7% | 56.1% | 45.8% |
| Fines listed | $105,665 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Apr 2025, 13 Oct 2023.
Severity mix: J ×3 G ×3 D ×38 E ×23 F ×8 C ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Feb 2026 |
| 27 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Feb 2026 |
| 27 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 26 Feb 2026 |
| 24 Apr 2025 | F0584 | 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. | E | Complaint investigation | 8 Jun 2025 |
| 24 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 8 Jun 2025 |
| 24 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Jun 2025 |
| 24 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Jun 2025 |
| 24 Apr 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 8 Jun 2025 |
| 24 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 8 Jun 2025 |
| 24 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 8 Jun 2025 |
| 24 Apr 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 Jun 2025 |
| 24 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 8 Jun 2025 |
| 24 Apr 2025 | F0809 | Ensure 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. | D | Standard survey | 8 Jun 2025 |
| 24 Apr 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 8 Jun 2025 |
| 24 Apr 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 8 Jun 2025 |
| 17 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 26 Feb 2025 |
| 3 Dec 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 9 Dec 2024 |
| 3 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Dec 2024 |
| 21 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 26 Feb 2025 |
| 21 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 9 Dec 2024 |
| 21 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Dec 2024 |
| 21 Oct 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 3 Dec 2024 |
| 23 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 19 Aug 2024 |
| 23 Jul 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 10 Jul 2024 |
| 20 Feb 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 19 Mar 2024 |
| 4 Jan 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 17 Feb 2024 |
| 4 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Feb 2024 |
| 22 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 17 Dec 2023 |
| 27 Nov 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 1 Dec 2023 |
| 27 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Dec 2023 |
| 13 Oct 2023 | F0727 | Have 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. | F | Standard survey | 24 Nov 2023 |
| 13 Oct 2023 | F0761 | Ensure 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. | F | Standard survey | 24 Nov 2023 |
| 13 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 24 Nov 2023 |
| 13 Oct 2023 | F0814 | Dispose of garbage and refuse properly. | F | Complaint investigation | 24 Nov 2023 |
| 13 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 24 Nov 2023 |
| 13 Oct 2023 | F0584 | 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. | E | Complaint investigation | 24 Nov 2023 |
| 13 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 1 Dec 2023 |
| 13 Oct 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 1 Dec 2023 |
| 13 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Dec 2023 |
| 13 Oct 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 24 Nov 2023 |
| 13 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 Nov 2023 |
| 13 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Nov 2023 |
| 13 Oct 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 24 Nov 2023 |
| 13 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 24 Nov 2023 |
| 13 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 24 Nov 2023 |
| 13 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 24 Nov 2023 |
| 13 Oct 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | C | Standard survey | 24 Nov 2023 |
| 10 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 16 Aug 2023 |
| 10 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 16 Aug 2023 |
| 10 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Aug 2023 |
| 10 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Aug 2023 |
| 28 Sep 2020 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Dec 2020 |
| 28 Sep 2020 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0584 | 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. | E | Standard survey | 17 Dec 2020 |
| 28 Sep 2020 | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 17 Dec 2020 |
| 28 Sep 2020 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 17 Dec 2020 |
| 28 Sep 2020 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0758 | Implement 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. | E | Standard survey | 17 Dec 2020 |
| 28 Sep 2020 | F0761 | Ensure 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. | E | Standard survey | 17 Dec 2020 |
| 28 Sep 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Dec 2020 |
| 28 Sep 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 17 Dec 2020 |
| 28 Sep 2020 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Dec 2020 |
| 28 Sep 2020 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 6 Nov 2020 |
| 28 Sep 2020 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 6 Nov 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Oct 2024 | Payment denial | — | 50 days |
| 21 Oct 2024 | Fine | $57,899 | |
| 23 Jul 2024 | Fine | $33,248 | |
| 22 Dec 2023 | Fine | $14,518 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 79.8%, RNs 66.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.9% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.3% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.1% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Chestnut Rehab And Nursing Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chestnut Holdings Group LLC | 5% or greater direct ownership interest | 100% | 03/01/2020 |
| Cibc Bank USA | 5% or greater security interest | NOT APPLICABLE | 03/01/2020 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Fountain Care At Sunset Hills been cited for?
78 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Fountain Care At Sunset Hills been fined?
Yes. CMS lists fines totalling $106K in the period covered, plus 1 payment denial.
How does staffing at Fountain Care At Sunset Hills compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Fountain Care At Sunset Hills?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Chestnut Holdings Group LLC. Individual owners and managers are not listed on this site.
When was Fountain Care At Sunset Hills last inspected?
The most recent survey or investigation in the CMS record is dated 27 Jan 2026; the most recent standard health survey was 24 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.