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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 77th out of 256 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 21% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 12m per day | ▲ 76% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 20m per day | ■ Avg State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 32m per day | ▲ 16% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 11m per day | ▼ 45% State avg: 20m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
19% of new residents, usually for short-term rehab.
67% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #129 / 263Payroll — state benchmarkedThis home is ranked 129th out of 263 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Missouri average: 66.6%St. Clair Nursing Center is legally operated by St Clair Nursing, Llc, and administrated by Ms Denice Marsh.
Key information about the people who lead and staff this community.
Pets Allowed
Room Sizes: 210 sq. ft.
Housing Options: Private Room / Semi-Private Room
Building Type: Single-story
Transportation Services
Fitness and Recreation
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 8 | 35 | This facility has 77% fewer total deficiencies than a typical Missouri nursing home (8 vs. MO avg 35).↓ 77% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 1 | 4.4 | This facility has 77% fewer deficiencies per year than a typical Missouri nursing home (1 vs. MO avg 4.4).↓ 77% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.7 | 5 | This facility has 46% fewer deficiencies per inspection than a typical Missouri nursing home (2.7 vs. MO avg 5).↓ 46% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 7 | This facility has 57% fewer total inspections than a typical Missouri nursing home (3 vs. MO avg 7).↓ 57% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on February 7, 2025, identified deficiencies related to unsafe wheelchair propulsion and unsecured hazardous materials storage. Earlier inspections noted issues with resident dignity and respiratory care, as well as concerns about resident transfers, food safety, and infection control. Inspectors cited recurring themes involving resident safety, hygiene, and proper care procedures. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The pattern of deficiencies suggests ongoing challenges in maintaining safety and care standards without a clear trend of improvement or decline.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri average 6.6
Last Health inspection on Feb 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
100% better than Missouri averageMissouri average: 0.7
0
100% better than Missouri averageMissouri average: 1
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 07, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 08, 2024
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 08, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 13, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
St. Clair Nursing Center is located in St Clair, Missouri.
Here are the financial assistance programs available to residents in Missouri.
7.9 miles from city center
Estimated distance in miles from St Clair's city center to St. Clair Nursing Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
43% better than Missouri averageMissouri average ratio: 1.71:1
0% compared with Missouri averageMissouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Total hours from contractors
2,596 contractor hours this quarter
| Certified Nursing Assistant | 28 | 22 | 50 | 6,722 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 15 | 6 | 21 | 4,725 | 91 | 100% | 8.9 |
| Medication Aide/Technician | 12 | 0 | 12 | 4,507 | 91 | 100% | 10.1 |
| Physical Therapist | 13 | 0 | 13 | 3,180 | 91 | 100% | 6.3 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,324 | 84 | 92% | 8.4 |
| Registered Nurse | 8 | 6 | 14 | 1,212 | 77 | 85% | 10.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 503 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 58 | 64% | 7.9 |
| Dietitian | 1 | 0 | 1 | 442 | 57 | 63% | 7.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 419 | 65 | 71% | 6.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 409 | 65 | 71% | 6.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 391 | 52 | 57% | 7.5 |
| RN Director of Nursing | 1 | 0 | 1 | 375 | 52 | 57% | 7.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 239 | 60 | 66% | 4 |
| Medical Director | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 51 | 41 | 45% | 1.2 |
| Qualified Social Worker | 0 | 3 | 3 | 39 | 24 | 26% | 1.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 3 | 3% | 6.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.7
9% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.6%
57% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
14.8%
28% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.7%
64% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
33% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
1.8%
65% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.7%
39% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
3.2%
42% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
14.5%
34% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.73
17% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.10
11% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
49% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
51% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
58% better than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.5%
32% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.6%
51% better than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
60.6%
20% better than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
87% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Historical financial and operational data for St. Clair Nursing Center based on CMS SNF Cost Reports.
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The legal owner and operator of St. Clair Nursing Center is St Clair Nursing, Llc.
St. Clair Nursing Center has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
St. Clair Nursing Center's occupancy is 73%.
Ms DENICE MARSH is the administrator of St. Clair Nursing Center.
St. Clair Nursing Center has 79 beds.
(636) 629-2100 will put you in contact with the team at St. Clair Nursing Center.
St. Clair Nursing Center is in Franklin County.
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