Worth Considering
3
Facilities graded B or better with zero fines
Best Nursing Homes in Saint Louis, Missouri
3 of 35 nursing homes in Saint Louis (9%) meet our strict criteria. The Missouri statewide average is 29%.
3 recommended · 4 caution · 28 avoid · data
City Average
2.0
★
+0.00 vs state
Total Beds
4,531
across 35 facilities
High Risk Facilities
28
25 Grade F
$2,683,688 in combined fines
Zero Fines
9
/35
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 3?
The nursing home market in Saint Louis, Missouri is adequate but concerning, with only 3 out of 35 facilities recommended. Families should be aware that 28 facilities have incurred a total of $2,668,042 in fines, highlighting the need for careful selection when choosing care options.
Strong (Grade B+, Trust Score 80-89)
- 1 CHRISTIAN EXTENDED CARE & REHABILITATION (85) — Christian Extended Care & Rehabilitation boasts an impressive CMS 5-star rating and a Trust Score of 85/100, highlighting its commitment to quality care. With a Grade B+ and no fines, this non-profit facility prioritizes community-focused services in a welcoming environment for its 60 residents.
- 2 BETHESDA SOUTHGATE (83) — Bethesda Southgate stands out with a remarkable CMS 5-star rating and a Trust Score of 83/100, reflecting its dedication to high-quality care. This non-profit facility, graded B+, offers a supportive community atmosphere for its 130 residents, ensuring they receive the best possible attention without any fines.
- 3 DELMAR GARDENS SOUTH (80) — Delmar Gardens South excels with a CMS 5-star rating and a Trust Score of 80/100, showcasing its commitment to excellent care despite being a for-profit facility. With a Grade B+ and zero fines, it offers a spacious environment for 184 residents, making it a solid choice for those seeking reliable nursing home services.
The other 32 Saint Louis facilities didn't qualify — 28 carry Grade D or F ratings and 26 have fines totaling $2.7M.
Recommended
Christian Extended Care & Rehabilitation boasts an impressive CMS 5-star rating and a Trust Score of 85/100, highlighting its commitment to quality care. With a Grade B+ and no fines, this non-profit facility prioritizes community-focused services in a welcoming environment for its 60 residents.
Bethesda Southgate stands out with a remarkable CMS 5-star rating and a Trust Score of 83/100, reflecting its dedication to high-quality care. This non-profit facility, graded B+, offers a supportive community atmosphere for its 130 residents, ensuring they receive the best possible attention without any fines.
Delmar Gardens South excels with a CMS 5-star rating and a Trust Score of 80/100, showcasing its commitment to excellent care despite being a for-profit facility. With a Grade B+ and zero fines, it offers a spacious environment for 184 residents, making it a solid choice for those seeking reliable nursing home services.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Best Available Alternative
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Saint Louis Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 2.0 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 32?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 25 Grade F — critical inspection failures
- Facilities with fines
- 26 Have fines totaling $2,683,688
- Low-scoring facilities
- 7 Scored below B — Trust Scores under 70
- Caution group
- 4 Had good grades but fines disqualified them
Questions Saint Louis Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Saint Louis's city average is 2.0 stars
-
2
"Have you received any fines in the past 3 years?"
26 of 35 Saint Louis facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Saint Louis avg is 0 min
-
4
"What were your most recent inspection findings?"
Saint Louis facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Saint Louis, MO are recommended?
3 of 35 nursing homes in Saint Louis (9%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Saint Louis "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Saint Louis?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.