Elder Care Record

Missouri › St. Louis County › Florissant

Willowcreek Wellness & Rehabilitation

250 New Florissant Road South, Florissant, MO 63031

CCN 265607 · For-profit, limited liability company · 158 certified beds · chain Opco Skilled Management

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.

Willowcreek Wellness & Rehabilitation, in Florissant, Missouri, is certified for 158 beds under for-profit, limited liability company ownership and belongs to the Opco Skilled Management chain.

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 4.

Inspectors recorded 91 health deficiencies across the three most recent survey cycles (30, 38, 23 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 57.6 per 100 beds, more than the state median of 32.1.

CMS lists 5 penalties in the period covered: fines totalling $90K and 2 payment denials.

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 54.3%.

91health deficiencies, 3 survey cycles7 at actual harm or worse
$90Kfines listed by CMS5 penalties in period
3.5nurse hours per resident per daystate median 3.4
71%occupancy (residents ÷ beds)112 residents a day

Compared with county, state and nation

MeasureThis facilitySt. Louis Co. medianMissouri medianUS average
Overall star rating1223.0
Health citations, 3 cycles91463128.7
Citations per 100 beds57.638.332.126.8
Total nurse hours per resident day3.53.53.43.9
RN hours per resident day0.10.30.40.7
Nursing staff turnover54.3%60.7%56.1%45.8%
Fines listed$90,333$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)30
Cycle 238
Cycle 323

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2024, 2 Feb 2022.

Severity mix: J ×5 G ×2 D ×44 E ×36 F ×3 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
27 May 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigationPast Non-Compliance
18 Mar 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation19 Mar 2026
5 Mar 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation6 Mar 2026
5 Mar 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation6 Mar 2026
5 Feb 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation6 Mar 2026
5 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation13 Feb 2026
5 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation13 Feb 2026
5 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation13 Feb 2026
5 Feb 2026F0760Ensure that residents are free from significant medication errors.DComplaint investigation6 Mar 2026
7 Jan 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation8 Jan 2026
18 Nov 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation28 Nov 2025
18 Nov 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation28 Nov 2025
20 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation14 Jul 2025
20 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation14 Jul 2025
20 Jun 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation14 Jul 2025
13 May 2025F0585Honor 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.DComplaint investigation16 May 2025
13 May 2025F0610Respond appropriately to all alleged violations.DComplaint investigation16 May 2025
4 Mar 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation5 Mar 2025
4 Mar 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.JComplaint investigation5 Mar 2025
4 Mar 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint investigation5 Mar 2025
4 Mar 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint investigation5 Mar 2025
4 Mar 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation11 Apr 2025
4 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation11 Apr 2025
22 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 Nov 2024
22 Oct 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation20 Nov 2024
3 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 Nov 2024
3 Oct 2024F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DComplaint investigation8 Nov 2024
14 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey8 Nov 2024
14 Aug 2024F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.FStandard survey3 Oct 2024
14 Aug 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FComplaint investigation8 Nov 2024
14 Aug 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 investigation3 Oct 2024
14 Aug 2024F0693Ensure 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.EStandard survey3 Oct 2024
14 Aug 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey8 Nov 2024
14 Aug 2024F0700Try 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.EStandard survey20 Nov 2024
14 Aug 2024F0809Ensure 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.EStandard survey3 Oct 2024
14 Aug 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey3 Oct 2024
14 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey3 Oct 2024
14 Aug 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey8 Nov 2024
14 Aug 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 survey3 Oct 2024
14 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey8 Nov 2024
14 Aug 2024F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard survey8 Nov 2024
14 Aug 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey20 Nov 2024
14 Aug 2024F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DComplaint investigation8 Nov 2024
14 Aug 2024F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey3 Oct 2024
14 Aug 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey3 Oct 2024
2 Feb 2022F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.JStandard survey14 Mar 2022
2 Feb 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 Mar 2022
2 Feb 2022F0567Honor the resident's right to manage his or her financial affairs.EStandard survey14 Mar 2022
2 Feb 2022F0584Honor 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.EStandard survey1 Apr 2022
2 Feb 2022F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey14 Mar 2022
2 Feb 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey23 May 2022
2 Feb 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey23 May 2022
2 Feb 2022F0727Have 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.EStandard survey14 Mar 2022
2 Feb 2022F0761Ensure 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 survey14 Mar 2022
2 Feb 2022F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey24 May 2022
2 Feb 2022F0880Provide and implement an infection prevention and control program.EStandard survey14 Mar 2022
2 Feb 2022F0924Put firmly secured handrails on each side of hallways.EStandard survey14 Mar 2022
2 Feb 2022F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey14 Mar 2022
2 Feb 2022F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey14 Mar 2022
2 Feb 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey14 Mar 2022
2 Feb 2022F0585Honor 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.DStandard survey14 Mar 2022
2 Feb 2022F0586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.DStandard survey14 Mar 2022
2 Feb 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey14 Mar 2022
2 Feb 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey14 Mar 2022
2 Feb 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey14 Mar 2022
2 Feb 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey14 Mar 2022
2 Feb 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey14 Mar 2022
2 Feb 2022F0760Ensure that residents are free from significant medication errors.DStandard survey14 Mar 2022
5 Feb 2020F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey16 Mar 2020
5 Feb 2020F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey16 Mar 2020
5 Feb 2020F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard survey16 Mar 2020
5 Feb 2020F0576Ensure residents have reasonable access to and privacy in their use of communication methods.EStandard survey16 Mar 2020
5 Feb 2020F0584Honor 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.EStandard survey16 Mar 2020
5 Feb 2020F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey16 Mar 2020
5 Feb 2020F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey16 Mar 2020
5 Feb 2020F0679Provide activities to meet all resident's needs.EStandard survey16 Mar 2020
5 Feb 2020F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey16 Mar 2020
5 Feb 2020F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey16 Mar 2020
5 Feb 2020F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey16 Mar 2020
5 Feb 2020F0730Observe each nurse aide's job performance and give regular training.EStandard survey16 Mar 2020
5 Feb 2020F0756Ensure 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 2020
5 Feb 2020F0758Implement 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.EStandard survey16 Mar 2020
5 Feb 2020F0759Ensure medication error rates are not 5 percent or greater.EStandard survey16 Mar 2020
5 Feb 2020F0761Ensure 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 survey16 Mar 2020
5 Feb 2020F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey16 Mar 2020
5 Feb 2020F0814Dispose of garbage and refuse properly.EStandard survey16 Mar 2020
5 Feb 2020F0880Provide and implement an infection prevention and control program.EStandard survey16 Mar 2020
5 Feb 2020F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey16 Mar 2020
5 Feb 2020F0688Provide 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 survey16 Mar 2020
5 Feb 2020F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey16 Mar 2020
5 Feb 2020F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey16 Mar 2020

Penalties

DateTypeAmountDetail
5 Feb 2026Fine$26,685
20 Jun 2025Fine$16,149
4 Mar 2025Payment denial—35 days
4 Mar 2025Fine$47,499
14 Aug 2024Payment denial—6 days

Staffing

Total nursing3.48 h
Nurse aides2.42 h
LPN0.95 h
RN0.11 h
Weekend total2.87 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 54.3%, RNs 100.0%; 2 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 Stay6.3%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 Stay0.0%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.4%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.1%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.3%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.4%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.1%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: Willowcreek Wellness & Rehabilitation Llc. Chain: Opco Skilled Management (66 facilities).

OrganisationRole in the CMS recordInterestSince
Wildflower Healthcare LLC5% or greater direct ownership interest100%07/30/2024
Blooming Willow Partners LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED07/30/2024
250 S New Florissant Road Mo LLC5% or greater mortgage interestNOT APPLICABLE07/30/2024
Brook Partners LLC5% or greater mortgage interestNOT APPLICABLE07/30/2024
Knobel Realty Trust5% or greater mortgage interestNOT APPLICABLE07/30/2024
Rembrandt Realty Trust5% or greater mortgage interestNOT APPLICABLE07/30/2024
Sesame Realty Trust5% or greater mortgage interestNOT APPLICABLE07/30/2024
Willowbrook Investors LLC5% or greater mortgage interestNOT APPLICABLE07/30/2024
250 S New Florissant Road Mo LLCAdp of the snfNOT APPLICABLE10/17/2024
Brook Partners LLCAdp of the snfNOT APPLICABLE10/17/2024
Knobel Realty TrustAdp of the snfNOT APPLICABLE10/17/2024
Rembrandt Realty TrustAdp of the snfNOT APPLICABLE10/17/2024
Sesame Realty TrustAdp of the snfNOT APPLICABLE10/17/2024
Willowbrook Investors LLCAdp of the snfNOT APPLICABLE10/23/2024

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 Willowcreek Wellness & Rehabilitation been cited for?

91 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Willowcreek Wellness & Rehabilitation been fined?

Yes. CMS lists fines totalling $90K in the period covered, plus 2 payment denials.

How does staffing at Willowcreek Wellness & Rehabilitation 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 Willowcreek Wellness & Rehabilitation?

It is part of the Opco Skilled Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Wildflower Healthcare LLC and Blooming Willow Partners LLC. Individual owners and managers are not listed on this site.

When was Willowcreek Wellness & Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 27 May 2026; the most recent standard health survey was 14 Aug 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.