Garden Villas South
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · St. Louis, MO

Garden Villas South

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · St. Louis, MO

Overview of Garden Villas South

Garden Villas South sits at 13457 Tesson Ferry Rd in South St. Louis County, about 14 miles from the city center and less than 2 miles from Mercy Hospital South. Administrator Michelle Miller leads the operation under Garden Villas of South County, Inc. The 83-bed community spans four care levels: nursing home, assisted living, independent living, and memory care. With a Walk Score of 5, the location is essentially car-dependent where outings require a vehicle or arranged transportation.

Current occupancy is 49 of 83 beds, a 59% fill rate. Families should weigh that figure when assessing the community’s trajectory.

The residential setup leans toward the full-service end of the spectrum. Apartments come with fully equipped kitchens. An Executive Chef prepares three meals a day, and there’s a 24-hour concierge on hand. Valet parking and grocery delivery are available. Included services cover weekly maid service, personal laundry, flat linen service, scheduled transportation, personal grooming assistance, medication reminders, and an in-house escort service.

Recreation spans social, educational, and cultural programs and outings. The indoor swimming pool and hot tub, fitness center, and wellness program fill out the amenity picture.

Memory care is available on-site within the broader care mix.

Garden Villas South is a full-service, amenity-dense community in suburban St. Louis suited to older adults across a wide care range who prioritize residential comfort and on-site services over walkability or urban proximity.

Capacity and availability

Residents per day
49
Bed community size
83-bed community Rank #260 / 450Bed count — State benchmarkedThis home is ranked 260th out of 450 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 cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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.
Walk Score
Walk Score: 5 / 100 Rank #520 / 545Walk Score — State benchmarkedThis home is ranked 520th out of 545 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 cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
59%
Rank #277 / 407Occupancy rate — State benchmarkedThis home is ranked 277th out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
49 / 83
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeAssisted Living Facility
CountySaint Louis

Ownership & Operating Entity

Garden Villas South is legally operated by Garden Villas Of South County, Inc, and administered by Michelle Miller.

Corporate EntityGARDEN VILLAS OF SOUTH COUNTY, INC

Additional Policies & Features

Pets not allowed

Contact Garden Villas South

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.

Since 2023 · 3 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 6 deficiencies 1 inspection

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

Since 2023 vs. Missouri state average
Overall vs. MO average 1 Worse Metrics worse than Missouri average:
• Deficiencies per inspection (107% above)
1 Better Metrics better than Missouri average:
• Total deficiencies (83% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 635 This facility has 83% fewer total deficiencies than a typical Missouri nursing home (6 vs. MO avg 35).↓ 83% better
Deficiencies per inspection Info Average deficiencies per inspection. 6.02.9 This facility has 107% more deficiencies per inspection than a typical Missouri nursing home (6 vs. MO avg 2.9).↑ 107% worse

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

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 112 This facility has had 92% fewer total inspections than the Missouri average (1 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 92% fewer

Places of interest near Garden Villas South

Address 13457 Tesson Ferry Rd, St. Louis, MO 63128 — 1.69 miles to nearest hospital (Mercy Hospital South)

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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 to lowest based on our ranking 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. 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.
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.
Laclede Groves
NH
AL
IL
MC
SNF
St. Louis
251
Facility 251
MO AVG 96
Rank #3 / 450
40.9%
Facility 40.9%
MO AVG 66.5
Rank #365 / 407
-39%
5.27
Facility 5.27
MO AVG 3.74
Rank #20 / 268
+48%+41%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
9
Facility 9
MO AVG 36.5
Rank #10 / 274
4.5
Facility 4.5
MO AVG 5.7
Rank #99 / 274
-103-
35
Facility 35
MO AVG 46
Rank #353 / 545
John Komlos
$24.9MFiscal year ending 12/2023
Facility $24.9MFiscal year ending 12/2023
MO AVG $7.4M
Rank #3 / 251
$27.4MFiscal year ending 12/2023
Facility $27.4MFiscal year ending 12/2023
MO AVG $3.9M
Rank #2 / 251
109.9%Fiscal year ending 12/2023
Facility 109.9%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #1 / 251
265600
Cottages of Lake St. Louis
NH
SNF
Lake St Louis (Lake Saint Louis)
60
Facility 60
MO AVG 96
Rank #340 / 450
81.7%
Facility 81.7%
MO AVG 66.5
Rank #91 / 407
+23%
6.35
Facility 6.35
MO AVG 3.74
Rank #3 / 268
-32%+70%
$17.7k
Facility $17.7k
MO AVG $76.9k
Rank #190 / 276
11
Facility 11
MO AVG 36.5
Rank #23 / 274
2.8
Facility 2.8
MO AVG 5.7
Rank #22 / 274
249-
13
Facility 13
MO AVG 46
Rank #483 / 545
Cottages Master LLC
$8.9MFiscal year ending 12/2023
Facility $8.9MFiscal year ending 12/2023
MO AVG $7.4M
Rank #60 / 251
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
MO AVG $3.9M
Rank #59 / 251
55.4%Fiscal year ending 12/2023
Facility 55.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #106 / 251
265860
River Crossing Rehab and Healthcare Center
NH
HOS
MC
PC
SNF
St. Louis (Dunn Loring)
120
Facility 120
MO AVG 96
Rank #87 / 450
73.7%
Facility 73.7%
MO AVG 66.5
Rank #157 / 407
+11%
3.18
Facility 3.18
MO AVG 3.74
Rank #191 / 268
-45%-15%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
36
Facility 36
MO AVG 36.5
Rank #170 / 274
5.1
Facility 5.1
MO AVG 5.7
Rank #133 / 274
188--River Crossing Holdco LLC$6.7M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.3M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.64.8%*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.265457
St Louis Altenheim
NH
AL
IL
MC
RC
SNF
St. Louis (Carondelet)
48
Facility 48
MO AVG 96
Rank #395 / 450
89.6%
Facility 89.6%
MO AVG 66.5
Rank #36 / 407
+35%
3.97
Facility 3.97
MO AVG 3.74
Rank #88 / 268
-+6%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
---43A+
39
Facility 39
MO AVG 46
Rank #326 / 545
Malik St Louis LLC---26A484

Financial Assistance for
Nursing Home in Missouri

Garden Villas South is located in St. 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)

Frequently Asked Questions about Garden Villas South

Who is the owner of Garden Villas South?

Garden Villas South is legally operated by Garden Villas Of South County, Inc, and administered by Michelle Miller.

Is Garden Villas South in a walkable area?

Garden Villas South has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Garden Villas South?

Garden Villas South's occupancy is 59%.

Are pets allowed at Garden Villas South?

No, Garden Villas South has a no-pet policy.

Who is the administrator of Garden Villas South?

Michelle Miller is the administrator of Garden Villas South.

How many beds does Garden Villas South have?

Garden Villas South has 83 beds.

Has Garden Villas South had any deficiencies?

Garden Villas South has had 6 reported deficiencies since 2023 according to records from Missouri Dept. of Health and Senior Services (DHSS).

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