Missouri ›O Fallon

Abbey Senior Health

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206 North Main Street, O Fallon, MO 63366 (opens Google Maps) · St. Charles County · (636) 240-5754· 55 certified beds · avg 50 residents/day · certified since Mar 1, 2011 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Abuse citation flag (CMS)

What the abuse flag means →

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5
Health inspection rating (on-site)
inspected Oct 25, 2024
1
Serious findings on record
most recent Jun 9, 2023
$0
Fines, last 3 years
5.13
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jun 9, 2023 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 24, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 29 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint F-0628

  2. D · Potential for more than minimal harm, isolated

    The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint F-0602

  3. D · Potential for more than minimal harm, isolated

    The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600

View all 29 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 11, 2026E · Potential for more than minimal harm, patternThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint · F-0628
Sep 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Oct 25, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Oct 25, 2024E · Potential for more than minimal harm, patternThe facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572
Oct 25, 2024E · Potential for more than minimal harm, patternThe facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. · F-0574
Oct 25, 2024E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 25, 2024E · Potential for more than minimal harm, patternThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700
Oct 25, 2024E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Oct 25, 2024E · Potential for more than minimal harm, patternThe facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · F-0909
Oct 25, 2024B · Potential for minimal harm, patternThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Oct 25, 2024B · Potential for minimal harm, patternThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Jun 9, 2023▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jun 9, 2023F · Potential for more than minimal harm, widespreadThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835
Jun 9, 2023F · Potential for more than minimal harm, widespreadThe facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · F-0838
Jun 9, 2023E · Potential for more than minimal harm, patternThe facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. · F-0680
Jun 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637
Jun 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · F-0640
Jun 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jun 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jun 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Jun 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Jun 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849
Jun 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jun 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943
Nov 7, 2019E · Potential for more than minimal harm, patternThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Nov 7, 2019D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Nov 7, 2019D · Potential for more than minimal harm, isolatedThe facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · F-0624
Nov 7, 2019D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 9).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations: 4
Serious citations (G–L): 0
2023
All citations: 13
Serious citations (G–L): 1
2024
All citations: 10
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201940E
2023131G ▲
2024100F
202510D
202610E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.13
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.79
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.44
Missouri average: 3.22
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMissouri avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)5.133.663.95top 7% in Missouri; top 11% in the U.S.
Registered Nurse hours0.790.490.69top 8% in Missouri; top 28% in the U.S.
Weekend total nurse staffing4.443.223.50top 8% in Missouri; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)0.470.330.48top 11% in Missouri; top 37% in the U.S.
Total nursing staff turnover (%)35.656.045.8top 6% in Missouri; top 25% in the U.S.
RN turnover (%)27.347.842.9top 21% in Missouri; top 24% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.74, RN 0.73, weekend 4.10.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.74 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Abbey Senior Health. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Abbey Health Group LLCOrganization5% or Greater Direct Ownership Interest100%10/31/2018
Brown, C ChristopherIndividualDirect Ownership InterestNOT APPLICABLE10/01/2018
Abbey Health Group LLCOrganization5% or Greater Security InterestNOT APPLICABLE10/31/2018
Abbey Health Group LLCOrganizationGeneral Partnership InterestNOT APPLICABLE10/31/2018
Abbey Health Group LLCOrganizationADP of the SNFNOT APPLICABLE10/31/2018
Brown, C ChristopherIndividualCorporate OfficerNOT APPLICABLE10/31/2018
Brown, C ChristopherIndividualOperational/Managerial ControlNOT APPLICABLE10/31/2018
Brown, C ChristopherIndividualADP of the SNFNOT APPLICABLE10/01/2018
Mount Carmel Seniro Living O'Fallon LLCOrganization5% or Greater Mortgage InterestNOT APPLICABLE10/31/2018
Mount Carmel Seniro Living O'Fallon LLCOrganizationADP of the SNFNOT APPLICABLE10/31/2018
Patwardhan, ManishaIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2020
Patwardhan, ManishaIndividualADP of the SNFNOT APPLICABLE07/01/2020

All 12 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
  • "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
  • "How do you communicate important notices to residents who speak another language or have trouble seeing or hearing?"
  • "What alternatives do you try before using bed rails, and how do you involve families in that decision?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 36% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 44 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Garden View Care Center1.1 miO Fallon, MO★☆☆☆☆1/5abuse
Delmar Gardens of O'Fallon3.7 miO Fallon, MO★★★☆☆2/5
Sunterra Springs Dardenne Prairie4.3 miDardenne Prairie, MO★★☆☆☆2/5
Cottages of Lake St Louis4.9 miLake Saint Louis, MO★★★★☆4/5
St Peters Post Acute4.9 miSaint Peters, MO★☆☆☆☆1/5
Ignite Medical Resort St Peters4.9 miSaint Peters, MO—/5
St Peters Rehab and Healthcare Center5.4 miSaint Peters, MO★☆☆☆☆1/5abuseSFF
Lutheran Senior Services at Breeze Park6.6 miSaint Charles, MO★★★★☆3/5
McClay Senior Care7.3 miSaint Peters, MO★★★☆☆3/5
Aspen Point Health and Rehabilitation9.5 miSaint Charles, MO★☆☆☆☆1/5
NHC Healthcare, St Charles10.2 miSaint Charles, MO★★★★☆4/5
Lewis & Clark Gardens11.0 miSaint Charles, MO★☆☆☆☆1/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in St. Charles, MO — 15 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in O Fallon →

Facility data as of CMS processing date 2026-08-01. CCN 265839.

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