Abbey Senior Health
206 North Main Street, O Fallon, MO 63366 · St. Charles County · 55 certified beds · avg 50 residents/day · certified since Mar 1, 2011
Abuse citation flag (CMS)
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.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 24, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (29)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 11, 2026 | E · Potential for harm, repeated | 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 |
| Sep 11, 2025 | D · Potential for harm, one-off | 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 |
| Dec 19, 2024 | D · Potential for harm, one-off | 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 |
| Oct 25, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 25, 2024 | E · Potential for harm, repeated | The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. |
| Oct 25, 2024 | E · Potential for harm, repeated | The 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. |
| Oct 25, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 25, 2024 | E · Potential for harm, repeated | The 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. |
| Oct 25, 2024 | E · Potential for harm, repeated | The 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. |
| Oct 25, 2024 | E · Potential for harm, repeated | The 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. |
| Oct 25, 2024 | B · Minimal risk, repeated | The 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. |
| Oct 25, 2024 | B · Minimal risk, repeated | The 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. |
| Jun 9, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 9, 2023 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Jun 9, 2023 | F · Potential for harm, facility-wide | The 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. |
| Jun 9, 2023 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Jun 9, 2023 | D · Potential for harm, one-off | The 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. |
| Jun 9, 2023 | D · Potential for harm, one-off | The 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. |
| Jun 9, 2023 | D · Potential for harm, one-off | The 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. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 9, 2023 | D · Potential for harm, one-off | The 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. |
| Jun 9, 2023 | D · Potential for harm, one-off | The 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. |
| Jun 9, 2023 | D · Potential for harm, one-off | The 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. |
| Jun 9, 2023 | D · Potential for harm, one-off | The 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. |
| Jun 9, 2023 | D · Potential for harm, one-off | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Nov 7, 2019 | E · Potential for harm, repeated | The 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. |
| Nov 7, 2019 | D · Potential for harm, one-off | The 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. |
| Nov 7, 2019 | D · Potential for harm, one-off | The 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. |
| Nov 7, 2019 | D · Potential for harm, one-off | The 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | E |
| 2023 | 13 | 1 | G ▲ |
| 2024 | 10 | 0 | F |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.13 | 3.66 | 3.95 | top 7% in Missouri; top 11% in the U.S. |
| Registered Nurse hours | 0.79 | 0.49 | 0.69 | top 8% in Missouri; top 28% in the U.S. |
| Weekend total nurse staffing | 4.44 | 3.22 | 3.50 | top 8% in Missouri; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.33 | 0.48 | top 11% in Missouri; top 37% in the U.S. |
| Total nursing staff turnover (%) | 35.6 | 56.0 | 45.8 | top 6% in Missouri; top 25% in the U.S. |
| RN turnover (%) | 27.3 | 47.8 | 42.9 | top 21% in Missouri; top 24% in the U.S. |
Hours are per resident per day, 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. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Abbey Health Group LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/31/2018 |
| Brown, C Christopher | Individual | Direct Ownership Interest | NOT APPLICABLE | 10/01/2018 |
| Abbey Health Group LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 10/31/2018 |
| Abbey Health Group LLC | Organization | General Partnership Interest | NOT APPLICABLE | 10/31/2018 |
| Abbey Health Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/31/2018 |
| Brown, C Christopher | Individual | Corporate Officer | NOT APPLICABLE | 10/31/2018 |
| Brown, C Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/31/2018 |
| Brown, C Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2018 |
| Mount Carmel Seniro Living O'Fallon LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/31/2018 |
| Mount Carmel Seniro Living O'Fallon LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/31/2018 |
| Patwardhan, Manisha | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2020 |
| Patwardhan, Manisha | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2020 |
Questions to ask on your visit
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Garden View Care Center | 1.1 mi | O Fallon, MO | ★☆☆☆☆ | 1/5 | abuse |
| Delmar Gardens of O'Fallon | 3.7 mi | O Fallon, MO | ★★★☆☆ | 2/5 | |
| Sunterra Springs Dardenne Prairie | 4.3 mi | Dardenne Prairie, MO | ★★☆☆☆ | 2/5 | |
| Cottages of Lake St Louis | 4.9 mi | Lake Saint Louis, MO | ★★★★☆ | 4/5 | |
| St Peters Post Acute | 4.9 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | |
| Ignite Medical Resort St Peters | 4.9 mi | Saint Peters, MO | —/5 | ||
| St Peters Rehab and Healthcare Center | 5.4 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | abuseSFF |
| Lutheran Senior Services at Breeze Park | 6.6 mi | Saint Charles, MO | ★★★★☆ | 3/5 | |
| McClay Senior Care | 7.3 mi | Saint Peters, MO | ★★★☆☆ | 3/5 | |
| Aspen Point Health and Rehabilitation | 9.5 mi | Saint Charles, MO | ★☆☆☆☆ | 1/5 | |
| NHC Healthcare, St Charles | 10.2 mi | Saint Charles, MO | ★★★★☆ | 4/5 | |
| Lewis & Clark Gardens | 11.0 mi | Saint Charles, MO | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265839.