St Andrew's at Francis Place
400 Summerville Blvd, Eureka, MO 63025 · St. Louis County · 106 certified beds · avg 89 residents/day · certified since May 4, 1983
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · Aug 16, 2023 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 14, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 19, 2025 · F-0561 · triggered by a complaint
The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Why it matters: Losing everyday choices makes residents feel powerless in their own home.
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: Dec 22, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 16, 2023 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Sep 14, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (32)
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 |
|---|---|---|
| Nov 19, 2025 | ▲ G · Actual harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Aug 29, 2025 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| Feb 7, 2025 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Feb 7, 2025 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 7, 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. |
| Feb 7, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Feb 7, 2025 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Feb 7, 2025 | D · Potential for harm, one-off | 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. |
| Feb 7, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 7, 2025 | 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. |
| Feb 7, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 7, 2025 | 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 30, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Oct 30, 2024 | 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. · from a complaint |
| Oct 30, 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 |
| Sep 19, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 19, 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 |
| Mar 21, 2024 | E · Potential for harm, repeated | 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 |
| Mar 21, 2024 | E · Potential for harm, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 21, 2024 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 21, 2024 | 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. · from a complaint |
| Mar 21, 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 12, 2023 | 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. |
| Oct 12, 2023 | 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. |
| Oct 12, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Oct 12, 2023 | C · Minimal risk, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Aug 16, 2023 | ▲ J · Immediate jeopardy, 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 |
| Aug 16, 2023 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Aug 16, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 23, 2020 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 23, 2020 | 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 23, 2020 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 3 | 0 | D |
| 2023 | 7 | 2 | J ▲ |
| 2024 | 10 | 0 | E |
| 2025 | 12 | 1 | G ▲ |
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) | 4.57 | 3.66 | 3.95 | top 17% in Missouri; top 21% in the U.S. |
| Registered Nurse hours | 0.33 | 0.49 | 0.69 | bottom 33% in Missouri; bottom 13% in the U.S. |
| Weekend total nurse staffing | 4.35 | 3.22 | 3.50 | top 10% in Missouri; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.12 | 0.33 | 0.48 | bottom 6% in Missouri; bottom 2% in the U.S. |
| Total nursing staff turnover (%) | 48.5 | 56.0 | 45.8 | top 29% in Missouri; bottom 41% in the U.S. |
| RN turnover (%) | 66.7 | 47.8 | 42.9 | bottom 26% in Missouri; bottom 15% 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 3.64, RN 0.26, weekend 3.46. Staffing rating: 3/5.
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: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| St Andrews Resources for Seniors System | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2017 |
| Ursuline Sisters Eureka Member Corporation | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2014 |
| Agler, Christine | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/27/2024 |
| Agler, Christine | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Bregenhorn, Rita | Individual | Corporate Director | NOT APPLICABLE | 08/01/2014 |
| Bregenhorn, Rita | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2014 |
| Girardi, Joseph | Individual | Corporate Director | NOT APPLICABLE | 05/15/2023 |
| Holman, William | Individual | Corporate Officer | NOT APPLICABLE | 01/04/2022 |
| Maguire, Sally | Individual | Corporate Director | NOT APPLICABLE | 11/10/2023 |
| St Andrews Resources for Seniors System | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/07/1968 |
| St Andrews Resources for Seniors System | Organization | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| Thaman, Ralph | Individual | Corporate Director | NOT APPLICABLE | 01/29/2019 |
| Ursuline Sisters Eureka Member Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
| West, Courtney | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/24/2024 |
| West, Courtney | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2025 |
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 do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "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 |
|---|---|---|---|---|---|
| Marymount Manor | 1.8 mi | Eureka, MO | ★☆☆☆☆ | 2/5 | |
| Aegis Health and Rehabilitation | 4.1 mi | Wildwood, MO | ★☆☆☆☆ | 1/5 | |
| Ellisville Rehabilitation and Nursing | 5.6 mi | Ellisville, MO | ★☆☆☆☆ | 1/5 | abuseSFF |
| Pacific Care Center | 6.0 mi | Pacific, MO | ★☆☆☆☆ | 3/5 | |
| Lutheran Senior Services at Meramec Bluffs | 7.7 mi | Ballwin, MO | ★★★★★ | 5/5 | |
| Delmar Gardens on the Green | 8.4 mi | Chesterfield, MO | ★★☆☆☆ | 3/5 | |
| Manchester Rehab and Healthcare Center | 8.4 mi | Ballwin, MO | ★☆☆☆☆ | 2/5 | |
| Big Bend Woods Healthcare Center | 8.9 mi | Valley Park, MO | ★☆☆☆☆ | 3/5 | |
| Garden View Care Center at Dougherty Ferry | 9.8 mi | Valley Park, MO | ★★★★☆ | 5/5 | |
| Delmar Gardens of Meramec Valley | 9.9 mi | Fenton, MO | ★★★★★ | 5/5 | |
| Maple Grove Wellness & Rehabilitation | 10.1 mi | Fenton, MO | ★☆☆☆☆ | 2/5 | |
| Arbor View Nursing and Rehabilitation | 10.5 mi | Cedar Hill, MO | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265195.