Missouri › St. Louis County › Ferguson
Oak Knoll Skilled Nursing & Rehabilitation Center
37 North Clark Avenue, Ferguson, MO 63135
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.
Oak Knoll Skilled Nursing & Rehabilitation Center is a For-profit, corporation nursing home in Ferguson, Missouri, certified for 79 beds and caring for about 69 residents a day.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 3, staffing 2 and quality measures 1.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (9, 17, 7 by cycle, most recent first), none at the actual-harm level. That is 41.8 per 100 beds, more than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.0 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 41.1%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 33 | 46 | 31 | 28.7 |
| Citations per 100 beds | 41.8 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 41.1% | 60.7% | 56.1% | 45.8% |
| Fines listed | $0 | $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 May 2024, 11 Nov 2022.
Severity mix: D ×17 E ×13 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 25 Jul 2025 |
| 28 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 May 2025 |
| 3 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Mar 2025 |
| 24 May 2024 | 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 | 8 Jul 2024 |
| 24 May 2024 | F0700 | 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. | E | Standard survey | 8 Jul 2024 |
| 24 May 2024 | 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. | E | Standard survey | 8 Jul 2024 |
| 24 May 2024 | 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 Jul 2024 |
| 24 May 2024 | 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 | 8 Jul 2024 |
| 24 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Jul 2024 |
| 24 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 12 Jul 2024 |
| 24 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Jul 2024 |
| 24 May 2024 | F0909 | Regularly 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. | E | Standard survey | 8 Jul 2024 |
| 15 Nov 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 30 Dec 2023 |
| 11 Nov 2022 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | 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. | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | 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 | 26 Dec 2022 |
| 11 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Jan 2023 |
| 11 Nov 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | 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. | D | Standard survey | 26 Dec 2022 |
| 11 Nov 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 26 Dec 2022 |
| 24 Sep 2019 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 8 Nov 2019 |
| 24 Sep 2019 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 8 Nov 2019 |
| 24 Sep 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Nov 2019 |
| 24 Sep 2019 | F0700 | 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. | D | Standard survey | 8 Nov 2019 |
| 24 Sep 2019 | F0567 | Honor the resident's right to manage his or her financial affairs. | C | Standard survey | 8 Nov 2019 |
| 24 Sep 2019 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Standard survey | 8 Nov 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 41.1%, RNs 66.7%; — administrators 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 | 20.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.0% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.6% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.3% | 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, corporation. Legal business name: Millennium Management & Consulting Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Millennium Management & Consulting Inc | Direct ownership interest | NOT APPLICABLE | 06/01/2009 |
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 Oak Knoll Skilled Nursing & Rehabilitation Center been cited for?
33 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Oak Knoll Skilled Nursing & Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Oak Knoll Skilled Nursing & Rehabilitation Center compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Oak Knoll Skilled Nursing & Rehabilitation Center?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Millennium Management & Consulting Inc. Individual owners and managers are not listed on this site.
When was Oak Knoll Skilled Nursing & Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2025; the most recent standard health survey was 24 May 2024.
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.