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St Andrew's at Francis Place
400 Summerville Blvd, Eureka, MO 63025 (opens Google Maps) · St. Louis County · (636) 938-5151· 106 certified beds · avg 89 residents/day · certified since May 4, 1983 · 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 →
2/5
Health inspection rating (on-site)
inspected Feb 7, 2025
3
Serious findings on record
most recent Nov 19, 2025
$0
Fines, last 3 years
4.57
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: 2/5 · 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)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. 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: Sep 14, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): 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: Dec 22, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): 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: Sep 14, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 32 inspection findings. Open the full record below to read every finding.
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 F-0561
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 F-0688
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. F-0558
View all 32 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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 19, 2025 | ▲ G · Actual harm, isolated | 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 · F-0561 |
| Aug 29, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0688 |
| Feb 7, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0558 |
| Feb 7, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0578 |
| Feb 7, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Feb 7, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0947 |
| Feb 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0569 |
| Feb 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Feb 7, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Feb 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Feb 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Feb 7, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Oct 30, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Oct 30, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Oct 30, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Sep 19, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0684 |
| Sep 19, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0609 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0610 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Oct 12, 2023 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Oct 12, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Oct 12, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0645 |
| Oct 12, 2023 | C · Potential for minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Aug 16, 2023 | ▲ J · Immediate jeopardy, isolated | 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 · F-0686 |
| Aug 16, 2023 | ▲ G · Actual harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Aug 16, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0580 |
| Oct 23, 2020 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Oct 23, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Oct 23, 2020 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 10).
All citationsSerious citations (G–L)
2020
All citations: 3
Serious citations (G–L): 0
2023
All citations: 7
Serious citations (G–L): 2
2024
All citations: 10
Serious citations (G–L): 0
2025
All citations: 12
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.57
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.33
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.35
Missouri average: 3.22
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 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 3.64, RN 0.26, weekend 3.46.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.64 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for St Andrew's at Francis Place. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 →
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 |
All 15 owning or managing parties CMS has on file are shown — none excluded.
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?"
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 49% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 59 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 →
Other facilities in the same county
CMS records place this facility in St. Louis, MO — 69 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- St Johns Place — Saint Louis, MO · overall 1/5
- St Sophia Health & Rehabilitation Center — Florissant, MO · overall 1/5
- Stonebridge Florissant — Florissant, MO · overall 2/5
- Stonebridge Maryland Heights — Maryland Heights, MO · overall 2/5
- Surrey Place St Lukes Hospital Skilled Nursing — Chesterfield, MO · overall 4/5
- U-City Forest Manor — Saint Louis, MO · overall 1/5
- Westchester House, the — Chesterfield, MO · overall 2/5
- Willowcreek Wellness & Rehabilitation — Florissant, MO · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 265195.