Maple Grove Wellness &Amp; Rehabilitation

Maple Grove Wellness & Rehabilitation is a 144-bed skilled nursing and rehabilitation facility in Fenton, St. Louis County, Missouri, administrated by Jodie Pate and privately owned. The facility provides skilled nursing care, rehabilitation services, and respite care serving Medicare, Medicaid, and private-pay residents with an average length of stay of 643 days, indicating a primarily long-term care population.

Total nursing care averages 2 hours 46 minutes/resident/day, 27% below the average. Registered nurse coverage of 8 minutes/day is critically deficient at 71% below average. Certified Nursing Aide hours are 21% below benchmark. Weekend registered nurse presence of 7 minutes/day is 65% below average.

Staff-to-resident ratio of 1.45 to 1 is 15% worse than state norms. Contractor staffing comprises 8.7% of total hours, predominantly Licensed Practical Nurses.

Pressure ulcer prevention is effective at 3.5% of high-risk residents affected (31% better than state). Urinary tract infection rates of 0.6% are 77% better than state. However, long-stay hospitalization rates of 4.33/1,000 days are 108% worse than benchmark of 2.08. Low-risk residents with incontinence at 23.4% are 29% worse than state.

Antipsychotic use at 32.0% is 46% worse than average. Pneumococcal vaccination for long-stay residents reaches only 59.5% (30% worse than state), and influenza vaccination is 24% worse than state. Short-stay vaccination rates are critically deficient with pneumococcal at 7.0% and influenza at 11.4%.

The facility reported a $941,000 operating loss in fiscal 2023 (profit margin of negative 14.5%) against $6.5 million revenue. Payroll represents 69.2% of revenue, above sustainable levels. Occupancy is 61.2%, below average.

Six inspections since December 2022 identified 44 citations including one serious violation and 39 moderate citations. Citations/inspection average 7.33, exceeding Missouri’s average. No federal penalties were imposed.

June 2025 complaint investigation documented a serious pharmacy deficiency with actual patient harm. Multiple residents with diabetes did not receive ordered insulin injections. A Licensed Practical Nurse, running late on medication pass, withdrew morphine sulfate and lorazepam intended for one resident, entered another resident’s room, called out the wrong resident’s name, and when that resident aroused, administered both medications without confirming identity. The nurse was terminated the next day.

Complaint investigations in March 2025 and July 2024 documented additional infection control and quality of care deficiencies. The cumulative inspection record demonstrates systemic failures in pharmacy operations, medication administration safety, infection control, and vaccination administration.

The facility maintains physical therapy, occupational therapy, and speech pathology services. Walk Score of 54 reflects moderately walkable surroundings. CMS ratings are 1/5 overall, 2/5 for health inspection, 1/5 for staffing, and 2/5 for quality measures.

The serious pharmacy deficiency and medication error resulting in patient hospitalization, combined with the facility-wide failure to administer ordered medications and critical nursing staffing shortages, represent substantial patient safety concerns.

Families should carefully review pharmacy procedures and medication oversight protocols before considering placement.

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Facility Direct Line (636) 343-2282 info@maplegrovewr.com