4/5
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.
4/5
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.
McKnight Place Extended Care is a 70-bed skilled nursing facility at Two McKnight Place in Saint Louis, Missouri. Administered by Ms. Glenda Knittel and operated by McKnight Place Extended Care, LLC, the community holds Medicare certification. The facility was recognized as a Best Long-Term Care provider by U.S.
News & World Report in 2026 and received the STL Headliner Award for Best Skilled Nursing in 2024.
The facility provides six hours twenty-five minutes of combined nursing care per resident per day, placing it third among 256 Missouri SNFs and 69% above the Missouri average of three hours forty-eight minutes. RN coverage runs 14% above average, LPN hours are 63% above average, and CNA hours are 77% above average. Weekend staffing is 76% above average, with weekend RN hours at 95% above average. Physical therapy support is triple the average.
The facility ranked 41st of 263 Missouri SNFs for total payroll investment. Overall financial performance is stable. Occupancy exceeds the state average.
CMS awarded the facility four stars overall, four stars for Health Inspection, and four stars for Staffing. However, Quality Measures earned only one star.
Among long-stay residents, hospitalizations occur in line with the state average of 2.08. Emergency department visits run 47% better than average. Falls with major injury metrics are 70% better than average. Pressure ulcers stand at 26% worse than average.
Long-stay urinary tract infection rates are 52% better than average.
Re-hospitalization rates are 19% worse than average. The rate of successful return to home or community is 29% worse than average. Ability to care for oneself at discharge is 12% below average.
Inspection history from March 2020 through April 2025 shows five standard inspections and one complaint investigation.
The March 2020 standard inspection identified 26 deficiencies. March 2023 saw a complaint investigation resulting in eight deficiencies. October 2023 brought a standard inspection with nine deficiencies. In May 2024, a second complaint investigation cited nine deficiencies.
Most significantly, April 2025 encompassed both a standard health inspection (29 deficiencies) and a concurrent complaint investigation (eight deficiencies) on the same date.
All citations were moderate or minor, with zero critical or serious severity designations. No federal penalties or civil money penalties have been imposed in the past three years. The facility’s citation rate of 5.4 per inspection ranks 148th of 261 Missouri SNFs.
The neighborhood is somewhat walkable (Walk Score 34), and the facility lies 0.179 miles from the Saint Louis city center.
Amenities include physical, occupational, and speech therapies; on-site dentistry, podiatry, ophthalmology, and psychiatry; art and music therapy; restaurant-style dining; personal care companion services; transportation; salon; hearing aid services; catering; housekeeping; laundry; newspapers; dry cleaning; floral service; patios; walking paths; and an aviary. The facility allows pets and maintains 24-hour staffing with on-site physician services.
Families should verify corrections for the April 2025 deficiencies in medication management and kitchen sanitation, given the combined citation volume within a single survey month.
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 | ▼ 18% 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.
| 1h 12m per day | ▲ 75% 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.
| 3h 49m per day | ▲ 65% 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.
| 4h 53m per day | ▲ 60% 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.
| 7m per day | ▲ 272% 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.
| 33m per day | ▲ 63% State avg: 20m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Missouri average: 66.6%McKnight Place Extended Care is legally operated by Mcknight Place Extended Care, LLC, and administered by Michael Barth.
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, 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 89 | 35 | This facility has 154% more total deficiencies than a typical Missouri assisted living residence (89 vs. MO avg 35).↑ 154% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 11.1 | 4.4 | This facility has 152% more deficiencies per year than a typical Missouri assisted living residence (11.1 vs. MO avg 4.4).↑ 152% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.6 | 2.9 | This facility has 93% more deficiencies per inspection than a typical Missouri assisted living residence (5.6 vs. MO avg 2.9).↑ 93% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 12 | This facility has had 33% more total inspections than the Missouri average (16 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 33% more |
State average N/A
Last Health inspection on Apr 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 27 citations resulted from standard inspections; 4 of 27 resulted from complaint investigations; and 2 of 27 came from combined inspections (standard and complaint).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 20 LPN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
All 58 CNA Staff are full-time employees. No contractors work on this role.
58
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,758 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 58 | 0 | 58 | 18,068 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 20 | 0 | 20 | 5,625 | 92 | 100% | 9 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,991 | 92 | 100% | 10.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,756 | 92 | 100% | 7.2 |
| Registered Nurse | 8 | 0 | 8 | 1,560 | 88 | 96% | 8.8 |
| Physical Therapy Aide | 0 | 6 | 6 | 914 | 76 | 83% | 3.2 |
| Qualified Social Worker | 0 | 5 | 5 | 758 | 66 | 72% | 4.5 |
| RN Director of Nursing | 2 | 0 | 2 | 671 | 59 | 64% | 7.4 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 653 | 69 | 75% | 2.8 |
| Speech Language Pathologist | 0 | 8 | 8 | 645 | 71 | 77% | 2.7 |
| Physical Therapy Assistant | 0 | 5 | 5 | 640 | 76 | 83% | 3.7 |
| Dietitian | 1 | 0 | 1 | 462 | 59 | 64% | 7.8 |
| Administrator | 1 | 0 | 1 | 458 | 58 | 63% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 449 | 57 | 62% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 349 | 45 | 49% | 7.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 55 | 35 | 38% | 1.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 48 | 19 | 21% | 2.5 |
| Medical Director | 0 | 1 | 1 | 45 | 9 | 10% | 5 |
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.
8.2
25% better than State averageState average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.9
13% better than State averageState 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
13.9%
30% better than State averageState average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
18.9%
8% better than State averageState average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.8%
In line with State averageState average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
70% better than State averageState average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
6.3%
26% worse than State averageState average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.3%
52% better than State averageState average: 2.7%
Percent of long-stay residents who lose too much weight
0.8%
85% better than State averageState average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
16.8%
24% better than State averageState average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
12% better than State averageState average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
5% better than State averageState average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.17
In line with State averageState average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.24
47% better than State averageState 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
74.4%
12% better than State averageState average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
23% better than State averageState average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.0%
31% better than State averageState average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.1%
19% worse than State averageState average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.0%
25% better than State averageState average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.3%
12% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
36.1%
29% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
57% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 McKnight Place Extended Care from 2015–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #45 / 290Payroll — State benchmarkedThis home is ranked 45th out of 290 homes in Missouri for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #130 / 290Payroll % — State benchmarkedThis home is ranked 130th out of 290 homes in Missouri for Payroll %. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–72% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (57% of admissions), and a typical Medicare stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
Two Mcknight Pl, Saint Louis, MO 63124-1900
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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Laclede Groves | NH AL IL MC | St. Louis | - | 251 | - | 35 | - |
| Republic Nursing and Rehab | NH | Republic | - | 127 | - | 48 | Private / Semi-Private Rooms |
| Chaffee Nursing Center | NH HOS SNF | Chaffee | - | 71 | - | 25 | Studio |
| Heisinger Bluffs | NH AL IL MC RC SNF | Jefferson City | - | 111 | - | 32 | 1 Bed / 2 Bed / 3 Bed |
| McKnight Place Extended Care | NH SNF | Saint Louis | - | 70 | - | 34 | - |
McKnight Place Extended Care has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MO state health department records, McKnight Place Extended Care's license number is 052154.
According to MO state health department records, McKnight Place Extended Care's license expires on September 20, 2026.
McKnight Place Extended Care's occupancy is 100%.
No, McKnight Place Extended Care has a no-pet policy.
McKnight Place Extended Care is registered as a for-profit in MO.
Michael Barth is the administrator of McKnight Place Extended Care.
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