McKnight Place Extended Care
Two McKnight Place, Saint Louis, MO 63124 · St. Louis County · 70 certified beds · avg 57 residents/day · certified since Jun 16, 2014
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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.
All citations in the current public record (25)
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 |
|---|---|---|
| Apr 9, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 9, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 9, 2025 | E · Potential for harm, repeated | 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. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Apr 9, 2025 | 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. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Apr 9, 2025 | D · Potential for 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. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Apr 9, 2025 | C · Minimal risk, facility-wide | 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. |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| May 31, 2024 | D · Potential for 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. · from a complaint |
| Oct 11, 2023 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Oct 11, 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. |
| Oct 11, 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. |
| Oct 11, 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. |
| Oct 11, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 10, 2020 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 10, 2020 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 10, 2020 | 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. |
| Mar 10, 2020 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 10, 2020 | E · Potential for harm, repeated | 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. |
| Mar 10, 2020 | 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. |
| Mar 10, 2020 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 7 | 0 | E |
| 2023 | 5 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 11 | 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) | 5.75 | 3.66 | 3.95 | top 3% in Missouri; top 5% in the U.S. |
| Registered Nurse hours | 0.43 | 0.49 | 0.69 | top 48% in Missouri; bottom 26% in the U.S. |
| Weekend total nurse staffing | 5.38 | 3.22 | 3.50 | top 3% in Missouri; top 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.33 | 0.48 | top 11% in Missouri; top 38% in the U.S. |
| Total nursing staff turnover (%) | 56.9 | 56.0 | 45.8 | bottom 49% in Missouri; bottom 21% in the U.S. |
| RN turnover (%) | 44.4 | 47.8 | 42.9 | top 44% in Missouri; bottom 45% 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 5.22, RN 0.39, weekend 4.88. Staffing rating: 4/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Deutsch, Charles | Individual | 5% or Greater Direct Ownership Interest | 60% | 02/07/1995 |
| Deutsch, Charles | Individual | 5% or Greater Indirect Ownership Interest | 20% | 07/24/1998 |
| Leonard, Robert | Individual | 5% or Greater Direct Ownership Interest | 15% | 02/07/1995 |
| M P Extended Care INC | Organization | 5% or Greater Direct Ownership Interest | 20% | 07/24/1998 |
| Smith, David | Individual | 5% or Greater Direct Ownership Interest | 5% | 02/07/1995 |
| Deutsch, Charles | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/07/1995 |
| Deutsch, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/07/1995 |
| Knittel, Glenda | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/18/2013 |
| Knittel, Glenda | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/09/2012 |
| M P Extended Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/07/1995 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Barnes-Jewish Extended Care | 1.8 mi | Saint Louis, MO | ★★★☆☆ | 3/5 | |
| Lutheran Convalescent Home | 3.7 mi | Webster Groves, MO | ★★★★★ | 4/5 | |
| U-City Forest Manor | 3.8 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | |
| Monarch Springs Wellness & Rehabilitation | 4.1 mi | University City, MO | ★★☆☆☆ | 3/5 | |
| Oak Park Care Center | 4.3 mi | Saint Louis, MO | ★★★☆☆ | 4/5 | |
| Country Villa Wellness & Rehabilitation | 4.5 mi | Creve Coeur, MO | ★★★☆☆ | 4/5 | |
| Bentleys Extended Care | 4.8 mi | Overland, MO | ★☆☆☆☆ | 1/5 | abuse |
| Bethesda Dilworth | 4.8 mi | Saint Louis, MO | ★★★☆☆ | 3/5 | |
| Normandy Nursing Center | 4.9 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | abuse |
| St Johns Place | 5.0 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265849.