St Clair Nursing Center
1035 Plaza Court North, Saint Clair, MO 63077 · Franklin County · 79 certified beds · avg 55 residents/day · certified since Apr 1, 1992
Part of chain: AMERICARE SENIOR LIVING (23 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 · Feb 19, 2026 · F-0689 · triggered by a complaint
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.
All citations in the current public record (8)
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 |
|---|---|---|
| Feb 19, 2026 | ▲ 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. · from a complaint |
| Feb 7, 2025 | 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 8, 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. |
| Mar 8, 2024 | 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. |
| Jan 13, 2023 | 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. |
| Jan 13, 2023 | 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. |
| Jan 13, 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. |
| Jan 13, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 1 | 0 | E |
| 2026 | 1 | 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)
1 fine totaling $12,735.
| Date | Type | Amount / length |
|---|---|---|
| Feb 19, 2026 | Fine | $12,735 |
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) | 3.81 | 3.66 | 3.95 | top 41% in Missouri; top 48% in the U.S. |
| Registered Nurse hours | 0.39 | 0.49 | 0.69 | bottom 44% in Missouri; bottom 20% in the U.S. |
| Weekend total nurse staffing | 3.34 | 3.22 | 3.50 | top 41% in Missouri; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.33 | 0.48 | bottom 39% in Missouri; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 56.2 | 56.0 | 45.8 | bottom 50% in Missouri; bottom 23% in the U.S. |
| RN turnover (%) | 33.3 | 47.8 | 42.9 | top 26% in Missouri; top 33% 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 3.83, RN 0.39, weekend 3.35. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Montgomery, Anna | Individual | 5% or Greater Indirect Ownership Interest | 50% | 01/01/2013 |
| R H Montgomery Properties, INC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2003 |
| St. Clair Nursing LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2003 |
| Americare Systems, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/04/2002 |
| Hatlestad, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2002 |
| Marsh, Denice | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/15/2016 |
| Montgomery, Richard | Individual | Corporate Director | NOT APPLICABLE | 01/16/2003 |
| Montgomery, Richard | Individual | Corporate Officer | NOT APPLICABLE | 08/01/1981 |
| Reiker, James | Individual | Contracted Managing Employee | NOT APPLICABLE | 04/01/2002 |
| Reiker, James | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2003 |
| Reiker, James | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2002 |
| Schade, Kyle | Individual | Contracted Managing Employee | NOT APPLICABLE | 03/01/2021 |
| Schade, Kyle | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2021 |
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?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "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 |
|---|---|---|---|---|---|
| Union Nursing | 5.5 mi | Union, MO | ★★★★☆ | 4/5 | |
| Sunset Health Care Center | 6.7 mi | Union, MO | ★★☆☆☆ | 2/5 | |
| Grandview Healthcare Center | 14.7 mi | Washington, MO | ★★☆☆☆ | 3/5 | |
| Life Care Center of Sullivan | 15.1 mi | Sullivan, MO | ★★★★☆ | 4/5 | |
| Pacific Care Center | 15.2 mi | Pacific, MO | ★☆☆☆☆ | 3/5 | |
| Meramec Nursing | 15.2 mi | Sullivan, MO | ★☆☆☆☆ | 3/5 | |
| Arbor View Nursing and Rehabilitation | 18.0 mi | Cedar Hill, MO | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in Saint Clair →
Facility data as of CMS processing date 2026-08-01. CCN 265495.