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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.
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.
Ellisville Rehabilitation and Nursing is a 210-bed skilled nursing facility at 322 Old State Road, Ellisville, Saint Louis County, Missouri, operated by Ellisville Opco LLC under the administration of Mr Cory Sterling. The facility is Medicare and Medicaid certified, maintains 24-hour nursing care, and offers long-term care, short-term rehabilitation, and memory support. Industry recognitions include Top Senior Care provider by St. Louis Magazine and Best Nursing Home by Newsweek.
The walk score is 67, indicating moderate walkability.
Staffing composition reflects substantial strength in direct care and hands-on nursing, with notable support for rehabilitation services. Registered nurses provide 25 minutes per resident per day (11% below Missouri state average of 28 minutes), maintaining near-benchmark clinical oversight. Licensed practical nurses provide 56 minutes per day (37% above state average). Certified nursing aides provide 3 hours 8 minutes per day (35% above state average of 2h 19m), substantially exceeding typical direct care staffing and suggesting robust assistance with activities of daily living.
Weekend nursing coverage is 3 hours 59 minutes per day (31% above state average), maintaining consistent staffing across the calendar week. Weekend RN presence at 16 minutes per day represents a modest 20% reduction from the state average. Physical therapist hours are 2 minutes per day, matching the state benchmark.
Quality outcomes for long-stay residents are aligned with state averages. Hospitalization rates are 2.06 per 1,000 days (in line with state average). Emergency department visit rates are 2.44 per 1,000 days (in line with state average). Short-stay rehabilitation outcomes are substantially weaker.
Readmission rates are 31.8% (26% worse than Missouri average of 25.3%). Falls with major injury occur in 1.4% of short-stay residents (84% worse than state average of 0.8%). Ability to care for self at discharge is 44.6% (17% worse than state average of 53.7%). Successful return to home or community is 39.5% (22% worse than Missouri average of 50.6%).
The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven inspections for comparable facilities. This absence of routine inspection oversight warrants explanation. Families must request and review the facility’s current licensing documentation and any available inspection records from the Missouri Department of Health and Senior Services.
The facility provides chef-prepared meals with dietary accommodation, beauty and barber services, transportation, recreational programming including music and pet therapy, gardening and baking clubs, and spiritual care services. The 210-bed capacity supports organized community activities and multiple common areas typical of large regional facilities.
Families should request explanations for the elevated short-stay readmission and fall rates, rehabilitation program outcomes and average length of stay, and licensing and inspection records.
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.
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 |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 23m per day | ▼ 17% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 55m per day | ▲ 34% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 51m per day | ▲ 23% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
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.
| 3h 38m per day | ▲ 19% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▲ 11% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 14m per day | ▼ 30% State avg: 20m per day · National avg: 28m per day |
Lower than the Missouri average: 66.6%Ellisville Rehabilitation and Nursing is legally operated by Ellisville Opco Llc, and administrated by Ramonzo Douglas.
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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 66 | 35 | This facility has 89% more total deficiencies than a typical Missouri nursing home (66 vs. MO avg 35).↑ 89% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 8.3 | 4.4 | This facility has 89% more deficiencies per year than a typical Missouri nursing home (8.3 vs. MO avg 4.4).↑ 89% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.3 | 5 | This facility has 34% fewer deficiencies per inspection than a typical Missouri nursing home (3.3 vs. MO avg 5).↓ 34% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 20 | 7 | This facility has 186% more total inspections than a typical Missouri nursing home (20 vs. MO avg 7).↑ 186% worse |
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.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
2.06
In line with Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.44
In line with Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.8%
26% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.2%
9% better than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
84% worse than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.6%
17% worse than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.5%
22% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Ellisville's city center to Ellisville Rehabilitation and Nursing's address, calculated via Google Maps.
Add your location
Ellisville Rehabilitation and Nursing is located in ELLISVILLE, 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.
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The legal owner and operator of Ellisville Rehabilitation and Nursing is Ellisville Opco Llc.
Ellisville Rehabilitation and Nursing has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Ellisville Rehabilitation and Nursing's license number is 052079.
According to MO state health department records, Ellisville Rehabilitation and Nursing's license expires on May 31, 2026.
Ellisville Rehabilitation and Nursing's occupancy is 59%.
Ramonzo Douglas is the administrator of Ellisville Rehabilitation and Nursing.
Ellisville Rehabilitation and Nursing has 210 beds.
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