Aspen Point Health and Rehabilitation
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Saint Charles, MO
ALM Inspection Grade D- Info ALM's inspection grade is 60 / 100, a D- — 23 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.

Aspen Point Health and Rehabilitation

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Saint Charles, MO
ALM Inspection Grade D- Info ALM's inspection grade is 60 / 100, a D- — 23 points below the Missouri average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
Aspen Point Health and Rehabilitation accepts Medicare, Medicaid, and private pay.
Aspen Point Health and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Aspen Point Health and Rehabilitation

Aspen Point Health and Rehabilitation provides nursing home and skilled nursing care in Saint Charles, MO, along with hospice, palliative, and respite care. Nursing home and skilled nursing services provide residential support with licensed nursing care for residents who need ongoing medical oversight. Hospice and palliative care focus on comfort and symptom management, while respite care offers a short stay when a usual caregiver needs to travel or recover.

Rehabilitation and therapy services are also available. Residents can receive recovery focused support within the community rather than arranging those services separately. Aspen Point has 180 beds, making it a larger community with more residents, staff, and usually more programming than a smaller home.

Total nurse staffing is 2h 30m per resident per day, describing the daily hands on nursing time available to each resident. Medicare, Medicaid, and private pay are accepted. Lindsey Keener serves as the administrator, and Clay Street Healthcare operates the community. The range of ongoing nursing, comfort focused, and short term services may suit a resident whose care needs or caregiver circumstances may change over time.

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.
▼ 23.8% Below MO avg. ▼ 23.8% Below MO avg.MO average: 2.6Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 64.6% Below MO avg. ▼ 64.6% Below MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 54.5% Below MO avg. ▼ 54.5% Below MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 70.1% Above MO avg. ▲ 70.1% Above MO avg.MO average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).

Total nursing care per resident / day Info This nursing home is ranked 221st out of 267 nursing homes we track in Missouri for nurse hours. 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.
↓ 31% · MO 3h 38mThis facility: 2h 30m per resident per day, 31% below the Missouri average of 3h 38m (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #221 / 267Nurse hours — State benchmarked This nursing home is ranked 221st out of 267 nursing homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 267 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
2h 30m

Standout metric: Physical therapist is +160% above Missouri average

3 of 6 metrics below Missouri average

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 Assistant450456,10892100%7.6
Licensed Practical Nurse210213,62592100%8.5
Registered Nurse190192,87592100%8
Medication Aide/Technician170172,0268997%8.5
Physical Therapy Assistant4156996773%7
Respiratory Therapy Technician1346016773%7.4
Dietitian4045266470%7.5
Administrator2025126470%8
Qualified Social Worker2024796368%7.6
Physical Therapy Aide3034515459%7.9
Nurse Practitioner2023484448%7.9
Mental Health Service Worker2022642527%8
Other Dietary Services Staff2022494650%5.4
Occupational Therapy Aide101421921%2.2
Medical Director01127910%3
Occupational Therapy Assistant0111744%4.3
RN Director of Nursing101811%8.3
45 Certified Nursing Assistant
Coverage 100%
21 Licensed Practical Nurse
Coverage 100%
19 Registered Nurse
Coverage 100%
17 Medication Aide/Technician
Coverage 97%
By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 180 Rank #23 / 288Bed count — State benchmarked This nursing home is ranked 23rd out of 288 nursing homes we track in Missouri for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management. Rank #78 / 167Years in operation — State benchmarked This nursing home is ranked 78th out of 167 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1 year
Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #23 / 296Walk Score — State benchmarked This nursing home is ranked 23rd out of 296 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
87 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #266 / 272Occupancy rate — State benchmarked This nursing home is ranked 266th out of 272 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 272. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
34.4% This home usually has availability

Based on 62 residents and 180 beds. Source: CMS Provider Information, average daily residents

Lower than the Missouri average: 67.8%
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.
158 days

About This Community

License Details

Facility TypeSkilled Nursing Facility
StatusActive
IssuanceJanuary 1, 2025
ExpirationDecember 31, 2026
CountySaint Charles
License Number052379
Certification TypeMedicare / Medicaid

Certifications & Programs

Wound Care Certified NurseA specialty credential or certification held by the community or its staff, indicating training or standards beyond basic state licensure.

Ownership & Operating Entity

Aspen Point Health and Rehabilitation is legally operated by Clay Street Healthcare LLC, and administered by Lindsey Keener.

Corporate EntityCLAY STREET HEALTHCARE LLC
Owner NameClay Street Healthcare LLC

Type Of Units

Skilled Nursing Facility
180 units
Total beds
180 units

Safety & Compliance

Resident Council

Therapy & Rehabilitation

6 services
Respiratory Therapy
Contracture Management
Personalized Rehabilitation Planning
Physical Therapy
Speech Therapy
Occupational Therapy

Staffing & Medical

2 services
Fiberoptic Endoscopic Evaluation of Swallowing (FEES)
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Refreshed Living Areas
Volunteer Program

Contact Aspen Point Health and Rehabilitation

Inspections

CMS Health Inspection History

Since 2023 · 3 years of data · Last health inspection Feb 2026

ALM Inspection Grade

60 / 100 Calculated from CMS inspection data for this community's nursing-home beds
How it compares

23 points below the Missouri average for CMS-certified facilities (83/100)

Category breakdown

Citations Concern

317 severity-weighted points (74 deficiencies) · 4× higher than the typical CMS-certified MO facility (median: 89)

Enforcement Concern

$340,683 in fines · 8 enforcement actions

Persistence Concern

45 days to fix issues · slower than the typical CMS-certified MO facility (median: 42)

Inspection grade: 60 out of 100, letter grade D-.
Total health inspections
15 ↑ 127% · MO 6.6This facility: 15, 127% above the Missouri average of 6.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
74 Rank #261 / 274Health citations — State benchmarked This nursing home is ranked 261st out of 274 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 105% · MO 36.1This facility: 74, 105% above the Missouri average of 36.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.93 Rank #124 / 274Citations per inspection — State benchmarked This nursing home is ranked 124th out of 274 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 12% · MO 5.6This facility: 4.93, 12% below the Missouri average of 5.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected 74 of 74 citations corrected
Bar = mix of this home's 74 citations, not a state comparison

Lighter shade = corrected

Critical J–L
7 ↑ 1067% · MO 0.6This facility: 7, 1067% above the Missouri average of 0.6 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious G–I
13 ↑ 1082% · MO 1.1This facility: 13, 1082% above the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate D–F
54 ↑ 62% · MO 33.3This facility: 54, 62% above the Missouri average of 33.3 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor A–C
0 ↓ 100% · MO 1.1This facility: 0, 100% below the Missouri average of 1.1 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk

Latest inspection: Feb 11, 2026 · 3 citations, all corrected

Most cited category: Quality of Life & Care, 20 of 74 citations · 10 categories in total

Citations history
Most recent first
Feb 11, 2026 3 citations
Infection Control moderate citation Corrected
Pharmacy moderate citation Corrected
Pharmacy moderate citation Corrected
Aug 14, 2025 2 citations
Infection Control moderate citation Corrected
Resident Rights moderate citation Corrected
Feb 27, 2025 7 citations
Infection Control moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care serious citation Corrected
Care Planning moderate citation Corrected
Care Planning moderate citation Corrected
Resident Rights moderate citation Corrected
Resident Rights serious citation Corrected
Dec 09, 2024 2 citations
Abuse/Neglect serious citation Corrected
Resident Rights serious citation Corrected
Aug 29, 2024 10 citations
Abuse/Neglect moderate citation Corrected
Abuse/Neglect moderate citation Corrected
Administration moderate citation Corrected
Environmental moderate citation Corrected
Infection Control moderate citation Corrected
Nursing Services critical citation Corrected
Nursing Services moderate citation Corrected
Nutrition moderate citation Corrected
Quality of Care critical citation Corrected
Resident Rights moderate citation Corrected
Jun 05, 2024 1 citation
Quality of Care moderate citation Corrected
May 02, 2024 1 citation
Quality of Care serious citation Corrected
Apr 17, 2024 6 citations
Nursing Services moderate citation Corrected
Nursing Services moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Care Planning moderate citation Corrected
Resident Rights moderate citation Corrected
Feb 23, 2024 9 citations
Abuse/Neglect moderate citation Corrected
Administration moderate citation Corrected
Nursing Services moderate citation Corrected
Nursing Services moderate citation Corrected
Nutrition moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Care Planning moderate citation Corrected
Jan 18, 2024 1 citation
Quality of Care serious citation Corrected
Dec 14, 2023 4 citations
Quality of Care serious citation Corrected
Quality of Care moderate citation Corrected
Resident Rights moderate citation Corrected
Resident Rights moderate citation Corrected
Dec 04, 2023 1 citation
Abuse/Neglect moderate citation Corrected
Nov 09, 2023 3 citations
Infection Control critical citation Corrected
Nursing Services moderate citation Corrected
Quality of Care serious citation Corrected

Showing the 50 most recent of 74 citations.

Top deficiency categories
Share of 74 citations
Quality of Life & Care 20 deficiencies (27%)
Resident Rights 12 deficiencies (16%)
Infection Control 8 deficiencies (11%)
Abuse, Neglect & Exploitation 8 deficiencies (11%)
Nursing & Physician Services 8 deficiencies (11%)
Resident Assessment & Care Planning 6 deficiencies (8%)
Nutrition & Dietary 4 deficiencies (5%)
Pharmacy Services 4 deficiencies (5%)
Administration 3 deficiencies (4%)
Environmental 1 deficiency (1%)
How citations are counted

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

12 of 74 citations resulted from standard inspections; and 62 of 74 resulted from complaint investigations.

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Source

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.

Show Inspection Reports
Enforcement

Penalties and fines About 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 · Data as of Aug 2026

8 penalties in the past 3 years

Latest: Feb 27, 2025 · $44,298 civil money penalty

7 fines · 1 payment denial
Feb 27, 2025 · $44,298 civil money penalty Dec 9, 2024 · $12,012 civil money penalty Aug 29, 2024 · $150,799 civil money penalty Feb 23, 2024 · $110,638 civil money penalty Oct 2, 2023 · $4,587 civil money penalty Sep 25, 2023 · $4,587 civil money penalty Sep 5, 2023 · $13,762 civil money penalty Feb 23, 2024 · 73-day payment denial
Total fines
$340,683 ↑ 319% · MO $81KThis facility: $340,683, 319% above the Missouri average of $81,235. Average among the 220 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #275 / 275Federal fines — State benchmarked This nursing home is ranked 275th out of 275 nursing homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 275 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
7 ↑ 262% · MO 1.93This facility: 7, 262% above the Missouri average of 1.93. Average among the 220 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1 73 days ↑ 43% · MO 0.7This facility: 1, 43% above the Missouri average of 0.7. Average among the 220 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes

Quality of care over time

How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.

Data as of Aug 2026 · CMS Care Compare

Long-stay quality rating Info CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best. 5 / 5 Significantly above average
High-risk clinical events Info Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better. 3.1 Score · lower is better ↓ 69% · MO 9.8This facility: 3.1, 69% below the MO average of 9.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Functional decline Info Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better. 9.3 Score · lower is better ↓ 48% · MO 17.8This facility: 9.3, 48% below the MO average of 17.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.

13 long-stay measures: 7 better, 5 worse, 1 near MO average

7 short-stay measures: 2 better, 3 worse, 1 compared with US only, 1 without a benchmark

Financials

Money and staffing.

Aspen Point Health and Rehabilitation’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 267 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.

FY Dec 2024

Is it financially stable?

Losing money on care, but less than last year

−10.8% operating margin

+27.3 pts vs prior year

An operating loss in 4 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$0.8M. Watch for cost-cutting that reaches staffing.

Does it invest in staff?

Payroll in line with Missouri homes

55.8% payroll share of revenue

MO average 54.9%Rank #113 / 267Payroll % of net patient revenue — State benchmarked This nursing home is ranked 113th out of 267 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Payroll fell $1.3M while revenue fell $0.0M. Check hours per resident in the staffing section to confirm it reaches the floor.

Who this home usually serves

Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024 Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Resident snapshot
53 residents · Jun 2026 Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare 2 · 4%
Medicaid 51 · 96%
Private pay & other 0 · 0%
Shows care patterns over time; not used to rate this facility.

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Typical stay

Medicare 26 days Medicaid 5 - 6 months Private pay & other 2 - 3 months

Places of interest near Aspen Point Health and Rehabilitation

Address 0.0 miles from city center Info Estimated distance in miles from Saint Charles's city center to Aspen Point Health and Rehabilitation's address, calculated via Google Maps.

Calculate Travel Distance to Aspen Point Health and Rehabilitation

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Address

Compare Nursing Homes around Creve Coeur

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-ranked to lowest-ranked based on our 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. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative 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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Surrey Place St Luke’s Hospital Skilled Nursing ★ ★ ★ ★ ☆
NH
SNF
Chesterfield
130
Facility 130
MO AVG 110
Rank #63 / 288
A
61.5%
Facility 61.5%
MO AVG 67.8%
Rank #176 / 272
-9%
4.82
Facility 4.82
MO AVG 3.63
Rank #31 / 267
★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ +127%+33%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 275
13
Facility 13
MO AVG 36.1
Rank #37 / 274
3.3
Facility 3.3
MO AVG 5.6
Rank #29 / 274
-80-
39
Facility 39
MO AVG 50
Rank #199 / 296
St Luke's Episcopal-Presbyterian Hospital---265414
Delmar Gardens of O’fallon ★ ★ ★ ☆ ☆
NH
ADC
AL
MC
SNF
O'fallon
240
Facility 240
MO AVG 110
Rank #4 / 288
B-
62.5%
Facility 62.5%
MO AVG 67.8%
Rank #167 / 272
-8%
4.98
Facility 4.98
MO AVG 3.63
Rank #26 / 267
★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -43%+37%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 275
39
Facility 39
MO AVG 36.1
Rank #181 / 274
5.6
Facility 5.6
MO AVG 5.6
Rank #165 / 274
1150-
65
Facility 65
MO AVG 50
Rank #80 / 296
Delmar Gardens Of O'fallon, LLC
$19.3MFiscal year ending 03/2025
Facility $19.3MFiscal year ending 03/2025
MO AVG $8.0M
Rank #6 / 267
$10.9MFiscal year ending 03/2025
Facility $10.9MFiscal year ending 03/2025
MO AVG $4.2M
Rank #8 / 267
56.2%Fiscal year ending 03/2025
Facility 56.2%Fiscal year ending 03/2025
MO AVG 54.9%
Rank #108 / 267
265792
Abbey Senior Health ★ ★ ★ ★ ★
NH
AL
HOS
IL
PC
RC
SNF
O'fallon
65
Facility 65
MO AVG 110
Rank #237 / 288
?
76.9%
Facility 76.9%
MO AVG 67.8%
Rank #70 / 272
+13%
5.11
Facility 5.11
MO AVG 3.63
Rank #23 / 267
★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ -43%+41%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 275
29
Facility 29
MO AVG 36.1
Rank #128 / 274
4.8
Facility 4.8
MO AVG 5.6
Rank #115 / 274
150-
65
Facility 65
MO AVG 50
Rank #80 / 296
Mount Carmel Communities-O'fallon, LLC
$7.6MFiscal year ending 12/2024
Facility $7.6MFiscal year ending 12/2024
MO AVG $8.0M
Rank #104 / 267
$5.3MFiscal year ending 12/2024
Facility $5.3MFiscal year ending 12/2024
MO AVG $4.2M
Rank #57 / 267
70%Fiscal year ending 12/2024
Facility 70%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #20 / 267
265839
Delmar Gardens of Creve Coeur ★ ☆ ☆ ☆ ☆
NH
AL
IL
Creve Coeur
148
Facility 148
MO AVG 110
Rank #50 / 288
?
60.1%
Facility 60.1%
MO AVG 67.8%
Rank #177 / 272
-11%
3.21
Facility 3.21
MO AVG 3.63
Rank #234 / 267
★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -58%-12%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 275
22
Facility 22
MO AVG 36.1
Rank #81 / 274
3.1
Facility 3.1
MO AVG 5.6
Rank #27 / 274
189-
26
Facility 26
MO AVG 50
Rank #252 / 296
Delmar Gardens Of Creve Coeur Operating, LLC
$10.3MFiscal year ending 03/2025
Facility $10.3MFiscal year ending 03/2025
MO AVG $8.0M
Rank #61 / 267
$5.9MFiscal year ending 03/2025
Facility $5.9MFiscal year ending 03/2025
MO AVG $4.2M
Rank #42 / 267
57.5%Fiscal year ending 03/2025
Facility 57.5%Fiscal year ending 03/2025
MO AVG 54.9%
Rank #95 / 267
265343
Aspen Point Health and Rehabilitation ★ ★ ☆ ☆ ☆
NH
HOS
PC
RC
SNF
Saint Charles
180
Facility 180
MO AVG 110
Rank #23 / 288
D-
34.4%
Facility 34.4%
MO AVG 67.8%
Rank #266 / 272
-49%
2.50
Facility 2.50
MO AVG 3.63
Rank #221 / 267
★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ +87%-31%
$340.7k
Facility $340.7k
MO AVG $86.2k
Rank #275 / 275
74
Facility 74
MO AVG 36.1
Rank #261 / 274
4.9
Facility 4.9
MO AVG 5.6
Rank #124 / 274
2062-
87
Facility 87
MO AVG 50
Rank #23 / 296
Clay Street Healthcare LLC
$7.3MFiscal year ending 12/2024
Facility $7.3MFiscal year ending 12/2024
MO AVG $8.0M
Rank #108 / 267
$4.1MFiscal year ending 12/2024
Facility $4.1MFiscal year ending 12/2024
MO AVG $4.2M
Rank #108 / 267
55.8%Fiscal year ending 12/2024
Facility 55.8%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #113 / 267
265118

Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

Financial Assistance for
Nursing Home in Missouri

Aspen Point Health and Rehabilitation is located in SAINT CHARLES, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age —
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Aspen Point Health and Rehabilitation

Who is the owner of Aspen Point Health and Rehabilitation?

Aspen Point Health and Rehabilitation is legally operated by Clay Street Healthcare LLC, and administered by Lindsey Keener.

Is Aspen Point Health and Rehabilitation in a walkable area?

Aspen Point Health and Rehabilitation has a walk score of 87. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Aspen Point Health and Rehabilitation?

According to MO state health department records, Aspen Point Health and Rehabilitation's license number is 052379.

When does Aspen Point Health and Rehabilitation's license expire?

According to MO state health department records, Aspen Point Health and Rehabilitation's license expires on December 31, 2026.

What is the occupancy rate at Aspen Point Health and Rehabilitation?

Aspen Point Health and Rehabilitation's occupancy is 34.4%.

How long has Aspen Point Health and Rehabilitation been in business?

Aspen Point Health and Rehabilitation has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Aspen Point Health and Rehabilitation?

No, Aspen Point Health and Rehabilitation has a no-pet policy.

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