Barnes-Jewish Extended Care
Nursing Home · Missouri, MO
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Barnes-Jewish Extended Care

Nursing Home · Missouri, MO
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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Barnes-Jewish Extended Care accepts Medicare and private pay.

Overview of Barnes-jewish Extended Care

Barnes-jewish Extended Care is a facility located in St. Louis, MO. It offers various services related to long-term care. The facility is part of the Missouri Health Care Association.
(314) 725-7447

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.
▲ 61.0% Above MO avg. ▲ 61.0% Above MO avg.Click 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.
▲ 44.2% Above MO avg. ▲ 44.2% Above MO avg.Click 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.
▲ 82.8% Above MO avg. ▲ 82.8% Above MO avg.Click 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.
▲ 50.5% Above MO avg. ▲ 50.5% Above MO avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 31st out of 256 homes in Missouri.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 49m per day
Rank #31 / 256Nurse hours — State benchmarkedThis home is ranked 31st out of 256 homes in Missouri.Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 256 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Missouri avg (3h 44m per day)
vs Missouri avg
+29%
Staff typeHours / Day / Residentvs state avg
Total Nursing (Weekend) Info 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. 4h 40m per day

Capacity and availability

Avg. Length of Stay
21 days

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Breakdown by payment type

Medicare

29% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

71% of new residents, often for short stays.

Typical stay 19 days

Finances and operations

Voluntary non-profit community
Home revenue
$21.2M
Operating deficit
-$800.0K
Voluntary non-profit community
Home revenue
$21.2M Rank #13 / 263Revenue — State benchmarkedThis home is ranked 13th out of 263 homes in Missouri.Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$800.0K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #9 / 263Payroll — State benchmarkedThis home is ranked 9th out of 263 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$10.1M
47.8% of revenue Rank #183 / 263Payroll % — State benchmarkedThis home is ranked 183rd out of 263 homes in Missouri.Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri SNFs typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.9M
Total costs $22.0M
Bed community size
120-bed community Rank #49 / 267Bed count — State benchmarkedThis home is ranked 49th out of 267 homes in Missouri.Shows this facility's certified or reported bed count compared to other Missouri SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
50%
Rank #232 / 262Occupancy rate — State benchmarkedThis home is ranked 232nd out of 262 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 262. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Missouri average: 66.6%
Occupied beds
60 / 120
Average residents per home in Missouri 72 per day

License Details

Facility TypeSnf
CountySaint Louis
CMS Certification Number265439
Certification TypeMedicare/Medicaid

Ownership & Operating Entity

Barnes-Jewish Extended Care is legally operated by Barnes-jewish Hospital, and administrated by Ms Candice Brown.

Owner NameBarnes-Jewish Hospital

Amenities & Lifestyle

Specific ProgramsMission, Vision, Values, Care Finder, Education/Events, Calendar of Events, Leadership Summit, Train the Trainer Workshops, Certified Nurse Assistant (CNA) Training, CMT / Insulin Training Courses, Level I Medication Aide or Insulin Certification Class, Online Education, Workshops & CEU Sessions, Advocacy, Government Affairs Team, Contact Your Elected Officials, Regulatory, Regulatory Topics, Quality, Certificate of Need, Member Resources, News and Updates, COVID-19 & Influenza, Business Partner Directory, Membership Directory, State & National Agencies, AHCA/NCAL, MHCA Membership, Facility Membership, Business Partner, Career & Tech Education Membership, District Map, Sponsorship, 2026 Sponsors

Contact Barnes-Jewish Extended Care

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Inspection Scorecard Info This scorecard compares key inspection, citation, 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.

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

MetricThis FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 07 This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7). Click this badge to view the full Missouri ranking.↓ 100% better

Health Inspection History

Inspections Since 2019
Total health inspections 5

Missouri average 6.6


Last Health inspection on Jul 2025

Total health citations
25 Rank #103 / 261Health citations — State benchmarkedThis home is ranked 103rd out of 261 homes in Missouri.Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 261 MO SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 36.5

Citations per inspection
5 Rank #119 / 261Citations per inspection — State benchmarkedThis home is ranked 119th out of 261 homes in Missouri.Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 261 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 5.67


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

22 of 25 citations resulted from standard inspections; and 3 of 25 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)
Critical Health citations
0
100% better than Missouri average

Missouri average: 0.7


Serious Health citations
0
100% better than Missouri average

Missouri average: 1

0 critical citations Missouri average: 0.7

0 serious citations Missouri average: 1

25 moderate citations Missouri average: 33.6

0 minor citations Missouri average: 1.2
Citations history (last 7 years)
Nutrition moderate citation Jul 08, 2025
Corrected

Quality of Care moderate citation Jul 08, 2025
Corrected

Infection Control moderate citation May 23, 2024
Corrected

Pharmacy moderate citation May 23, 2024
Corrected

Financial Assistance for
Nursing Home in Missouri

Barnes-Jewish Extended Care is located in SAINT LOUIS, 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)

Places of interest near Barnes-Jewish Extended Care

Address 8.0 miles from city center Info Estimated distance in miles from Saint Louis's city center to Barnes-Jewish Extended Care's address, calculated via Google Maps.

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Address

Staffing Data

Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.

Total staff 169
Employees 96
Contractors 73
Staff to resident ratio 2.45:1
43% better than Missouri average
Missouri average ratio: 1.71:1 Missouri average ratio: 1.71:1See full Missouri ranking
Avg staff/day 63
Average shift 8.1 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 46,348

Nursing staff breakdown

Q2 2025 · Apr 1 – Jun 30 More info This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse

Manages medical care and health needs.

Total count 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 40
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 58
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

This role is partially covered by contractors.

Contractor staffing

Q2 2025 · Apr 1 – Jun 30 More info This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.

Total hours from contractors

36.6%

16,961 contractor hours this quarter

Licensed Practical Nurse: 26 Certified Nursing Assistant: 15 Respiratory Therapy Technician: 7 Physical Therapy Aide: 6 Speech Language Pathologist: 6 Physical Therapy Assistant: 5 Qualified Social Worker: 4 Occupational Therapy Assistant: 1 Therapeutic Recreation Specialist: 1 Nurse Practitioner: 1 Occupational Therapy Aide: 1

Staff by category

Q2 2025 · Apr 1 – Jun 30 More info This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Certified Nursing Assistant43155812,89891100%7.7
Licensed Practical Nurse14264012,67691100%9.8
Registered Nurse7072,68091100%8.9
Clinical Nurse Specialist6062,6406571%8
RN Director of Nursing7072,4107785%7.6
Respiratory Therapy Technician0772,0478492%7.3
Qualified Activities Professional8081,7209099%7.6
Physical Therapy Assistant0551,5628897%8
Mental Health Service Worker3031,4626774%8.2
Physical Therapy Aide0661,0879099%6
Qualified Social Worker0449727077%6.8
Medication Aide/Technician4048784347%7.7
Speech Language Pathologist0667198189%6
Dietitian1015126470%8
Therapeutic Recreation Specialist0115036571%7.7
Other Dietary Services Staff1014816369%7.6
Administrator1014725965%8
Nurse Practitioner1124075055%8.1
Occupational Therapy Aide0111442022%7.2
Occupational Therapy Assistant011796673%1.2
58 Certified Nursing Assistant
% of Days 100%
40 Licensed Practical Nurse
% of Days 100%
7 Registered Nurse
% of Days 100%
6 Clinical Nurse Specialist
% of Days 71%
7 RN Director of Nursing
% of Days 85%
7 Respiratory Therapy Technician
% of Days 92%
8 Qualified Activities Professional
% of Days 99%
5 Physical Therapy Assistant
% of Days 97%
3 Mental Health Service Worker
% of Days 74%
6 Physical Therapy Aide
% of Days 99%
4 Qualified Social Worker
% of Days 77%
4 Medication Aide/Technician
% of Days 47%
6 Speech Language Pathologist
% of Days 89%
1 Dietitian
% of Days 70%
1 Therapeutic Recreation Specialist
% of Days 71%
1 Other Dietary Services Staff
% of Days 69%
1 Administrator
% of Days 65%
2 Nurse Practitioner
% of Days 55%
1 Occupational Therapy Aide
% of Days 22%
1 Occupational Therapy Assistant
% of Days 73%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 69
Medicare
62
89.9% of residents
Medicaid
4
5.8% of residents
Private pay or other
3
4.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 0.0
100% better than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.3
32% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 13.3%
27% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Missouri average

Missouri average: 2.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.2%
17% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 69.6%
18% worse than Missouri average

Missouri average: 85.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 28.4%
57% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.0%
55% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 48.4%
24% worse than Missouri average

Missouri average: 63.5%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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Frequently Asked Questions about Barnes-Jewish Extended Care

Who is the owner of Barnes-Jewish Extended Care?

The legal owner and operator of Barnes-Jewish Extended Care is Barnes-Jewish Hospital.

What is the occupancy rate at Barnes-Jewish Extended Care?

Barnes-Jewish Extended Care's occupancy is 50%.

Who is the administrator of Barnes-Jewish Extended Care?

Ms CANDICE BROWN is the administrator of Barnes-Jewish Extended Care.

How many beds does Barnes-Jewish Extended Care have?

Barnes-Jewish Extended Care has 120 beds.

Are there photos of Barnes-Jewish Extended Care?

Yes — there are 8 photos of Barnes-Jewish Extended Care in the photo gallery on this page.

What is the address of Barnes-Jewish Extended Care?

Barnes-Jewish Extended Care is located at 401 CORPORATE PARK DR.

What is the phone number of Barnes-Jewish Extended Care?

(314) 725-7447 will put you in contact with the team at Barnes-Jewish Extended Care.

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