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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.
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.
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.
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.
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.
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.
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.
This home is ranked 35th out of 276 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 40m per day | ▲ 55% State avg: 3h 1m per day · National avg: 3h 25m per day |
Lower than the Missouri average: 66.6%Barnes-Jewish Extended Care is legally operated by Barnes-jewish Hospital, and administrated by Candice Brown.
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.
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
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better |
Missouri average 6.6
Last Health inspection on Jul 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.
22 of 25 citations resulted from standard inspections; and 3 of 25 resulted from complaint investigations.
100% better than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
40% better than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
10 total: 9 full-time employees and 1 contractor.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
37 total: 17 full-time employees and 20 contractors.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
46 total: 43 full-time employees and 3 contractors.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
14,549 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 3 | 46 | 14,144 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 17 | 20 | 37 | 12,990 | 92 | 100% | 9.5 |
| Registered Nurse | 9 | 1 | 10 | 3,484 | 92 | 100% | 8.9 |
| RN Director of Nursing | 8 | 0 | 8 | 2,514 | 76 | 83% | 7.7 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 1,914 | 83 | 90% | 7.1 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 1,882 | 64 | 70% | 8 |
| Qualified Activities Professional | 9 | 0 | 9 | 1,838 | 92 | 100% | 7.7 |
| Physical Therapy Assistant | 0 | 6 | 6 | 1,776 | 86 | 93% | 7.5 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,350 | 65 | 71% | 8.3 |
| Qualified Social Worker | 0 | 3 | 3 | 644 | 73 | 79% | 5.6 |
| Speech Language Pathologist | 0 | 5 | 5 | 574 | 77 | 84% | 6.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 538 | 77 | 84% | 5.9 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 494 | 64 | 70% | 7.7 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 437 | 73 | 79% | 5.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 218 | 32 | 35% | 6.8 |
| Medication Aide/Technician | 6 | 0 | 6 | 146 | 35 | 38% | 3.9 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 74 | 60 | 65% | 1.1 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
32% better than Missouri averageMissouri average: 19.5
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.3%
27% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who received an antipsychotic medication
18.2%
17% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.6%
18% worse than Missouri averageMissouri average: 85.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
28.4%
57% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
55% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.4%
24% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
71% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
69Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Barnes-Jewish Extended Care based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #10 / 286Payroll — State benchmarkedThis home is ranked 10th out of 286 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
8.0 miles from city center
Estimated distance in miles from Saint Louis's city center to Barnes-Jewish Extended Care's address, calculated via Google Maps.
Add your location
Barnes-Jewish Extended Care is located in SAINT LOUIS, 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.
| Barnes-Jewish Extended Care |
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 Louis | 120 | 50.1% | -25% | 4.82 | -21% | +29% | $0 | 25 | 5.0 | - | 69 | - | - | Barnes Jewish Hospital | $21.2M | $10.1M | 47.8% | 265439 | ||||
| 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 | 74.4% | +12% | 4.58 | +49% | +23% | $12.6k | 9 | 2.3 | 1 | 64 | A+ | 66 | Jane Hull | $9.9M | $6.3M | 63% | 265583 | ||||
| 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 | 81 | - | - | 5.01 | -16% | +34% | $41.3k | 16 | 4.0 | 2 | 46 | A+ | 2 | Holly Stevens | $20.9M | $12.2M | 58.6% | 265767 | ||||
| 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 | 100.0% | +50% | 3.03 | -27% | -19% | $0 | 39 | 6.5 | - | 100 | A+ | 73 | Womens Christian Association Of Kansas City Missouri | $2.9M | $2.4M | 81.6% | 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 | - | - | 3.50 | +4% | -6% | $265.2k | 87 | 7.9 | 13 | 118 | A+ | 50 | Mary Grodeon | $15.6M | $7.7M | 49.2% | 265834 |
The legal owner and operator of Barnes-Jewish Extended Care is Barnes-Jewish Hospital.
According to MO state health department records, Barnes-Jewish Extended Care's license number is 053074.
According to MO state health department records, Barnes-Jewish Extended Care's license expires on October 9, 2027.
Barnes-Jewish Extended Care's occupancy is 50%.
Candice Brown is the administrator of Barnes-Jewish Extended Care.
Barnes-Jewish Extended Care has 120 beds.
Yes — there are 8 photos of Barnes-Jewish Extended Care in the photo gallery on this page.
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