Nazareth Living Center

Nursing Home, Assisted Living, Independent Living, Memory Care & Respite Care · Saint Louis, MO

CMS overall rating

Nazareth Living Center

Nursing Home, Assisted Living, Independent Living, Memory Care & Respite Care · Saint Louis, MO

CMS overall rating

2 Nazareth Ln, Saint Louis, MO 63129-7600 View map

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Nazareth Living Center accepts Medicare, Medicaid, and private pay.

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Nazareth Living Center accepts Medicare, Medicaid, and private pay.

Overview of Nazareth Living Center

Nazareth Living Center is a 235-bed skilled nursing and assisted living community in Saint Louis, Missouri, offering skilled nursing, assisted living, memory care, respite care, and short-term rehabilitation, with 24-hour staffing across all units. It is operated by the Sisters of St. Joseph of Carondelet St. Louis Province, a nonprofit that has run the facility since 1987.

The facility carries a 2-star overall CMS rating, driven by Health Inspection and Quality Measures scores that are both roughly 30% below the Missouri average. Across 10 inspections since 2020, the facility recorded 51 deficiencies — 46% above the state average. The March 2025 routine survey identified 17 deficiencies, including a 38.71% medication error rate and infection control failures. The July 2025 complaint investigation was substantiated for financial exploitation of a resident, wound-care failures that led to a hospital transfer, and controlled-substance record discrepancies. CMS imposed a $12,000 civil money penalty in October 2023 and a four-day payment denial in March 2025.

Total nursing hours average 4 hours per resident per day, roughly 5% above the Missouri average, though RN-specific hours are 43% below state benchmarks. The facility’s occupancy rate is 40%, compared with Missouri’s average of 66.6%, reflecting current availability across most care levels. The community is part of a continuing care retirement community campus and maintains active resident and family councils; religious services and a full calendar of social and spiritual activities are available on-site.

With a 46-day average length of stay and a payer mix that is 72% private pay, the facility is structured primarily for short-term post-acute and rehabilitative stays in Saint Louis County. However, families considering Nazareth Living Center should also carefully review its recent inspection findings, medication error history, and substantiated complaint investigations before making a placement decision.

Facility Direct Line (314) 487-3950

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 0m per day

vs avg

2 of 6 metrics below state avg

Standout metric Physical Therapist is +79% above state avg

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.	16m per day	▼ 43% 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 6m per day	▲ 60% 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 23m per day	▲ 3% 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 23m per day	▲ 11% 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.	4m per day	▲ 79% 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.	8m per day	▼ 61% State avg: 20m per day · National avg: 28m per day

Capacity and availability

46 days

235-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

39 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 29 / 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.
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About this community

Occupancy

Occupancy rate

40%

Lower than the Missouri average: 66.6%

Occupied beds

93 / 235

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility, Alf**

StatusActive

IssuanceSeptember 10, 2024

ExpirationSeptember 9, 2026

CountySaint Louis County

License Number052138, 052990

CMS Certification Number265636

Certification TypeMedicare / Medicaid

Nazareth Living Center is legally operated by Nazareth Living Center, and administered by Joseph Vanhooser.

Corporate EntityNAZARETH LIVING CENTER

Owner NameNazareth Living Center

Skilled Nursing Facility

121 units

ALF**

114 units

Total beds

235 units

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Activities

Religious Services

IL$2,485 per month

AL$6,030 per month

MC$5,250 per month

SN$336 (semi-private) per month

SN$413 (private) per month

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2018 · 8 years of data 100 deficiencies 22 inspections

Inspection Scorecard 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

Latest Inspection January 8, 2026 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	100	35	This facility has 186% more total deficiencies than a typical Missouri assisted living residence (100 vs. MO avg 35).↑ 186% worse
Deficiencies per year Average deficiencies per year since 2018.	12.5	4.4	This facility has 184% more deficiencies per year than a typical Missouri assisted living residence (12.5 vs. MO avg 4.4).↑ 184% worse
Deficiencies per inspection Average deficiencies per inspection.	4.5	5	This facility has 10% fewer deficiencies per inspection than a typical Missouri assisted living residence (4.5 vs. MO avg 5).↓ 10% better

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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

January 8, 2026 complaint investigation found failure to administer ordered treatments and medications for two residents, with no documentation or notification to nursing leadership or physicians.
December 16, 2025 complaint investigation substantiated a resident injury during transport due to failure to secure wheelchair straps and violation of facility transport policy.
November 17, 2025 annual inspection cited delayed reporting and documentation of a resident’s head injury, causing delayed assessment and communication with family and physician.

Show Inspection Reports

Inspections since 2020

Total health inspections 7

State average N/A

Last Health inspection on Nov 2025

Total health citations

State average N/A

Citations per inspection

6.71

State average N/A

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

38 of 47 citations resulted from standard inspections; 7 of 47 resulted from complaint investigations; and 2 of 47 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 6 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

3 serious citations State average: N/A

42 moderate citations State average: N/A

2 minor citations State average: N/A

Citations history (last 6 years)

Quality of Care moderate citation Nov 17, 2025

Corrected

Abuse/Neglect moderate citation Jul 29, 2025

Corrected

Pharmacy moderate citation Jul 29, 2025

Corrected

Quality of Care serious citation Jul 29, 2025

Corrected

Top deficiency categories

Quality of Life & Care 15 deficiencies (32%)

Pharmacy Services 14 deficiencies (30%)

Infection Control 3 deficiencies (6%)

Resident Rights 3 deficiencies (6%)

Abuse, Neglect & Exploitation 3 deficiencies (6%)

Administration 1 deficiency (2%)

Environmental 1 deficiency (2%)

Total staff 503

Employees 95

Contractors 408

Staff to resident ratio 5.41 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 57

Average shift 7.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 39,858

Nursing staff breakdown

7.1 hours

120

7.7 hours

259

7.6 hours

Contractor staffing

17,435 contractor hours this quarter

Certified Nursing Assistant: 217 Licensed Practical Nurse: 97 Medication Aide/Technician: 35 Registered Nurse: 30 Physical Therapy Assistant: 7 Physical Therapy Aide: 7 Respiratory Therapy Technician: 6 Speech Language Pathologist: 4 Qualified Social Worker: 2 Administrator: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	42	217	259	16,816	92	100%	7.6
Licensed Practical Nurse	23	97	120	8,952	92	100%	7.7
Medication Aide/Technician	11	35	46	3,577	92	100%	8.7
Other Dietary Services Staff	6	0	6	1,315	68	74%	7.4
Registered Nurse	3	30	33	1,246	88	96%	7.1
Physical Therapy Aide	0	7	7	1,043	72	78%	7
Dental Services Staff	2	0	2	1,000	68	74%	8.4
Speech Language Pathologist	0	4	4	979	81	88%	7.4
Physical Therapy Assistant	0	7	7	758	68	74%	6.4
Dietitian	2	0	2	634	62	67%	7.7
Administrator	1	1	2	624	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
Respiratory Therapy Technician	0	6	6	512	69	75%	7.2
Clinical Nurse Specialist	2	0	2	488	60	65%	8
Occupational Therapy Aide	1	0	1	482	50	54%	9.6
RN Director of Nursing	1	0	1	435	54	59%	8.1
Qualified Social Worker	0	2	2	398	60	65%	6.6
Occupational Therapy Assistant	0	1	1	40	9	10%	4.4
Medical Director	0	1	1	30	11	12%	2.7

259 Certified Nursing Assistant

% of Days 100%

120 Licensed Practical Nurse

% of Days 100%

46 Medication Aide/Technician

% of Days 100%

6 Other Dietary Services Staff

% of Days 74%

33 Registered Nurse

% of Days 96%

7 Physical Therapy Aide

% of Days 78%

2 Dental Services Staff

% of Days 74%

4 Speech Language Pathologist

% of Days 88%

7 Physical Therapy Assistant

% of Days 74%

2 Dietitian

% of Days 67%

2 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 72%

6 Respiratory Therapy Technician

% of Days 75%

2 Clinical Nurse Specialist

% of Days 65%

1 Occupational Therapy Aide

% of Days 54%

1 RN Director of Nursing

% of Days 59%

2 Qualified Social Worker

% of Days 65%

1 Occupational Therapy Assistant

% of Days 10%

1 Medical Director

% of Days 12%

View All Staffing Data

Total fines amount $39K

47% lower than State average

State average: $73K

Number of fines 2

18% fewer fines than State average

State average: 2.4

Payment Denials 1

45% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $39K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Payment Denial Mar 14, 2025

4 days

Civil Money Penalty Oct 26, 2023

$12K

Last updated: Jan 2026

High-risk clinical events score 14.3

31% worse than State average

State average: 10.9

Functional decline score 22.9

18% worse than State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 23.0%

16% worse than State average

State average: 19.8%

Walking Ability Worsened 30.8%

50% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 15.0%

17% better than State average

State average: 18.1%

Falls with Major Injury 4.1%

In line with State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 5.1%

In line with State average

State average: 5.0%

Urinary Tract Infection 2.1%

24% better than State average

State average: 2.7%

Lost Too Much Weight 8.4%

50% worse than State average

State average: 5.6%

Depressive Symptoms 0.0%

100% better than State average

State average: 12.8%

Antipsychotic Use 26.4%

20% worse than State average

State average: 22.0%

Pneumococcal Vaccine 63.8%

25% worse than State average

State average: 85.2%

Influenza Vaccine 91.4%

In line with State average

State average: 90.9%

Hospitalizations per 1,000 days 2.02

In line with State average

State average: 2.08

ED visits per 1,000 days 1.14

51% better than State average

State average: 2.35

Short-stay resident measures

Average State avg: 2.1

Pneumococcal Vaccine 86.1%

29% better than State average

State average: 66.6%

Antipsychotic medication increase 1.5%

33% better than State average

State average: 2.2%

Influenza Vaccine 90.6%

43% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 34.9%

38% worse than State average

State average: 25.3%

Emergency department visits 14.4%

7% worse than State average

State average: 13.4%

Falls with major injury 1.3%

64% worse than State average

State average: 0.8%

Ability to care for self at discharge 57.6%

7% better than State average

State average: 53.7%

Successful return to home or community 57.6%

14% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

25% of new residents, usually for short-term rehab.

Typical stay 21 days

Private pay

72% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

3% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Total residents 93

Medicare

24.7% of residents

Medicaid

34.4% of residents

Private pay or other

40.9% of residents

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

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

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.

Financial Trends

Historical financial and operational data for Nazareth Living Center from 2012–2024, based on CMS SNF Cost Reports.

Occupancy Rate 39.5% ↓ 35.3pp vs 2023

Net Patient Income -$14.0M ↓ ~$850.2K vs 2023

Payroll Costs $6.5M ↑ ~$684.4K vs 2023

Operating Margin -113.9% ↓ 1.1pp vs 2023

Financial Performance

Net patient revenue Operating expenses Net patient income

Salaries Wage Costs Contract Labor

Medicare Medicaid Private Pay/Other

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	89.8%	87.9%	89.0%	90.0%	82.7%	79.6%	89.2%	91.1%	83.6%	67.5%	78.9%	74.8%	39.5%
Beds	140	140	136	136	128	121	121	121	121	121	121	121	235
Net Income	$298,948	$160,511	-$53,437	$945,517	-$418,568	-$4,426,847	-$2,119,880	$144,024	$1,067,711	$146,969	-$832,478	-$508,458	-$453,133
Gross Revenue	$17,360,155	$13,399,000	$13,508,378	$13,574,420	$12,505,785	$12,861,945	$14,044,954	$14,175,536	$12,840,377	$11,413,122	$14,045,767	$14,765,126	$15,922,313
Operating Expenses	$15,153,603	$15,202,393	$17,215,573	$16,405,899	$16,677,234	$20,645,768	$19,124,339	$19,623,297	$22,240,345	$20,460,486	$23,412,446	$24,776,270	$26,256,983
Net Patient Income	$40,291	-$3,859,623	-$5,809,348	-$5,052,290	-$6,303,604	-$10,350,623	-$8,027,779	-$8,150,362	-$10,697,892	-$10,960,139	-$11,702,101	-$13,133,873	-$13,984,060
Net Patient Revenue	$15,193,894	$11,342,770	$11,406,225	$11,353,609	$10,373,630	$10,295,145	$11,096,560	$11,472,935	$11,542,453	$9,500,347	$11,710,345	$11,642,397	$12,272,923
Payroll Costs	$7,438,112	$7,429,099	$7,610,901	$6,783,501	$6,705,098	$6,565,177	$6,139,942	$6,103,100	$6,263,795	$4,929,101	$5,513,268	$5,814,491	$6,498,934
Operating Margin %	0.3%	-34.0%	-50.9%	-44.5%	-60.8%	-100.5%	-72.3%	-71.0%	-92.7%	-115.4%	-99.9%	-112.8%	-113.9%
Medicare %	11.4%	10.3%	9.4%	9.1%	6.9%	9.5%	9.5%	8.6%	11.3%	8.8%	14.5%	12.7%	11.4%
Medicaid %	14.5%	14.6%	15.9%	16.8%	20.1%	20.8%	17.1%	18.0%	14.3%	20.1%	19.9%	19.8%	23.3%
Private %	74.2%	75.1%	74.7%	74.1%	73.0%	69.7%	73.3%	73.4%	74.4%	71.1%	65.7%	67.5%	65.4%
Net Patient Revenue/Day	$330	$253	$253	$254	$254	$290	$282	$285	$312	$319	$336	$352	$361
Cost/Day	$329	$338	$382	$367	$409	$581	$485	$488	$601	$687	$672	$750	$773
Avg Length of Stay	39.0 days	44.1 days	47.6 days	34.2 days	37.0 days	37.4 days	53.9 days	96.7 days	73.1 days	63.4 days	45.4 days	68.1 days	45.8 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$12.3M

Net patient income

-$14.0M

Nonprofit Nonprofit Corporation

Net patient revenue

$12.3M

Net patient income

-$14.0M

Other income

$13.7M

Payroll costs

$6.5M 53% of net patient revenue

Other operating costs

$19.8M

Total costs

$26.3M

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 (72% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 25%

Private pay 72%

Medicaid 3%

Coverage residents most often leave under.

Medicare 19%

Private pay 77%

Medicaid 4%

Living Spaces & Floor Plans for Nazareth Living Center

Studio

1 Bedroom

2 bedroom

2 Nazareth Ln, Saint Louis, MO 63129-7600

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


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Nursing Home Explorer

What neighborhood is Nazareth Living Center in?

Nazareth Living Center is in the USA neighborhood of SAINT LOUIS.

Is Nazareth Living Center in a walkable area?

Nazareth Living Center has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Nazareth Living Center?

According to MO state health department records, Nazareth Living Center's license number is 052138, 052990.

When does Nazareth Living Center's license expire?

According to MO state health department records, Nazareth Living Center's license expires on September 9, 2026.

What is the occupancy rate at Nazareth Living Center?

Nazareth Living Center's occupancy is 40%.

Does Nazareth Living Center have different floorplan options?

Yes — see the floorplan options available at Nazareth Living Center on this page.

Does Nazareth Living Center operate as a for-profit or non-profit?

Nazareth Living Center is registered as a non-profit in MO.

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Nazareth Living Center

Overview of Nazareth Living Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Pricing & Financial Information

Contact Nazareth Living Center

Inspection History

Inspection Scorecard 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 Deficiencies are formal regulatory issues recorded during state inspections.

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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2020

Breakdown of citation severity (last 6 years)

Citations history (last 6 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

259 Certified Nursing Assistant

120 Licensed Practical Nurse

46 Medication Aide/Technician

6 Other Dietary Services Staff

33 Registered Nurse

7 Physical Therapy Aide

2 Dental Services Staff

4 Speech Language Pathologist

7 Physical Therapy Assistant

2 Dietitian

2 Administrator

1 Nurse Practitioner

6 Respiratory Therapy Technician

2 Clinical Nurse Specialist

1 Occupational Therapy Aide

1 RN Director of Nursing

2 Qualified Social Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

CCRC

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Living Spaces & Floor Plans for Nazareth Living Center

Studio

1 Bedroom