2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
St Joe Manor is a skilled nursing and rehabilitation facility in Bonne Terre, Missouri, operated by American Nursing & Rehab LLC, with Sharon Greco serving as the administrator. Located on Lake Drive, the facility is in a moderately walkable area with a walk score of 59. Some errands can be done on foot, while other trips require transportation. The home accepts Medicare, Medicaid, and private pay, giving families several options to cover short-term rehabilitation and longer-term care needs.
The community has 201 beds and has been serving residents for 26 years. St Joe Manor serves post-acute rehabilitation residents and those receiving ongoing skilled nursing care. Most stay for an average of 133 days, reflecting shorter rehabilitation stays and extended care. Nursing support averages 4 hours and 32 minutes per resident per day, with a registered nurse and nursing aides as part of the broader clinical team.
Inspection findings focused on the accuracy of care planning, infection control practices during resident care procedures, and medication management protocols. These are important parts of daily nursing home operations. Families touring the home can ask directly how these areas are monitored and managed to stay compliant.
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.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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.
| 23m per day | ▼ 18% 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.
| 26m per day | ▼ 37% 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.
| 1h 49m per day | ▼ 22% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 38m per day | ▲ 19% 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.
| 2m per day | ■ Avg State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 13m per day | ▼ 35% State avg: 20m per day · National avg: 28m per day |
St Joe Manor is legally operated by American Nursing & Rehab Llc, and administered by Sharon Greco.
Key information about the people who lead and staff this community.
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, deficiency, 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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 115 | 35 | This facility has 229% more total deficiencies than a typical Missouri assisted living residence (115 vs. MO avg 35).↑ 229% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 14.4 | 4.4 | This facility has 227% more deficiencies per year than a typical Missouri assisted living residence (14.4 vs. MO avg 4.4).↑ 227% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.2 | 5 | This facility has 4% more deficiencies per inspection than a typical Missouri assisted living residence (5.2 vs. MO avg 5).↑ 4% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 22 | 7 | This facility has 214% more total inspections than a typical Missouri assisted living residence (22 vs. MO avg 7).↑ 214% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Feb 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 29 citations resulted from standard inspections; and 3 of 29 resulted from complaint investigations.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursHelps with daily care and mobility.
All 43 CNA Staff are full-time employees. No contractors work on this role.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,392 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 0 | 43 | 16,480 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 13 | 0 | 13 | 6,104 | 92 | 100% | 10.3 |
| Medication Aide/Technician | 14 | 0 | 14 | 5,681 | 92 | 100% | 8.8 |
| Nurse Aide in Training | 24 | 0 | 24 | 5,468 | 92 | 100% | 7.3 |
| Registered Nurse | 11 | 0 | 11 | 4,614 | 92 | 100% | 9 |
| Qualified Social Worker | 0 | 4 | 4 | 567 | 66 | 72% | 5.2 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 502 | 62 | 67% | 7.9 |
| Speech Language Pathologist | 0 | 6 | 6 | 496 | 62 | 67% | 5.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 445 | 64 | 70% | 6.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 415 | 58 | 63% | 5.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 415 | 57 | 62% | 7.3 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 209 | 45 | 49% | 3.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 163 | 18 | 20% | 9.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 63 | 15 | 16% | 4.2 |
| Medical Director | 0 | 2 | 2 | 34 | 7 | 8% | 4.9 |
| Dietitian | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
17.5
60% worse than State averageState average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
32% worse than State averageState 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
32.4%
64% worse than State averageState average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
33.2%
61% worse than State averageState average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.7%
35% better than State averageState average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
23% better than State averageState average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
6.5%
28% worse than State averageState average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.1%
58% better than State averageState average: 2.7%
Percent of long-stay residents who lose too much weight
12.2%
119% worse than State averageState average: 5.6%
Percent of long-stay residents who have depressive symptoms
32.0%
149% worse than State averageState average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
24.4%
11% worse than State averageState average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
12% better than State averageState average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
5% better than State averageState average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.78
14% better than State averageState average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.67
99% worse than State averageState 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
58.4%
12% worse than State averageState average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
4.8%
115% worse than State averageState average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.5%
49% worse than State averageState average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.4%
27% better than State averageState average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
23.9%
78% worse than State averageState average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
4.6%
491% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.6%
In line with State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
31.5%
38% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
30% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
50% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
139Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for St Joe Manor from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #26 / 292Payroll — State benchmarkedThis home is ranked 26th out of 292 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.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #166 / 292Payroll % — State benchmarkedThis home is ranked 166th out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (50% of admissions), and a typical Medicaid stay runs around 7 - 8 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Bonne Terre's city center to St Joe Manor's address, calculated via Google Maps.
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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| St Joe Manor | NH AL MC | Bonne Terre | - | 201 | A+ | 59 | - |
| Breeze Park – Lutheran Senior Services | NH AL IL MC | Weldon Spring | - | 50 | A+ | 2 | 1 Bed / 2 Bed |
| John Knox Village | NH AL HC IL MC RC | Lee's Summit | - | 408 | A+ | 58 | 1 Bed / 2 Bed |
| Ignite Medical Resort Blue Springs | NH PC | Blue Springs | - | 90 | - | 68 | - |
| Moore-Few Care Center | NH HC MC PC RC | - | - | 108 | - | 39 | Private Suites |
St Joe Manor is legally operated by American Nursing & Rehab Llc, and administered by Sharon Greco.
St Joe Manor has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, St Joe Manor's license number is 053139, 053140, 053141.
According to MO state health department records, St Joe Manor's license expires on November 11, 2027.
St Joe Manor's occupancy is 96.0%.
St Joe Manor is registered as a for-profit in MO.
Sharon Greco is the administrator of St Joe Manor.
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