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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.
Mcclay Senior Care operates a 60-bed skilled nursing property on McClay Road in Saint Peters, Missouri, under administrator Rachel Goetz and owner Gregory Gettman. The front office manages resident billing through traditional channels, accepting Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the neighborhood carries a walkability score of 45 out of 100, which indicates a suburban setup where visitors will generally find a personal vehicle practical for transit and local errands.
Statistical logs highlight a 78 percent occupancy rate coupled with an average length of stay of approximately 100 days, indicating a daily routine built around short-term post-hospital therapy loops rather than permanent placements. Routine physical care and clinical monitoring are organized across an around-the-clock shift framework that averages 4 hours and 45 minutes of total nursing care per resident each day. Within this daily clinical schedule, nurse aides supply 3 hours and 29 minutes of direct, hands-on assistance to monitor progress and daily tasks.
Recent standard administrative evaluations flagged specific procedural corrections concerning working bathroom call lights, patient record privacy, and written infection control protocols, which means the home’s total cumulative citations-per-inspection rate is not zero and these parameters remain part of routine state monitoring.
Families can access dedicated short-term inpatient rehabilitation, functional dementia therapies, and temporary respite care loops. The physical campus is configured with a homelike interior layout that connects to secured outdoor walking paths, shaded porches, and a courtyard featuring functional water elements.
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 39th out of 276 homes in Missouri for nurse hours. 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.
| 3h 29m per day | ▲ 14% State avg: 3h 3m per day · National avg: 3h 26m per day |
Higher than the Missouri average: 66.6%McClay Senior Care is legally operated by Mcclay Health And Rehab, Llc, and administrated by Rachel Goetz.
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.
| 63 | 35 | This facility has 80% more total deficiencies than a typical Missouri nursing home (63 vs. MO avg 35).↑ 80% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 9 | 5 | This facility has 80% more deficiencies per year than a typical Missouri nursing home (9 vs. MO avg 5).↑ 80% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 10.5 | 5 | This facility has 110% more deficiencies per inspection than a typical Missouri nursing home (10.5 vs. MO avg 5).↑ 110% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 6 | 7 | This facility has 14% fewer total inspections than a typical Missouri nursing home (6 vs. MO avg 7).↓ 14% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Sep 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.
38 of 43 citations resulted from standard inspections; and 5 of 43 resulted from complaint investigations.
100% better than Missouri averageMissouri average: 0.7
100% worse than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% fewer staff per resident 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.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
All 23 CNA Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 23 | 0 | 23 | 8,966 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,653 | 92 | 100% | 9.1 |
| Medication Aide/Technician | 8 | 0 | 8 | 3,264 | 92 | 100% | 9.7 |
| Registered Nurse | 5 | 0 | 5 | 1,108 | 90 | 98% | 8.4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 456 | 73 | 79% | 5.9 |
| Qualified Social Worker | 2 | 0 | 2 | 438 | 65 | 71% | 6.3 |
| Physical Therapy Assistant | 4 | 0 | 4 | 435 | 70 | 76% | 5.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 395 | 67 | 73% | 5.5 |
| Nurse Practitioner | 2 | 0 | 2 | 344 | 43 | 47% | 8 |
| Physical Therapist | 2 | 0 | 2 | 308 | 38 | 41% | 7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 163 | 21 | 23% | 7.8 |
| Speech Language Pathologist | 1 | 0 | 1 | 31 | 11 | 12% | 2.8 |
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.
12.6
16% worse than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.5
In line with Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.4%
22% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
30.6%
49% worse than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.6%
30% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
25% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
4.4%
12% 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 lose too much weight
7.6%
37% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
27.6%
25% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.4%
8% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.7%
6% worse than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.19
53% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.26
46% better than 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.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
51.2%
23% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
43.3%
32% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.4%
12% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.9%
34% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
2.4%
217% worse than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.5%
15% worse than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
41.7%
18% 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.
48% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 McClay Senior 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 #141 / 286Payroll — State benchmarkedThis home is ranked 141st 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
86.4 miles from city center
Estimated distance in miles from Saint Peters's city center to McClay Senior Care's address, calculated via Google Maps.
Add your location
McClay Senior Care is located in SAINT PETERS, 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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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 | 50
Facility
50
MO AVG
97
Rank
#390 / 454 | - | - | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
| 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
Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
| McClay Senior 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 Peters | 60
Facility
60
MO AVG
97
Rank
#343 / 454 |
78.3%
Facility
78.3%
MO AVG
66.6%
Rank
#125 / 428 | +18% | 4.75
Facility
4.75
MO AVG
3.74
Rank
#39 / 276 | -1% | +27% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 43
Facility
43
MO AVG
36.5
Rank
#196 / 281 | 7.2
Facility
7.2
MO AVG
5.7
Rank
#230 / 281 | 2 | 51 | - |
45
Facility
45
MO AVG
45
Rank
#296 / 563 | Gregory Gettman | $6.3M
Facility
$6.3M
MO AVG
$8.4M
Rank
#142 / 286 | $3.7M
Facility
$3.7M
MO AVG
$3.3M
Rank
#141 / 286 | 58%
Facility
58%
MO AVG
45.6%
Rank
#109 / 286 | 265875 | ||||
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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.
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Facility
38
MO AVG
97
Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Womens Christian Association Of Kansas City Missouri | $2.9M
Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
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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
Facility
102
MO AVG
97
Rank
#169 / 454 |
72.5%
Facility
72.5%
MO AVG
66.6%
Rank
#166 / 428 | +9% | 3.50
Facility
3.50
MO AVG
3.74
Rank
#168 / 276 | +4% | -6% | $334.9k
Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
7.9
MO AVG
5.7
Rank
#243 / 281 | 13 | 74 | A+ |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | Mary Grodeon | $15.6M
Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 |
The legal owner and operator of McClay Senior Care is Mcclay Health And Rehab, Llc.
McClay Senior Care has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MO state health department records, McClay Senior Care's license number is 052422.
According to MO state health department records, McClay Senior Care's license expires on January 9, 2027.
McClay Senior Care's occupancy is 78%.
Rachel Goetz is the administrator of McClay Senior Care.
McClay Senior Care has 60 beds.
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