Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.

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Aspen Point Health and Rehabilitation is a 180-bed skilled nursing facility at 2840 West Clay Street, Saint Charles, Saint Charles County, Missouri, operated by Clay Street Healthcare LLC and administered by Lindsey Keener. The privately owned facility accepts Medicare, Medicaid, and private pay. Currently operating at 39.1% occupancy with 56 residents; well below Missouri’s 66.6% average. The facility serves primarily long-term Medicaid residents, with smaller cohorts in short-term rehabilitation and private pay.
The December 9, 2024 complaint investigation is the critical placement consideration. State surveyors documented substantiated verbal abuse with findings of “Actual Harm.” Residents reported staff used profanity and disrespectful language when responding to care needs, with one resident describing being called a “fucking bitch” and ordered to “shut the fuck up” while speaking to family on the phone. Four residents independently reported similar experiences on evening and night shifts, describing how staff language made them feel worthless, less than human, and upset. Both the facility’s Director of Nursing and Administrator conceded this constituted a dignity and verbal abuse violation.
This is the single most recent and most serious finding in the facility’s record.
Certified nursing aides provide 1 hour 43 minutes per resident daily, 26% below Missouri’s 2 hour 19 minute standard. Registered nurses average 33 minutes daily (18% above state), and licensed practical nurses 52 minutes daily (27% above state). Weekend nursing totals 2 hours 38 minutes per resident daily, 13% below state average. Overall staff-to-resident ratio is 1.41 to 1, performing 18% worse than Missouri’s 1.71 to 1 benchmark.
Payroll consumes 71% of revenue.
Quality outcomes for short-stay rehabilitation residents are dramatically below standard. Short-stay falls resulting in major injury occur at 5.9%; nearly seven times Missouri’s 0.8% average. Only 19.1% of short-stay residents achieve expected functional ability at discharge, compared to 53.7% statewide. Short-stay re-hospitalization rates reach 33.3%, 32% worse than state average.
Long-stay residents show elevated depressive symptoms at 77%, nearly five times the 12.8% state rate.
Regulatory violations cluster heavily in 2023 and 2024. Since March 2023, the facility has received 18 inspections (all complaint investigations or health inspections, with no routine survey conducted).
The April 17, 2024 complaint investigation cited six deficiencies covering housekeeping inadequacy, medication administration failures, insufficient ADL care, pressure ulcer management gaps, understaffing, and improper director of nursing deployment. June 5, 2024 revisits the same ADL deficiency as uncorrected.
Total citations since 2024 reach 127; critical (11), serious (17), moderate (96), minor (3), ranking the facility 261st of 261 Missouri SNFs. Federal penalties total $497,000 across 12 fines (the highest in Missouri), with two payment denials (134 days in August 2023, 73 days in February 2024).
The progression from operational deficiencies (housekeeping, medication, staffing, assessments) in early and mid-2024 to substantiated resident abuse in December 2024 reflects a deteriorating operational environment.
Families should verify corrective measures and staff training protocols following the December 2024 verbal abuse finding before any placement decision.
Aspen Point Health and Rehabilitation is legally operated by Clay Street Healthcare Llc, and administrated by Lindsey Keener.
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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
| 310 | 35 | This facility has 786% more total deficiencies than a typical Missouri nursing home (310 vs. MO avg 35).↑ 786% worse |
|
Deficiencies per year
| 103.3 | 11.7 | This facility has 783% more deficiencies per year than a typical Missouri nursing home (103.3 vs. MO avg 11.7).↑ 783% worse |
|
Deficiencies per inspection
| 8.4 | 5 | This facility has 68% more deficiencies per inspection than a typical Missouri nursing home (8.4 vs. MO avg 5).↑ 68% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 37 | 7 | This facility has 429% more total inspections than a typical Missouri nursing home (37 vs. MO avg 7).↑ 429% worse |
Missouri average 6.6
Last Health inspection on Feb 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 127 citations resulted from standard inspections; 79 of 127 resulted from complaint investigations; and 19 of 127 came from combined inspections (standard and complaint).
Missouri average: 0.7
Missouri average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
805 contractor hours this quarter
| Certified Nursing Assistant | 45 | 0 | 45 | 6,108 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 21 | 0 | 21 | 3,625 | 92 | 100% | 8.5 |
| Registered Nurse | 19 | 0 | 19 | 2,875 | 92 | 100% | 8 |
| Medication Aide/Technician | 17 | 0 | 17 | 2,026 | 89 | 97% | 8.5 |
| Physical Therapy Assistant | 4 | 1 | 5 | 699 | 67 | 73% | 7 |
| Respiratory Therapy Technician | 1 | 3 | 4 | 601 | 67 | 73% | 7.4 |
| Dietitian | 4 | 0 | 4 | 526 | 64 | 70% | 7.5 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 479 | 63 | 68% | 7.6 |
| Physical Therapy Aide | 3 | 0 | 3 | 451 | 54 | 59% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 348 | 44 | 48% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 264 | 25 | 27% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 249 | 46 | 50% | 5.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 42 | 19 | 21% | 2.2 |
| Medical Director | 0 | 1 | 1 | 27 | 9 | 10% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 17 | 4 | 4% | 4.3 |
| RN Director of Nursing | 1 | 0 | 1 | 8 | 1 | 1% | 8.3 |
Includes penalties issued in 2023-2025
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 Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
12 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
18% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
42% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Aspen Point Health and Rehabilitation based on CMS SNF Cost Reports.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Saint Charles's city center to Aspen Point Health and Rehabilitation's address, calculated via Google Maps.
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Aspen Point Health and Rehabilitation is located in SAINT CHARLES, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Breeze Park – Lutheran Senior Services |
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.
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. | Weldon Spring | 50
Facility
50
MO AVG
97
Rank
#390 / 454 | - | - | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
| Farmington Presbyterian Manor |
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.
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. | Farmington | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
| Armour Oaks Senior Living Community |
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.
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.
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. | Kansas City (Waldo Homes) | 38
Facility
38
MO AVG
97
Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Womens Christian Association Of Kansas City Missouri | $2.9M
Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
| Sunrise of Des Peres |
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.
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. | Des Peres | 102
Facility
102
MO AVG
97
Rank
#169 / 454 |
72.5%
Facility
72.5%
MO AVG
66.6%
Rank
#166 / 428 | +9% | 3.50
Facility
3.50
MO AVG
3.74
Rank
#168 / 276 | +4% | -6% | $334.9k
Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
7.9
MO AVG
5.7
Rank
#243 / 281 | 13 | 74 | A+ |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | Mary Grodeon | $15.6M
Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 | ||||
| Aspen Point Health and Rehabilitation |
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 Charles | 180
Facility
180
MO AVG
97
Rank
#27 / 454 |
30.6%
Facility
30.6%
MO AVG
66.6%
Rank
#401 / 428 | -54% | 2.57
Facility
2.57
MO AVG
3.74
Rank
#253 / 276 | +87% | -31% | $483.0k
Facility
$483.0k
MO AVG
$76.9k
Rank
#283 / 283 | 127
Facility
127
MO AVG
36.5
Rank
#280 / 281 | 7.1
Facility
7.1
MO AVG
5.7
Rank
#225 / 281 | 28 | 55 | - |
87
Facility
87
MO AVG
45
Rank
#33 / 563 | Clay Street Consulting LLC | $4.8M
Facility
$4.8M
MO AVG
$8.4M
Rank
#211 / 286 | $3.4M
Facility
$3.4M
MO AVG
$3.3M
Rank
#152 / 286 | 71%
Facility
71%
MO AVG
45.6%
Rank
#31 / 286 | 265118 |
The legal owner and operator of Aspen Point Health and Rehabilitation is Clay Street Healthcare Llc.
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.
According to MO state health department records, Aspen Point Health and Rehabilitation's license number is 052379.
According to MO state health department records, Aspen Point Health and Rehabilitation's license expires on December 31, 2026.
Aspen Point Health and Rehabilitation's occupancy is 31%.
Lindsey Keener is the administrator of Aspen Point Health and Rehabilitation.
Aspen Point Health and Rehabilitation has 180 beds.
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