Nursing Home

St. Clair Nursing Center

Nursing Home

St. Clair Nursing Center

1035 St Clair Plaza Ct N, St Clair, MO 63077 View map
Overview of St. Clair Nursing Center

Nestled in the peaceful grounds of Plaza Court North, Saint Clair, MO, is the esteemed senior living community of St. Clair Nursing Center Skilled Nursing by Americare, which offers skilled nursing, hospice care, home health care, and rehabilitation. Featuring private and semi-private studio accommodations, the community ensures seniors have a peaceful and safe stay on its premises. Let go of your worries with a team of dedicated and well-trained professionals caring for your special needs and aspirations.

Live an active and connected life with enjoyable activities and exciting events. Moreover, the community utilizes a holistic approach to ensure residents are taken care of in every aspect of their well-being. St. Clair Nursing Center strives to provide a haven for seniors to make the most out of their best years without worries.

(636) 629-2100

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Missouri average: 2.6/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Missouri average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Missouri average: 2.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Missouri average: 2.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 3m per day

This home provides 6% more nursing time per resident than the Missouri average.

Missouri average: 3h 49m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 11m per day 20m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 79

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 65.8%
Residents per day (avg) 54
Occupancy rate
65.8%
Residents per day (avg)
54

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

19% of new residents, usually for short-term rehab.

Typical stay 23 days

Private pay

67% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

14% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$5.7M
Profit
$131.6K
Privately-owned community Operated by a business corporation.
Home revenue
$5,661,233.00
Profit
$131,605.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.8M
48.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.8M
Total costs $5.5M
Bed community size
79-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
28 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 48 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
66%
In line with Missouri average
Occupied beds
52 / 79
Average residents 72 per day

License details

Facility type
Snf
County: FRANKLIN

Additional licensing details

CMS Certification Number: 265495

Ownership & operating entity

St. Clair Nursing Center is legally operated by ST CLAIR NURSING, LLC, and administrated by MARSH.

Corporate entity: ST CLAIR NURSING, LLC

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Ms. Tina Gotsch, Administrator

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed: Yes, Pets Allowed

Room sizes icon
Room sizes icon

Room Sizes: 210 sq. ft.

Housing options icon
Housing options icon

Housing Options: Private Room / Semi-Private Room

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at St. Clair Nursing Center

Skilled Nursing Hospice Care
Contact St. Clair Nursing Center

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicare

Health Inspection History

Inspections
Total health inspections 3

Missouri average 6.6


Last Health inspection on Feb 2025

Total health citations 7
Citations per inspection
2.33

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 7 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Missouri average

Missouri average: 0.7


Serious Health citations More info 0
100% better than Missouri average

Missouri average: 1

0 critical citations More info Missouri average: 0.7

0 serious citations More info Missouri average: 1

7 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Quality of Care moderate citation Feb 07, 2025
Corrected

Quality of Care moderate citation Mar 08, 2024
Corrected

Resident Rights moderate citation Mar 08, 2024
Corrected

Infection Control moderate citation Jan 13, 2023
Corrected

Compare Nursing Homes around Union

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
St. Clair Nursing Center
SNF

Nursing Home 24/7 care needed

HC

Hospice Care

SN

Skilled Nursing

St Clair
81
A+
48
ST. CLAIR NURSING LLC
65.8%
$5,658,056.00
$2,766,956.00
48.9%
54
5/5
4.0527
5/5
3/5
4/5
1
7
+26%
+8%
-1%
Private Room / Semi-Private Room

Places of interest near St. Clair Nursing Center

Address 7.9 miles from city center

Address 1035 St Clair Plaza Ct N, St Clair, MO 63077

Calculate Travel Distance to St. Clair Nursing Center

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

142
Total Staff
90
Employees
52
Contractors
25,606
Total Hours (Quarter)
35
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse1410.4 Yes
Licensed Practical Nurse218.9 Yes
Certified Nursing Assistant508.5 Yes
Staff by Category
Administration
2 staff
8hs shift avg
Nursing Staff
106 staff
9hs shift avg
Physicians & Practitioners
2 staff
7.7hs shift avg
Therapy Services
27 staff
5.8hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
1.6hs shift avg
Dietary Services
1 staff
7.8hs shift avg
Other Services
1 staff
8hs shift avg
Contractor Analysis
10.1%
of total hours from contractors
2,596 contractor hours this quarter
Registered Nurse: 6 Certified Nursing Assistant: 22 Licensed Practical Nurse: 6 Qualified Social Worker: 3 Physical Therapy Assistant: 2 Physical Therapy Aide: 1 Speech Language Pathologist: 4 Respiratory Therapy Technician: 5 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant2822506,72291100%8.5
Licensed Practical Nurse156214,72591100%8.9
Medication Aide/Technician120124,50791100%10.1
Physical Therapist130133,18091100%6.3
Nurse Aide in Training8081,3248492%8.4
Registered Nurse86141,2127785%10.4
Mental Health Service Worker1015036369%8
Administrator1014645864%8
Nurse Practitioner1014565864%7.9
Dietitian1014425763%7.8
Physical Therapy Aide0114196571%6.4
Speech Language Pathologist0444096571%6.3
Clinical Nurse Specialist1013915257%7.5
RN Director of Nursing1013755257%7.2
Physical Therapy Assistant0222396066%4
Medical Director0111041314%8
Respiratory Therapy Technician055514145%1.2
Qualified Social Worker033392426%1.6
Occupational Therapy Aide0112433%8
Occupational Therapy Assistant0112033%6.6

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
58 residents
Residents by payment source
Medicare
2 residents (3.4%)
Medicaid
38 residents (65.5%)
Private pay or other
18 residents (31%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.2
43% better than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.7
9% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Above average Missouri avg: 3.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 8.6%
57% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.8%
28% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.7%
64% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.7%
33% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.8%
65% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.7%
39% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.2%
42% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.5%
34% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
17% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
10% better than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.73
17% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.10
11% better than Missouri average

Missouri average: 2.35

Short-stay resident measures
Significantly above average Missouri avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
49% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.1%
51% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
58% better than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 33.5%
32% worse than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.6%
51% better than Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Missouri average

Missouri average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 60.6%
20% better than Missouri average

Missouri average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $10K
87% lower than Missouri average

Missouri average: $73K

Number of fines 1
59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $10K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 13, 2023
$10K

Last updated: Jan 2026

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Financial Aid for Missouri Seniors

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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