Best Nursing Homes in Chesterfield, MO

Why trust this guide? Our editorial team analyzed 5 nursing homes in Chesterfield, MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
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We analyzed These are the facilities in Chesterfield, MO our team has analyzed — not a count of every nursing home provider in Chesterfield, MO.
5 homes
Other senior care options in Chesterfield:
Avg Overall CMS Rating: 3.3/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Chesterfield, MO. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.3/ 5The average Staffing Rating across all CMS-certified nursing homes in Chesterfield, MO. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 3.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Chesterfield, MO. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Chesterfield

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Garden View Care Center of Chesterfield
NH
AL
HOS
MC
RC
SNF
Chesterfield (Lucas Pond)
52
Facility 52
MO AVG 96
Rank #380 / 450
88.7%
Facility 88.7%
MO AVG 66.5
Rank #44 / 407
+33%
5.98
Facility 5.98
MO AVG 3.74
Rank #5 / 268
+21%+60%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
20
Facility 20
MO AVG 36.5
Rank #70 / 274
4.0
Facility 4.0
MO AVG 5.7
Rank #71 / 274
-46-
19
Facility 19
MO AVG 46
Rank #453 / 545
Jodi Luaders
$8.1MFiscal year ending 05/2024
Facility $8.1MFiscal year ending 05/2024
MO AVG $7.4M
Rank #73 / 251
$4.2MFiscal year ending 05/2024
Facility $4.2MFiscal year ending 05/2024
MO AVG $3.9M
Rank #72 / 251
52.6%Fiscal year ending 05/2024
Facility 52.6%Fiscal year ending 05/2024
MO AVG 54.9%
Rank #139 / 251
265627
Surrey Place St Luke’s Hospital Skilled Nursing
NH
SNF
Chesterfield
130
Facility 130
MO AVG 96
Rank #75 / 450
--
4.82
Facility 4.82
MO AVG 3.74
Rank #31 / 268
+127%+29%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
16
Facility 16
MO AVG 36.5
Rank #51 / 274
4.0
Facility 4.0
MO AVG 5.7
Rank #71 / 274
-159-
39
Facility 39
MO AVG 46
Rank #326 / 545
St Lukes Episcopal Presbyterian Hospital---265414
Delmar Gardens of Chesterfield
NH
AL
IL
MC
RC
SNF
Chesterfield (Walnut Hill Plaza)
237
Facility 237
MO AVG 96
Rank #5 / 450
76.4%
Facility 76.4%
MO AVG 66.5
Rank #136 / 407
+15%
4.10
Facility 4.10
MO AVG 3.74
Rank #77 / 268
-62%+10%
$17.2k
Facility $17.2k
MO AVG $76.9k
Rank #188 / 276
42
Facility 42
MO AVG 36.5
Rank #187 / 274
8.4
Facility 8.4
MO AVG 5.7
Rank #247 / 274
1173-
36
Facility 36
MO AVG 46
Rank #347 / 545
Kavitha Nallabelli
$20.8MFiscal year ending 03/2024
Facility $20.8MFiscal year ending 03/2024
MO AVG $7.4M
Rank #5 / 251
$11.0MFiscal year ending 03/2024
Facility $11.0MFiscal year ending 03/2024
MO AVG $3.9M
Rank #6 / 251
53.1%Fiscal year ending 03/2024
Facility 53.1%Fiscal year ending 03/2024
MO AVG 54.9%
Rank #134 / 251
265170
The Westchester House
NH
SNF
Chesterfield (Leesburg Pike)
159
Facility 159
MO AVG 96
Rank #42 / 450
56.7%
Facility 56.7%
MO AVG 66.5
Rank #292 / 407
-15%
3.49
Facility 3.49
MO AVG 3.74
Rank #153 / 268
+46%-7%
$83.8k
Facility $83.8k
MO AVG $76.9k
Rank #244 / 276
66
Facility 66
MO AVG 36.5
Rank #251 / 274
7.3
Facility 7.3
MO AVG 5.7
Rank #226 / 274
690-
12
Facility 12
MO AVG 46
Rank #487 / 545
Robert Bachiel
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
MO AVG $7.4M
Rank #98 / 251
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #94 / 251
56.1%Fiscal year ending 12/2023
Facility 56.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #101 / 251
265338

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 5 analyzed for Chesterfield.

Overview of Garden View Care Center of Chesterfield

Garden View Care Center of Chesterfield is a nursing home in Chesterfield, MO, offering comprehensive care options, including assisted living, memory care, respite care, hospice care, and skilled nursing. Promoting a nurturing and inviting environment, the community ensures older adults are well-cared for. Exceptional services, including 24-hour care, restaurant-style dining, and therapies, are also provided to improve residents’ quality of life. The community also develops individualized care plans to meet residents’ unique needs and preferences, ensuring they can recover with ease.

Arts and crafts, fitness programs, and events encourage residents to make friends and focus on their well-being. Raised garden beds and paved walking paths also ensure residents can relax and move around safely. Set in the tree-lined neighborhood of Chesterfield, near Faust Historic Village, the community guarantees accessibility. This nursing home has high standards of care and a clean setting, making it a great choice for senior living in Missouri.

Contact Garden View Care Center of Chesterfield

Overview of Surrey Place St Luke’s Hospital Skilled Nursing

Surrey Place St. Luke’s Hospital Skilled Nursing is a 130-bed skilled nursing facility at 14701 Olive Blvd, Chesterfield, Missouri, in St. Louis County, operated by St. Luke’s Episcopal-Presbyterian Hospital and administered by Tracy Imhoff.

The facility accepts Medicare, Medicaid, and private-pay residents and holds CMS certification number 265414.

A serious medication error occurred during a September 11, 2024 complaint investigation. This deficiency was cited as a failure to ensure residents were free from significant medication errors and resulted in a moderate citation marked as corrected. Prior to this incident, an August 1, 2024 health inspection found deficiencies in infection control and in the absence of a water system management program to prevent Legionella growth. A December 2022 inspection documented failure to assist a resident with grooming and personal hygiene.

RNs provide 1 hour 50 minutes per resident daily (293% above Missouri’s 28-minute state average); LPNs deliver 1 hour 10 minutes daily (71% above state average); CNAs provide 2 hours 24 minutes daily (4% above state average). Weekend nursing totals 4 hours 29 minutes per resident per day, 47% above the Missouri state average. Physical therapy staffing is unusually comprehensive at 17 minutes per resident daily (751% above state average). RN weekend coverage specifically is 1 hour 6 minutes daily, 230% above state average.

Long-stay residents experienced zero falls with major injury (100% better than state baseline), zero urinary tract infections (100% better), and pneumococcal vaccination rates of 100% (17% better than state). Functional decline for long-stay residents is 1.7 (91% better than state). However, two quality metrics are concerning: long-stay residents with pressure ulcers stand at 9.1% (81% worse than Missouri’s 5% average), and weight loss in long-stay residents is documented at 25% (349% worse than Missouri’s 5.6% baseline). Short-stay re-hospitalization is 27.5% (9% worse than state average of 25.3%), and ability to care for self at discharge is 40.3% (25% worse than state’s 53.7%).

The CMS overall rating is 3 stars (14.1% above state average). Health Inspection rating is 2 stars (31% below state average). Staffing receives 5 stars (131.5% above state average). Quality Measures are rated 4 stars (43.4% above state average).

The facility received designation as Best Nursing Home 2026 by U.S. News and World Report and America’s Best Nursing Homes 2025 by Newsweek.

Inspection history since 2019 includes four health inspections with 16 total citations (4 citations per inspection, compared to Missouri average of 5.67). Zero citations are critical or serious severity. Of 16 citations, 15 are moderate and 1 is minor. No federal penalties have been imposed in the past three years.

Current occupancy is approximately 62% (80 residents in 130 beds). The facility is located less than 3 miles from St. Luke’s Hospital. Walk score is 39, indicating the neighborhood is somewhat walkable with most trips requiring transportation.

Families should ask about corrective measures implemented following the September 2024 medication allergy management failure, specifically regarding how the facility now documents allergy severity.

Contact Surrey Place St Luke’s Hospital Skilled Nursing

Overview of Delmar Gardens of Chesterfield

Delmar Gardens of Chesterfield is a nursing home in Chesterfield, MO, offering memory care, rehabilitation, and skilled nursing. Fostering comfort and healing, the community has thoughtfully furnished amenities in a supportive and home-like environment. Residents can also experience maintenance-free living with 24-hour care, dietitian-planned meals, and therapies. Through personalized care plans, residents receive the utmost attention and care tailored to their unique needs and habits.

Social events, sensory-stimulating activities, and dance classes help enhance residents’ cognition and maintain their holistic well-being. A dining room, a spacious activity room, and a beauty salon are among the state-of-the-art amenities dedicated to residents’ relaxation and wellness. Situated along Blues Highway, near bus stops in the quiet neighborhood of Chesterfield, the community guarantees accessibility. This nursing home is a great choice for senior living in Missouri, especially with its comprehensive care options.

Contact Delmar Gardens of Chesterfield

Overview of The Westchester House

The Westchester House is a nursing home in Chesterfield, MO, offering rehabilitation and skilled nursing. Here, older adults experience a comfortable stay, especially with a nurturing and home-like environment. With 24-hour care, social services, and well-balanced meals, residents receive the utmost attention and care. The community also goes above and beyond to provide the best possible care tailored to residents’ unique needs and habits, ensuring their recovery.

Fitness exercises, games, and social events provide residents with more opportunities to learn new hobbies and gain meaningful experiences. A lively dining room, top-notch rehabilitation equipment, and cozy outdoors also ensure residents can rest and interact with their surroundings. Residents also have convenient access to their necessities and leisure, as St. Luke’s Hospital, Green Trails Lake, and bus stops are available in the area. This nursing home has high standards of care, making it one of the best choices for senior living in Missouri.

Contact The Westchester House

Garden View Care Center

1025 Chesterfield Pointe Pkwy, Chesterfield, MO 63017
Overview of Garden View Care Center

Garden View Care Center, located in Chesterfield, MO, is a healthcare facility offering a wide range of services; from skilled nursing, memory care, assisted living, rehabilitation services, respite care, and hospice care. Their skilled nursing services, also offered in long-term care, provides residents with 24/7 skilled nursing care by trained individuals such as registered nurses (RNs) and physical, speech, and occupational therapists.
Additionally, they also provide residents other medical services according to their needs including wound care, terminal illness care, rehabilitation, and stroke recovery care. Long-term care residents also enjoy a variety of amenities designed to create a more comfortable stay. Their farm to table menu is chef prepared and provides the perfect balance of deliciousness and nutrition. Furthermore, personal laundry services are also offered, as an added convenience, ensuring that the residents need only to focus on getting better.

Contact Garden View Care Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Chesterfield, MO

What's the difference between assisted living and a nursing home in Missouri?

Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Missouri Medicaid cover nursing home care?

Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 5 nursing homes in Chesterfield, MO. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Chesterfield, MO?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Chesterfield, MO, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Chesterfield, MO?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.