Total health inspections
8
Missouri average 6.6
Last Health inspection on Oct 2025
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Nursing Home in St. Louis
CMS overall rating
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.
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.
St Louis Altenheim
Nursing Home in St. Louis
CMS overall rating
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.
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.
St Louis Altenheim
Overview of St Louis Altenheim
St. Louis Altenheim is more than just a senior living residence – it’s a place where the dedicated staff is attuned to their every need. Nestled in the historic Carondelet Neighborhood, the Altenheim has been a local St. Louis landmark for over a century, offering independent living, supported care, memory care, and skilled care. Respite care is also available for those who need assistance for a shorter period of time, providing much-needed rest for caregivers. Each room is private and comes with its own bathroom, offering residents the comfort and privacy they deserve. The beautifully manicured landscaping, gardens, and grounds provide a serene atmosphere for residents to enjoy.
Inside, the residence is smoke-free and fire-resistant with a sprinkler system, ensuring the safety and well-being of every resident. Fresh flowers are thoughtfully placed throughout the building, adding a touch of beauty to the already picturesque surroundings. The dining room overlooks the Mississippi River, providing a stunning view to accompany delicious meals. Reserved resident parking and the option to bring small pets, including cats, into their rooms, add to the overall feeling of home. St. Louis Altenheim is a place where seniors can truly thrive, surrounded by a caring community and all the amenities they could need.
Jean Bardwell serves as the Administrator at St Louis Altenheim, overseeing the community's operations and ensuring compassionate care for all residents. She is a key member of the team dedicated to maintaining a warm and supportive environment.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
23
Residents per day (avg)
45
23-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score: 39 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
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
How BBB ratings work
About this community
Facility TypeAlf**
CountySAINT LOUIS CITY
St Louis Altenheim is legally operated by Malik St Louis Llc, and administrated by Bardwell.
Corporate EntityMALIK ST LOUIS LLC
Emergency SystemsYes
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Pets Allowed
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes
Private Bathrooms
Wall-To-Wall Carpeting
Smoke-Free Environment
Beautifully Manicured Landscaping
Fire-Resistant With Sprinkler System
Fresh Flowers Throughout
Lovely Dining Room With Scenic View
Reserved Resident Parking
Some Small Pets Allowed
Specific ProgramsIndependent Living, Supported Living, Respite Care, Skilled Nursing Care, Bavaria Memory Care, Recreational Programs, Dining, Wellness Programs
Religious ServicesYes
Operating HoursMonday-Sunday: 9am-5pm
Food DescriptionResidents enjoy restaurant-quality food and service at every meal, with a variety of healthy menu items and options for dietary restrictions.
Meals IncludedYes
Meals Per Day3
Health Inspection History
Inspections
Total health citations
47
Missouri average 36.5
Citations per inspection
5.88
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
34 of 47 citations resulted from standard inspections; 12 of 47 resulted from complaint investigations; and 1 of 47 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
186% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
2 critical citations
0 serious citations
43 moderate citations
2 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 10, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 10, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 30, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 30, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 30, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 30, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
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.
Compare Nursing Homes around St Louis The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
McKnight Place
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
St. Louis
70
81.5%
+22%
6.42
+72%
0
27
5.4
0
54
A+
52
M P Extended Care Inc
$11.5M
$4.7M
40.7%
265849
Ascension Living Sherbrooke Village
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
St. Louis
237
53.6%
-20%
4.27
+14%
0
46
4.6
2
99
A+
29
-
$16.2M
$4.2M
26.2%
265417
St Louis Altenheim
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
St. Louis (Carondelet)
23
-
-
3.97
+6%
0
47
5.9
2
45
A+
39
-
-
-
-
26A484
Mary Ryder Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
St. Louis (Central West End)
-
-
-
-
-
0
0
0.0
0
-
-
69
-
-
-
-
-
Smiley Manor
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
St. Louis (Walnut Park East)
20
-
-
-
-
0
0
0.0
0
-
A+
49
-
-
-
-
-
Living Spaces & Floor Plans
One Bedroom Suite
Standard Suite
Deluxe Suite
Nursing Care Standard And Deluxe Suites
Nursing Care Premium Companion Suite
Places of interest near St Louis Altenheim
5.0 miles from city center — 3.31 miles to nearest hospital (Affinia Healthcare)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
74
Employees
57
Contractors
17
Staff to resident ratio
1.68:1
0% compared with Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
20
Average shift
8.6 hours
6% better than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
15,610
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
1.2%
183 contractor hours this quarter
Certified Nursing Assistant: 10
Licensed Practical Nurse: 5
Occupational Therapy Aide: 1
Feeding Assistant: 1
Staff by category
| Certified Nursing Assistant | 26 | 10 | 36 | 8,018 | 91 | 100% | 8 |
| Licensed Practical Nurse | 16 | 5 | 21 | 3,466 | 91 | 100% | 9.7 |
| Medication Aide/Technician | 9 | 0 | 9 | 1,835 | 90 | 99% | 8.4 |
| Registered Nurse | 3 | 0 | 3 | 961 | 55 | 60% | 12.5 |
| Nurse Practitioner | 1 | 0 | 1 | 608 | 76 | 84% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 224 | 56 | 62% | 4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 19 | 3 | 3% | 6.3 |
| Feeding Assistant | 0 | 1 | 1 | 8 | 1 | 1% | 8 |
36 Certified Nursing Assistant
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
9 Medication Aide/Technician
% of Days
99%
3 Registered Nurse
% of Days
60%
1 Nurse Practitioner
% of Days
84%
1 Administrator
% of Days
65%
1 RN Director of Nursing
% of Days
62%
1 Occupational Therapy Aide
% of Days
3%
1 Feeding Assistant
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
44 residents
Residents by payment source
Medicaid
20 residents (45.5%)
Private pay or other
24 residents (54.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.7
53% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.5
41% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
30.7%
Percent of long-stay residents whose need for help with daily activities has increased
30.7%
55% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
34.6%
Percent of long-stay residents whose ability to move independently worsened
34.6%
68% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.1%
5% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.0%
Percent of long-stay residents experiencing one or more falls with major injury
7.0%
73% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.5%
Percent of long-stay high risk residents with pressure ulcers
3.5%
30% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.7%
Percent of long-stay residents with a urinary tract infection
1.7%
36% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.8%
Percent of long-stay residents who lose too much weight
7.8%
40% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.2%
Percent of long-stay residents who have depressive symptoms
8.2%
37% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.4%
Percent of long-stay residents who received an antipsychotic medication
17.4%
21% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
13% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.7%
6% worse than Missouri averageMissouri average: 90.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.39
Number of hospitalizations per 1,000 long-stay resident days.
1.39
33% better than Missouri averageMissouri average: 2.08
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.95
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.95
17% better than Missouri averageMissouri average: 2.35
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.8%
12% worse than Missouri averageMissouri average: 66.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
$0
100% lower than Missouri averageMissouri average: $73K
Number of fines
0
100% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$0
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 28, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 28, 2023
40 days
Last updated: Jan 2026
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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