Occupancy rate
50%
In line with Missouri averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Barnes-Jewish Extended Care
Nursing Home in Missouri
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.
Barnes-Jewish Extended Care
Nursing Home in Missouri
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.
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.
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.
Staffing hours breakdown
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 nursing care / resident
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.
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
vs Missouri avg
+29%
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
Avg. Length of Stay
21 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
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
Finances and operations
Voluntary non-profit community
Home revenue
$21.2M
Operating deficit
-$800.0K
Voluntary non-profit community
Home revenue
$21.2M
Operating deficit
-$800.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$16.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$22.0M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Missouri averageOccupied beds
60 / 120
Average residents
72 per day
Facility TypeSnf
CountySaint Louis
CMS Certification Number265439
Certification TypeMedicare/Medicaid
Barnes-Jewish Extended Care is legally operated by Barnes-jewish Hospital, and administrated by Ms CANDICE BROWN.
Owner NameBARNES-JEWISH HOSPITAL
Specific ProgramsAbout, Mission, Vision, Values, Board of Directors, Our Staff, Care Finder, Education/Events, Calendar of Events, Leadership Summit, Train the Trainer Workshops, Certified Nurse Assistant (CNA) Training, CMT / Insulin Training Courses, Level I Medication Aide or Insulin Certification Class, Online Education, Workshops & CEU Sessions, Advocacy, Government Affairs Team, Contact Your Elected Officials, Resources, Regulatory, Regulatory Topics, Quality, Certificate of Need, Member Resources, News and Updates, Services, COVID-19 & Influenza, Business Partner Directory, Membership Directory, State & National Agencies, AHCA/NCAL, Membership, MHCA Membership, Facility Membership, Business Partner, Career & Tech Education Membership, District Map, Get Involved, Sponsorship, 2026 Sponsors
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.
0 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Health Inspection History
Inspections
Total health inspections
5
Missouri average 6.6
Last Health inspection on Jul 2025
Total health citations
25
Missouri average 36.5
Citations per inspection
5
Missouri average 5.67
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 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
25 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 08, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 08, 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.
Jul 08, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 08, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 23, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 23, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 23, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
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.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| Aberdeen Heights |
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. | Kirkwood | 38 | 92.6% | +39% | 5.18 | -32% | +39% | 0 | 9 | 2.3 | 0 | 34 | - | - | Ashfield Active Living And Wellness Communities, Inc. | $27.3M | $7.2M | 26.3% | 265841 | ||||
| Bertrand Nursing And Rehab Center |
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. | Bertrand | 60 | 78.8% | +18% | 3.65 | +42% | -2% | 0 | 10 | 3.3 | 0 | 54 | - | 5 | Chance, Don | $5.1M | $2.3M | 44.1% | 265678 | ||||
| Barnes-Jewish Extended Care |
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. | Saint Louis | 120 | 50.1% | -25% | 4.82 | -48% | +29% | 0 | 25 | 5.0 | 0 | 69 | - | - | Barnes Jewish Hospital | $21.1M | $5.9M | 28% | 265439 | ||||
| Good Shepherd Care Community | - |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Concordia | 20 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 38 | Good Shepherd Nursing Home District | - | - | - | - |
| Abbey Senior Health | - |
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. | O'fallon | 10 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | Mount Carmel Communities - O'fallon, Llc | - | - | - | - |
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8.0 miles from city center
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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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
169
Employees
96
Contractors
73
Staff to resident ratio
2.45:1
43% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
63
Average shift
8.1 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
46,348
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
58
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
36.6%
16,961 contractor hours this quarter
Licensed Practical Nurse: 26
Certified Nursing Assistant: 15
Respiratory Therapy Technician: 7
Physical Therapy Aide: 6
Speech Language Pathologist: 6
Physical Therapy Assistant: 5
Qualified Social Worker: 4
Occupational Therapy Assistant: 1
Therapeutic Recreation Specialist: 1
Nurse Practitioner: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 43 | 15 | 58 | 12,898 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 14 | 26 | 40 | 12,676 | 91 | 100% | 9.8 |
| Registered Nurse | 7 | 0 | 7 | 2,680 | 91 | 100% | 8.9 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,640 | 65 | 71% | 8 |
| RN Director of Nursing | 7 | 0 | 7 | 2,410 | 77 | 85% | 7.6 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 2,047 | 84 | 92% | 7.3 |
| Qualified Activities Professional | 8 | 0 | 8 | 1,720 | 90 | 99% | 7.6 |
| Physical Therapy Assistant | 0 | 5 | 5 | 1,562 | 88 | 97% | 8 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,462 | 67 | 74% | 8.2 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,087 | 90 | 99% | 6 |
| Qualified Social Worker | 0 | 4 | 4 | 972 | 70 | 77% | 6.8 |
| Medication Aide/Technician | 4 | 0 | 4 | 878 | 43 | 47% | 7.7 |
| Speech Language Pathologist | 0 | 6 | 6 | 719 | 81 | 89% | 6 |
| Dietitian | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 503 | 65 | 71% | 7.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 481 | 63 | 69% | 7.6 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 1 | 2 | 407 | 50 | 55% | 8.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 144 | 20 | 22% | 7.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 79 | 66 | 73% | 1.2 |
58 Certified Nursing Assistant
% of Days
100%
40 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
100%
6 Clinical Nurse Specialist
% of Days
71%
7 RN Director of Nursing
% of Days
85%
7 Respiratory Therapy Technician
% of Days
92%
8 Qualified Activities Professional
% of Days
99%
5 Physical Therapy Assistant
% of Days
97%
3 Mental Health Service Worker
% of Days
74%
6 Physical Therapy Aide
% of Days
99%
4 Qualified Social Worker
% of Days
77%
4 Medication Aide/Technician
% of Days
47%
6 Speech Language Pathologist
% of Days
89%
1 Dietitian
% of Days
70%
1 Therapeutic Recreation Specialist
% of Days
71%
1 Other Dietary Services Staff
% of Days
69%
1 Administrator
% of Days
65%
2 Nurse Practitioner
% of Days
55%
1 Occupational Therapy Aide
% of Days
22%
1 Occupational Therapy Assistant
% of Days
73%
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.
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.
0.0
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 Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
32% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.3%
27% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.2%
Percent of long-stay residents who received an antipsychotic medication
18.2%
17% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.6%
18% worse than Missouri averageMissouri average: 85.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
28.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
28.4%
57% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
55% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.4%
24% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Barnes-Jewish Extended Care based on CMS SNF Cost Reports.
Occupancy Rate
50.1%
↑ 11.6pp vs 2022
Net Income
-$800.0K
↑ ~$1.7M vs 2022
Total Payroll
$10.1M
↑ ~$2.0M vs 2022
Profit Margin
-3.8%
↑ 12.1pp vs 2022
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