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Barnes-Jewish Extended Care
Nursing Home & Assisted Living · Saint Louis, MO
CMS overall rating Info 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.
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Barnes-Jewish Extended Care

Nursing Home & Assisted Living · Saint Louis, MO
CMS overall rating Info 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.
401 Corporate Park Dr, Saint Louis, MO 63105-4201 View map Calculator: See prices in your area
Barnes-Jewish Extended Care accepts Medicare and private pay.
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Barnes-Jewish Extended Care accepts Medicare and private pay.

Overview of Barnes-Jewish Extended Care

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Barnes-Jewish Extended Care is a facility located in St. Louis, MO. It offers various services related to long-term care. The facility is part of the Missouri Health Care Association.
Facility Direct Line (314) 725-7447
Facility Direct Line (314) 725-7447
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
4h 49m per day
Rank #37 / 282Nurse hours — State benchmarkedThis home is ranked 37th out of 282 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 282 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 56m per day
LPN / LVN Info 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. 2h 28m per day
Nurse Aide Info 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 16m per day
Weekend Total Nursing Info 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. 4h 54m per day
Physical Therapist Info 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. 18m per day
Weekend RN Info 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. 33m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
21 days
Bed community size
120-bed community Rank #89 / 454Bed count — State benchmarkedThis home is ranked 89th out of 454 homes in Missouri. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
100%
Rank #293 / 434Occupancy rate — State benchmarkedThis home is ranked 293rd out of 434 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 434. Higher occupancy signals strong local demand and financial stability.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.
Higher than the Missouri average: 66.6%
Occupied beds
120 / 120
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeSkilled Nursing Facility
StatusActive
IssuanceOctober 10, 2025
ExpirationOctober 9, 2027
CountySaint Louis County
License Number053074
CMS Certification Number265439
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

Barnes-Jewish Extended Care is legally operated by Barnes-Jewish Hospital, and administered by Candice Brown.

Corporate EntityBARNES-JEWISH HOSPITAL
Owner NameBarnes-Jewish Hospital

Type Of Units

Skilled Nursing Facility
120 units
Total beds
120 units

Contact Barnes-Jewish Extended Care

Inspection History

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.

Since 2018 · 8 years of data 45 deficiencies 12 inspections

Inspection Scorecard Info 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.

Since 2018 vs. Missouri state average
Overall vs. MO average 0 Worse No metrics in this bucket. 3 Better Metrics better than Missouri average:
• Total deficiencies (30% below)
• Deficiencies per year (30% below)
• Deficiencies per inspection (28% below)
Latest Inspection May 23, 2024 Plan Of Correction

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4564 This facility has 30% fewer total deficiencies than a typical Missouri assisted living residence (45 vs. MO avg 64).↓ 30% better
Deficiencies per year Info Average deficiencies per year since 2018. 5.68 This facility has 30% fewer deficiencies per year than a typical Missouri assisted living residence (5.6 vs. MO avg 8).↓ 30% better
Deficiencies per inspection Info Average deficiencies per inspection. 3.85.3 This facility has 28% fewer deficiencies per inspection than a typical Missouri assisted living residence (3.8 vs. MO avg 5.3).↓ 28% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1212 This facility has total inspections in line with the Missouri average (12 vs. MO avg 12).— At avg

Health Inspection History

Inspections since 2019
Total health inspections 5

State average N/A

Last Health inspection on Jul 2025

Total health citations
25 Rank #109 / 287Health citations — State benchmarkedThis home is ranked 109th out of 287 homes in Missouri. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 287 MO facilities. Lower citation counts earn a better rank.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.

State average N/A

Citations per inspection
5 Rank #127 / 287Citations per inspection — State benchmarkedThis home is ranked 127th out of 287 homes in Missouri. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 287 facilities with citation data. Lower is better.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.

State average N/A

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

22 of 25 citations resulted from standard inspections; and 3 of 25 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A
0 serious citations State average: N/A
25 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 7 years)
Nutrition moderate citation Jul 08, 2025
Corrected
Quality of Care moderate citation Jul 08, 2025
Corrected
Infection Control moderate citation May 23, 2024
Corrected
Pharmacy moderate citation May 23, 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 164
Employees 108
Contractors 56
Staff to resident ratio 2.38 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 64
Average shift 7.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 46,487

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 10 total: 9 full-time employees and 1 contractor. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 37 total: 17 full-time employees and 20 contractors. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 46 total: 43 full-time employees and 3 contractors. 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

31.3%

14,549 contractor hours this quarter

Licensed Practical Nurse: 20 Respiratory Therapy Technician: 8 Physical Therapy Assistant: 6 Speech Language Pathologist: 5 Occupational Therapy Assistant: 4 Certified Nursing Assistant: 3 Physical Therapy Aide: 3 Qualified Social Worker: 3 Occupational Therapy Aide: 2 Registered Nurse: 1 Therapeutic Recreation Specialist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4334614,14492100%7.4
Licensed Practical Nurse17203712,99092100%9.5
Registered Nurse91103,48492100%8.9
RN Director of Nursing8082,5147683%7.7
Respiratory Therapy Technician0881,9148390%7.1
Clinical Nurse Specialist8081,8826470%8
Qualified Activities Professional9091,83892100%7.7
Physical Therapy Assistant0661,7768693%7.5
Mental Health Service Worker3031,3506571%8.3
Qualified Social Worker0336447379%5.6
Speech Language Pathologist0555747784%6.5
Physical Therapy Aide0335387784%5.9
Nurse Practitioner1014966267%8
Therapeutic Recreation Specialist0114946470%7.7
Administrator1014886166%8
Dietitian1014886166%8
Occupational Therapy Aide0224377379%5.8
Other Dietary Services Staff2022183235%6.8
Medication Aide/Technician6061463538%3.9
Occupational Therapy Assistant044746065%1.1
46 Certified Nursing Assistant
% of Days 100%
37 Licensed Practical Nurse
% of Days 100%
10 Registered Nurse
% of Days 100%
8 RN Director of Nursing
% of Days 83%
8 Respiratory Therapy Technician
% of Days 90%
8 Clinical Nurse Specialist
% of Days 70%
9 Qualified Activities Professional
% of Days 100%
6 Physical Therapy Assistant
% of Days 93%
3 Mental Health Service Worker
% of Days 71%
3 Qualified Social Worker
% of Days 79%
5 Speech Language Pathologist
% of Days 84%
3 Physical Therapy Aide
% of Days 84%
1 Nurse Practitioner
% of Days 67%
1 Therapeutic Recreation Specialist
% of Days 70%
1 Administrator
% of Days 66%
1 Dietitian
% of Days 66%
2 Occupational Therapy Aide
% of Days 79%
2 Other Dietary Services Staff
% of Days 35%
6 Medication Aide/Technician
% of Days 38%
4 Occupational Therapy Assistant
% of Days 65%
View All Staffing Data

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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. 0.0
100% better than State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.3
32% better than State average

State average: 19.5

Long-stay resident measures
Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 13.3%
27% better than State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.2%
17% better than State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 69.6%
18% worse than State average

State average: 85.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 28.4%
57% worse than State average

State average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.0%
55% better than State average

State average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 48.4%
24% worse than State average

State average: 63.5%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

29% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

71% of new residents, often for short stays.

Typical stay 19 days

Facility Characteristics

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

Total residents 69
Medicare
62
89.9% of residents
Medicaid
4
5.8% of residents
Private pay or other
3
4.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info 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."
$14.8M
Net patient income Info 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."
-$831.4K
Nonprofit Nonprofit Corporation
Net patient revenue Info 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."
$14.8M Rank #17 / 292Revenue — State benchmarkedThis home is ranked 17th out of 292 homes in Missouri. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$831.4K
Other income Info 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.
$31.5K
Payroll costs Info 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 #10 / 292Payroll — State benchmarkedThis home is ranked 10th 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.
$7.0M 47.5% of net patient revenue Info 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 #202 / 292Payroll % — State benchmarkedThis home is ranked 202nd 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.
Other operating costs Info 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).
$8.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$15.7M
How we calculate these figures

This home is administered by Candice Brown.

This home is owned by Barnes Jewish Hospital

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265439

Show certification details

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.

Most new residents arrive under private pay (71% of admissions), and a typical private pay stay runs around 19 days.

Admissions
1,052 total

Coverage residents most often arrive under.

Medicare 29%
Private pay 71%
Discharges
1,047 total

Coverage residents most often leave under.

Medicare 29%
Private pay 70%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Barnes-Jewish Extended Care

Address 8.0 miles from city center Info Estimated distance in miles from Saint Louis's city center to Barnes-Jewish Extended Care's address, calculated via Google Maps.

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Frequently Asked Questions about Barnes-Jewish Extended Care

Who is the owner of Barnes-Jewish Extended Care?

Barnes-Jewish Extended Care is legally operated by Barnes-Jewish Hospital, and administered by Candice Brown.

What is the license number of Barnes-Jewish Extended Care?

According to MO state health department records, Barnes-Jewish Extended Care's license number is 053074.

When does Barnes-Jewish Extended Care's license expire?

According to MO state health department records, Barnes-Jewish Extended Care's license expires on October 9, 2027.

What is the occupancy rate at Barnes-Jewish Extended Care?

Barnes-Jewish Extended Care's occupancy is 100%.

Does Barnes-Jewish Extended Care operate as a for-profit or non-profit?

Barnes-Jewish Extended Care is registered as a non-profit in MO.

Who is the administrator of Barnes-Jewish Extended Care?

Candice Brown is the administrator of Barnes-Jewish Extended Care.

How many beds does Barnes-Jewish Extended Care have?

Barnes-Jewish Extended Care has 120 beds.

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