Nursing homes in Saint Louis, Missouri: 36 Medicare-certified facilities.

Where Saint Louis sits

Saint Louis’s facilities span St. Louis County (23) and St. Louis City County (13) in Missouri.

What these CMS ratings mean

Every star column on this page comes straight from CMS’s Five-Star Quality Rating System. Fonteum re-publishes the federal numbers without re-scoring them — the definitions below are CMS’s, not ours.

Overall star rating

A 1-to-5 summary CMS derives from the health-inspection, staffing, and quality-measure ratings. It is a relative ranking, not an absolute score — roughly the top fifth of facilities earn 5 stars and the bottom fifth earn 1.

Health inspection rating

Based on the three most recent state standard surveys plus any complaint investigations, weighted toward recency. More and more severe deficiencies lower the rating.

Staffing rating

Built from payroll-based (PBJ) nurse staffing hours per resident day, case-mix adjusted, including registered-nurse hours and weekend coverage.

Quality-measure (QM) rating

Drawn from a set of MDS- and claims-based clinical measures (e.g. pressure ulcers, falls, hospitalisation, antipsychotic use) across short- and long-stay residents.

Special Focus Facility (SFF)

A separate CMS program flagging facilities with a persistent pattern of serious health-inspection problems. “SFF” marks an active designation; “SFF Candidate” marks a facility on the candidate list.

Full methodology: how Fonteum sources and signs CMS nursing-home data.

Fonteum research on nursing-home quality

Compliance posture

Methodology · Corrections log · Editorial policy