Missouri › Franklin County › Saint Clair
St Clair Nursing Center
1035 Plaza Court North, Saint Clair, MO 63077
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.
St Clair Nursing Center, in Saint Clair, Missouri, is certified for 79 beds under for-profit, corporation ownership and belongs to the Americare Senior Living chain.
CMS gives it 5 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 5, staffing 3 and quality measures 5.
Inspectors recorded 8 health deficiencies across the three most recent survey cycles (2, 2, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 10.1 per 100 beds, fewer than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $13K.
Reported nurse staffing is 3.8 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 56.2%.
Compared with county, state and nation
| Measure | This facility | Franklin Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 8 | 24 | 31 | 28.7 |
| Citations per 100 beds | 10.1 | 23.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 56.2% | 56.2% | 56.1% | 45.8% |
| Fines listed | $12,735 | $0 | $0 | — |
County and state figures are medians across facilities (7 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: 7 Feb 2025, 8 Mar 2024.
Severity mix: G ×1 D ×4 E ×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 |
|---|---|---|---|---|---|
| 19 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
| 7 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 17 Mar 2025 |
| 8 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Apr 2024 |
| 8 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Apr 2024 |
| 13 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Feb 2023 |
| 13 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Feb 2023 |
| 13 Jan 2023 | 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 | 14 Feb 2023 |
| 13 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Feb 2026 | Fine | $12,735 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 56.2%, RNs 33.3%; 0 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 | 16.9% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.1% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.5% | 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: St. Clair Nursing Llc. Chain: Americare Senior Living (23 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| R H Montgomery Properties, Inc | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/01/2003 |
| St. Clair Nursing LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/01/2003 |
| Americare Systems, Inc. | Operational/managerial control | NOT APPLICABLE | 04/04/2002 |
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 Franklin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Life Care Center of Sullivan | Sullivan | 120 | 4 | 4 | 2 | 29 | 24.2 | — | 25 Jun 2026 |
| New Haven Care Center | New Haven | 90 | 4 | 5 | 2 | 13 | 14.4 | — | 21 Mar 2025 |
| Union Nursing | Union | 60 | 4 | 4 | 2 | 14 | 23.3 | — | 19 Nov 2025 |
| Grandview Healthcare Center | Washington | 102 | 2 | 3 | 2 | 24 | 23.5 | — | 14 Jan 2026 |
| Sunset Health Care Center | Union | 120 | 2 | 2 | 2 | 26 | 21.7 | $8K | 30 May 2025 |
| Pacific Care Center | Pacific | 118 | 1 | 3 | 1 | 35 | 29.7 | — | 12 Feb 2026 |
All 7 facilities in Franklin County
Questions and answers
How many deficiencies has St Clair Nursing Center been cited for?
8 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has St Clair Nursing Center been fined?
Yes. CMS lists fines totalling $13K in the period covered.
How does staffing at St Clair Nursing Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates St Clair Nursing Center?
It is part of the Americare Senior Living chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include R H Montgomery Properties, Inc, St. Clair Nursing LLC and Americare Systems, Inc.. Individual owners and managers are not listed on this site.
When was St Clair Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Feb 2026; the most recent standard health survey was 7 Feb 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.