Occupancy rate
77%
In line with Missouri averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Missouri
CMS overall rating
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.
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.
Nazareth Living Center
Nursing Home in Missouri
CMS overall rating
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.
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.
Nazareth Living Center
Nazareth Living Center is a senior living community in St. Louis, Missouri. It offers a range of services including assisted living, memory care, and skilled nursing. The community focuses on providing compassionate care and a supportive environment for its residents.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
114
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
76.7%
Residents per day (avg)
90
Occupancy rate
76.7%
Residents per day (avg)
90
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
25% of new residents, usually for short-term rehab.
Typical stay
21 days
Private pay
72% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Voluntary non-profit community
Home revenue
$29.6M
Operating deficit
-$453.1K
Voluntary non-profit community
Home revenue
$29.6M
Operating deficit
-$453.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$24.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$29.9M
114-bed community
A larger shared setting that may offer more common spaces and organized community services.
39 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Missouri averageOccupied beds
87 / 114
Average residents
72 per day
Facility TypeAlf**
CountySAINT LOUIS COUNTY
CMS Certification Number265636
Nazareth Living Center is administrated by Julie Collins.
Owner NameNAZARETH LIVING CENTER
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Rehabilitation
ActivitiesFull calendar of social and spiritual activities, something fun for everyone!
Specific ProgramsIndependent Living, Assisted Living, Memory Care, Skilled Nursing, Rehabilitation
Religious ServicesYes
IL$2,485
AL$6,030
MC$5,250
SN$336 (semi-private)
SN$413 (private)
Food DescriptionThree delicious meals served daily with a variety of options.
Meals IncludedYes
Health Inspection History
Inspections
Total health inspections
7
Missouri average 6.6
Last Health inspection on Nov 2025
Total health citations
47
Missouri average 36.5
Citations per inspection
6.71
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
38 of 47 citations resulted from standard inspections; 7 of 47 resulted from complaint investigations; and 2 of 47 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
3
3
200% worse than Missouri averageMissouri average: 1
0 critical citations
3 serious citations
42 moderate citations
2 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 29, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 29, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 29, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 29, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 29, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 29, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
Aberdeen Heights
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.
Kirkwood
38
92.6%
+39%
5.18
+39%
0
9
2.3
0
34
-
-
Ashfield Active Living And Wellness Communities, Inc.
$27.3M
$7.2M
26.3%
265841
Bertrand Nursing And Rehab Center
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.
Bertrand
60
78.8%
+18%
3.65
-2%
0
10
3.3
0
54
-
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Nazareth Living Center
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 Louis
121
76.7%
+15%
3.99
+7%
2
47
6.7
3
90
A+
-
Sisters Of St Joseph Of Carondelet St Louis Province
$15.9M
$5.3M
33.1%
265636
Good Shepherd Care Community
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.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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.
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Concordia
-
-
-
-
-
0
0
0.0
0
-
-
38
-
-
-
-
-
Abbey Senior Health
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.
O'fallon
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Living Spaces & Floor Plans
Studio
One Bedroom
One Bedroom
One Bedroom
Two Bedroom
Places of interest near Nazareth Living Center
183.0 miles from city center
Calculate Travel Distance to Nazareth Living Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
509
Employees
87
Contractors
422
Staff to resident ratio
5.47:1
220% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
54
Average shift
7.8 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
38,223
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
154
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
231
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
42.4%
16,191 contractor hours this quarter
Certified Nursing Assistant: 193
Licensed Practical Nurse: 133
Medication Aide/Technician: 33
Registered Nurse: 32
Physical Therapy Assistant: 9
Speech Language Pathologist: 8
Physical Therapy Aide: 6
Respiratory Therapy Technician: 3
Administrator: 1
Qualified Social Worker: 1
Nurse Practitioner: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 38 | 193 | 231 | 16,518 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 21 | 133 | 154 | 9,345 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 8 | 33 | 41 | 3,236 | 91 | 100% | 11.4 |
| Dental Services Staff | 2 | 0 | 2 | 1,011 | 67 | 74% | 8.4 |
| Registered Nurse | 4 | 32 | 36 | 941 | 71 | 78% | 7.4 |
| Other Dietary Services Staff | 6 | 0 | 6 | 892 | 66 | 73% | 6.8 |
| Physical Therapy Aide | 0 | 6 | 6 | 875 | 66 | 73% | 7.8 |
| Physical Therapy Assistant | 0 | 9 | 9 | 786 | 78 | 86% | 6.2 |
| Speech Language Pathologist | 0 | 8 | 8 | 753 | 88 | 97% | 7.9 |
| Administrator | 1 | 1 | 2 | 709 | 65 | 71% | 5.6 |
| Dietitian | 2 | 0 | 2 | 600 | 63 | 69% | 7.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 524 | 69 | 76% | 7.4 |
| RN Director of Nursing | 1 | 0 | 1 | 477 | 58 | 64% | 8.2 |
| Qualified Social Worker | 0 | 1 | 1 | 430 | 64 | 70% | 6.7 |
| Nurse Practitioner | 2 | 1 | 3 | 416 | 51 | 56% | 8.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 408 | 51 | 56% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 235 | 30 | 33% | 7.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 38 | 10 | 11% | 3.8 |
| Medical Director | 0 | 1 | 1 | 31 | 14 | 15% | 2.2 |
231 Certified Nursing Assistant
% of Days
100%
154 Licensed Practical Nurse
% of Days
100%
41 Medication Aide/Technician
% of Days
100%
2 Dental Services Staff
% of Days
74%
36 Registered Nurse
% of Days
78%
6 Other Dietary Services Staff
% of Days
73%
6 Physical Therapy Aide
% of Days
73%
9 Physical Therapy Assistant
% of Days
86%
8 Speech Language Pathologist
% of Days
97%
2 Administrator
% of Days
71%
2 Dietitian
% of Days
69%
3 Respiratory Therapy Technician
% of Days
76%
1 RN Director of Nursing
% of Days
64%
1 Qualified Social Worker
% of Days
70%
3 Nurse Practitioner
% of Days
56%
1 Clinical Nurse Specialist
% of Days
56%
1 Occupational Therapy Aide
% of Days
33%
1 Occupational Therapy Assistant
% of Days
11%
1 Medical Director
% of Days
15%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
93 residents
Residents by payment source
Medicare
23 residents (24.7%)
Medicaid
32 residents (34.4%)
Private pay or other
38 residents (40.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.3
31% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
18% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
23.0%
Percent of long-stay residents whose need for help with daily activities has increased
23.0%
16% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.8%
Percent of long-stay residents whose ability to move independently worsened
30.8%
50% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
17% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
In line with Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
In line with Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.1%
Percent of long-stay residents with a urinary tract infection
2.1%
24% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.4%
Percent of long-stay residents who lose too much weight
8.4%
50% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
26.4%
Percent of long-stay residents who received an antipsychotic medication
26.4%
20% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
63.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
63.8%
25% worse than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.1%
29% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
33% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.6%
43% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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 (Data as of Jan 2026)
Total fines amount
$39K
47% lower than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$39K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 14, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 14, 2025
4 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 2023
$12K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 2, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 2, 2023
$27K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Nazareth Living Center based on CMS SNF Cost Reports.
Occupancy Rate
76.7%
↑ 1.9pp vs 2023
Net Income
-$453.1K
↑ ~$55.3K vs 2023
Total Payroll
$8.8M
↑ ~$511.9K vs 2023
Profit Margin
-2.9%
↑ 0.6pp vs 2023
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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