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
About this community
Occupancy
Garden Villas South is legally operated by Garden Villas Of South County, Inc, and administered by Michelle Miller.
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
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• Deficiencies per inspection (107% above) 1 Better Metrics better than Missouri average:
• Total deficiencies (83% below)
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
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Total deficiencies
| 6 | 35 | This facility has 83% fewer total deficiencies than a typical Missouri nursing home (6 vs. MO avg 35).↓ 83% better |
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Deficiencies per inspection
| 6.0 | 2.9 | This facility has 107% more deficiencies per inspection than a typical Missouri nursing home (6 vs. MO avg 2.9).↑ 107% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 1 | 12 | 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
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 2 | 49 | - |
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 | 1 | 88 | - | - | 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 | - | - | - | 43 | A+ |
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.
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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