Elder Care Record

Missouri › St. Louis County › Kirkwood

Grove At Kirkwood, The

711 South Kirkwood Road, Kirkwood, MO 63122

CCN 265833 · For-profit, limited liability company · 117 certified beds · chain Blue Sky Basin, Llc

Special Focus Facility candidate
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.

Grove At Kirkwood, The is a For-profit, limited liability company nursing home in Kirkwood, Missouri, certified for 117 beds and caring for about 101 residents a day.

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 70 health deficiencies across the three most recent survey cycles (54, 8, 8 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 59.8 per 100 beds, more than the state median of 32.1.

CMS lists 2 penalties in the period covered: fines totalling $172K and 1 payment denial.

Reported nurse staffing is 3.9 hours per resident per day (0.2 RN), close to the Missouri median of 3.4.

CMS flags that the facility is a Special Focus Facility candidate.

70health deficiencies, 3 survey cycles8 at actual harm or worse
$172Kfines listed by CMS2 penalties in period
3.9nurse hours per resident per daystate median 3.4
86%occupancy (residents ÷ beds)101 residents a day

Compared with county, state and nation

MeasureThis facilitySt. Louis Co. medianMissouri medianUS average
Overall star rating1223.0
Health citations, 3 cycles70463128.7
Citations per 100 beds59.838.332.126.8
Total nurse hours per resident day3.93.53.43.9
RN hours per resident day0.20.30.40.7
Nursing staff turnover—60.7%56.1%45.8%
Fines listed$172,400$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

Cycle 1 (latest)54
Cycle 28
Cycle 38

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Jan 2026, 7 May 2024.

Severity mix: J ×1 G ×7 D ×31 E ×21 F ×9 C ×1

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 dateTagWhat the tag requiresSeverityTypeCorrected
2 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation22 Jun 2026
2 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation22 Jun 2026
2 Apr 2026F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.GComplaint investigation22 Jun 2026
2 Apr 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation22 Jun 2026
2 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation22 Jun 2026
2 Apr 2026F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint investigation22 Jun 2026
2 Apr 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.DComplaint investigation22 Jun 2026
29 Jan 2026F0760Ensure that residents are free from significant medication errors.JComplaint investigation22 Jun 2026
29 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation22 Jun 2026
29 Jan 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey22 Jun 2026
29 Jan 2026F0692Provide enough food/fluids to maintain a resident's health.GStandard survey22 Jun 2026
29 Jan 2026F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.GComplaint investigation22 Jun 2026
29 Jan 2026F0620Not 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.FComplaint investigation27 Mar 2026
29 Jan 2026F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation22 Jun 2026
29 Jan 2026F0838Conduct 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.FComplaint investigation27 Mar 2026
29 Jan 2026F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey22 Jun 2026
29 Jan 2026F0880Provide and implement an infection prevention and control program.FComplaint investigation22 Jun 2026
29 Jan 2026F0881Implement a program that monitors antibiotic use.FComplaint investigation22 Jun 2026
29 Jan 2026F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.FComplaint investigation27 Mar 2026
29 Jan 2026F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey27 Mar 2026
29 Jan 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation22 Jun 2026
29 Jan 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey27 Mar 2026
29 Jan 2026F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey27 Mar 2026
29 Jan 2026F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.EStandard survey27 Mar 2026
29 Jan 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 investigation15 Mar 2026
29 Jan 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 investigation27 Mar 2026
29 Jan 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey27 Mar 2026
29 Jan 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey15 Mar 2026
29 Jan 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation27 Mar 2026
29 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation27 Mar 2026
29 Jan 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation27 Mar 2026
29 Jan 2026F0759Ensure medication error rates are not 5 percent or greater.EStandard survey27 Mar 2026
29 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey25 Jun 2026
29 Jan 2026F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard survey27 Mar 2026
29 Jan 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey22 Jun 2026
29 Jan 2026F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation22 Jun 2026
29 Jan 2026F0567Honor the resident's right to manage his or her financial affairs.DStandard survey27 Mar 2026
29 Jan 2026F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint investigation22 Jun 2026
29 Jan 2026F0578Honor 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.DStandard survey27 Mar 2026
29 Jan 2026F0583Keep residents' personal and medical records private and confidential.DStandard survey27 Mar 2026
29 Jan 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey27 Mar 2026
29 Jan 2026F0610Respond appropriately to all alleged violations.DStandard survey27 Mar 2026
29 Jan 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation27 Mar 2026
29 Jan 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey27 Mar 2026
29 Jan 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey27 Mar 2026
29 Jan 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey22 Jun 2026
29 Jan 2026F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation31 Mar 2026
29 Jan 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 survey15 Mar 2026
29 Jan 2026F0700Try 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.DStandard survey27 Mar 2026
29 Jan 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.DComplaint investigation22 Jun 2026
29 Jan 2026F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey27 Mar 2026
29 Jan 2026F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation27 Mar 2026
29 Jan 2026F0909Regularly 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.DStandard survey27 Mar 2026
26 Nov 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation9 Jan 2026
29 Jul 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation20 Aug 2025
20 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation30 Mar 2025
7 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey31 May 2024
7 May 2024F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey21 May 2024
7 May 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey28 May 2024
7 May 2024F0730Observe each nurse aide's job performance and give regular training.EStandard survey21 Jun 2024
7 May 2024F0880Provide and implement an infection prevention and control program.EStandard survey30 Jun 2024
7 May 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey21 Jun 2024
28 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Oct 2023
17 Nov 2022F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard survey8 Dec 2022
17 Nov 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 Jan 2023
17 Nov 2022F0688Provide 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 survey1 Jan 2023
17 Nov 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey1 Jan 2023
17 Nov 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey1 Jan 2023
17 Nov 2022F0758Implement 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 survey1 Jan 2023
17 Nov 2022F0732Post nurse staffing information every day.CStandard survey17 Nov 2022

Penalties

DateTypeAmountDetail
29 Jan 2026Payment denial—57 days
29 Jan 2026Fine$172,400

Staffing

Total nursing3.86 h
Nurse aides2.79 h
LPN0.92 h
RN0.16 h
Weekend total3.5 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay21.3%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.8%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.4%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.5%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.6%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay21.1%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay9.8%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.0%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: Grove Healthcare Llc. Chain: Blue Sky Basin, Llc (5 facilities).

OrganisationRole in the CMS recordInterestSince
Grove Opco Holdings LLCDirect ownership interestNOT APPLICABLE09/01/2025
Blue Sky Basin LLCIndirect ownership interestNOT APPLICABLE09/01/2025
Dkdp Missouri LLCIndirect ownership interestNOT APPLICABLE09/01/2025
Dkyh Missouri LLCIndirect ownership interestNOT APPLICABLE09/01/2025
Blue Sky Basin LLCAdp of the snfNOT APPLICABLE09/01/2025
Compliance Consulting Group LLCAdp of the snfNOT APPLICABLE09/01/2025
Dkdp Missouri LLCAdp of the snfNOT APPLICABLE09/01/2025
Dkyh Missouri LLCAdp of the snfNOT APPLICABLE09/01/2025
Forvis Mazars LLPAdp of the snfNOT APPLICABLE09/01/2025
Prime Advisory, LLCAdp of the snfNOT APPLICABLE09/01/2025
Saul N Friedman & CompanyAdp of the snfNOT APPLICABLE09/01/2025

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Aberdeen HeightsKirkwood38555923.7—15 Aug 2025
Bethesda SouthgateSaint Louis1305541511.5—1 May 2025
Christian Extended Care & RehabilitationSaint Louis605521220.0—28 Mar 2025
Delmar Gardens of Meramec ValleyFenton1905522211.6—5 Dec 2025
Friendship Village ChesterfieldChesterfield985452121.4—3 Apr 2026
Lutheran Convalescent HomeWebster Groves25154593.6—7 Nov 2024
Lutheran Senior Services At Meramec BluffsBallwin32555825.0—29 Dec 2025
Mason Pointe Care CenterChesterfield635541727.0—22 Aug 2024

All 69 facilities in St. Louis County

Questions and answers

How many deficiencies has Grove At Kirkwood, The been cited for?

70 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Grove At Kirkwood, The been fined?

Yes. CMS lists fines totalling $172K in the period covered, plus 1 payment denial.

How does staffing at Grove At Kirkwood, The compare?

Reported total nurse staffing is 3.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Grove At Kirkwood, The?

It is part of the Blue Sky Basin, Llc chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Grove Opco Holdings LLC, Blue Sky Basin LLC and Dkdp Missouri LLC. Individual owners and managers are not listed on this site.

When was Grove At Kirkwood, The last inspected?

The most recent survey or investigation in the CMS record is dated 2 Apr 2026; the most recent standard health survey was 29 Jan 2026.

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.