Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
493
79 employees · 414 contractors · 51 on an average day Nazareth Living Center
Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Saint Louis, MO
CMS overall rating
2/5
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.
2/5
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.
Nazareth Living Center
Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Saint Louis, MO
CMS overall rating
2/5
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.
2/5
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.
Nazareth Living Center accepts Medicare, Medicaid, and private pay.
Overview of Nazareth Living Center
Nazareth Living Center offers independent living, assisted living, memory care, respite care, nursing home care, and skilled nursing in Saint Louis, MO. Independent living means having a private living space with community services and no daily care, while assisted living provides help with bathing, dressing, medication, and similar tasks while the resident keeps an apartment. Memory care is provided in a secured setting with supervision, and skilled nursing includes licensed nursing care on site around the clock. Respite care is available for short stays, which can give a family caregiver time to travel or recover.
The range of care levels can suit a resident whose needs grow over time without requiring a move to a different community. With 235 beds, Nazareth Living Center is a larger community with more residents and staff, and usually more programming. The total nurse staffing figure is 3 hours and 58 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.
Starting prices are $2,485 for independent living, $6,030 for assisted living, $5,250 for memory care, $336 for a semi private skilled nursing room, and $413 for a private skilled nursing room. Medicare, Medicaid, and private pay are accepted, giving families payment routes for covered care or private payment. Rehabilitation services and short term rehab support a resident receiving therapy during a temporary rehabilitation stay. Residents may have pets, use available transportation, and attend religious services at the community. Joseph Vanhooser serves as the administrator. Nazareth Living Center may be a good fit for someone who needs the option to move among several levels of care as support needs change.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 93rd out of 275 nursing homes we track 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.
3h 58m
This nursing home is ranked 93rd out of 275 nursing homes we track 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.
3h 58mStandout metric: Physical therapist is +81% above Missouri average
1 of 6 metrics below Missouri average
Daily care time per resident, by role
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. 56 total: 5 of the facility's own employees and 51 agency contractors.
56 staff · 7.7-hour shifts
31m
↑ 11% · MO 28mThis facility: 31m per resident per day, 11% above the Missouri average of 28m (among Missouri facilities reporting a recent figure).
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. 56 total: 5 of the facility's own employees and 51 agency contractors.
56 staff · 7.7-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 107 total: 15 of the facility's own employees and 92 agency contractors.
107 staff · 8-hour shifts
1h 0m
↑ 46% · MO 41mThis facility: 1h 0m per resident per day, 46% above the Missouri average of 41m (among Missouri facilities reporting a recent figure).
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. 107 total: 15 of the facility's own employees and 92 agency contractors.
107 staff · 8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 246 total: 38 of the facility's own employees and 208 agency contractors.
246 staff · 7.7-hour shifts
2h 27m
↑ 6% · MO 2h 19mThis facility: 2h 27m per resident per day, 6% above the Missouri average of 2h 19m (among Missouri facilities reporting a recent figure).
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. 246 total: 38 of the facility's own employees and 208 agency contractors.
246 staff · 7.7-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
4m
↑ 81% · MO 2mThis facility: 4m per resident per day, 81% above the Missouri average of 2m (among Missouri facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 31m
↑ 15% · MO 3h 3mThis facility: 3h 31m per resident per day, 15% above the Missouri average of 3h 3m (among Missouri facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
16m
↓ 18% · MO 20mThis facility: 16m per resident per day, 18% below the Missouri average of 20m (among Missouri facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
493
79 employees · 414 contractors · 51 on an average day
493 total staff / 93 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
5.30 : 1
↑ 238% · MO 1.57This facility: 5.30 staff per resident, 238% above the Missouri average of 1.57 (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
493 staff ÷ 93 residents
See full Missouri ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↓ 4% · MO 8.1 hThis facility: 7.8 h, 4% below the Missouri average of 8.1 h (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
36,279 staff hours this quarter
See full Missouri ranking →51.7% of staff hours were worked by the facility's own employees
Missouri average: 92.6% · Contractors this quarter: Certified Nursing Assistant (208), Licensed Practical Nurse (92), Registered Nurse (51), Medication Aide/Technician (35), Speech Language Pathologist (7), Physical Therapy Assistant (6), Physical Therapy Aide (5), Respiratory Therapy Technician (5), Qualified Social Worker (2), Administrator (1), Medical Director (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A large-scale community that may provide a wide range of amenities, services, and structured programs.
235
Rank #6 / 287Bed count — State benchmarked This nursing home is ranked 6th out of 287 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
235
Rank #6 / 287Bed count — State benchmarked This nursing home is ranked 6th out of 287 nursing homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.High-capacity home · May provide extensive amenities, services and programs.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #6 / 172Years in operation — State benchmarked This nursing home is ranked 6th out of 172 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #6 / 172Years in operation — State benchmarked This nursing home is ranked 6th out of 172 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
39
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #238 / 294Walk Score — State benchmarked This nursing home is ranked 238th out of 294 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #238 / 294Walk Score — State benchmarked This nursing home is ranked 238th out of 294 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
29
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #246 / 265Occupancy rate — State benchmarked This nursing home is ranked 246th out of 265 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 265. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #246 / 265Occupancy rate — State benchmarked This nursing home is ranked 246th out of 265 nursing homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 265. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
42.1%
This home usually has availability
Based on 99 residents and 235 beds. Source: state inspection report (Jun 2025)
Lower than the Missouri average: 69.5%
Avg. Length of Stay
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.
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.
51
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
Pricing & Financial Information
The below pricing was updated on
$2,485/Month
Assisted Living
$6,030/Month
Memory Care
$5,250/Month
Skilled Nursing
$336 (semi-private)/Month
Skilled Nursing
$413 (private)/Month
Facility TypeSkilled Nursing Facility, ALF
IssuanceSeptember 10, 2024
CountySaint Louis County
License Number052138, 052990
CMS Certification Number265636
Certification TypeMedicare / Medicaid
Nazareth Living Center is legally operated by Nazareth Living Center, and administered by Joseph Vanhooser.
Corporate EntityNAZARETH LIVING CENTER
Owner NameNazareth Living Center
Skilled Nursing Facility
121 units
ALF**
114 units
Total beds
235 units
Resident Council
Family Council
Short-Term Rehab
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Pets Allowed
Continuing Care Retirement Community (CCRC)
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
Since 2018 · 8 years of data
These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 63 deficiencies 16 inspections
Includes all inspection records for this property, which could include management/ownership changes. 63 deficiencies 16 inspections
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 2018 vs. Missouri state average
Overall vs. MO average
1 Worse
Metrics worse than Missouri average:
• Total deficiencies (70% above) 1 Better Metrics better than Missouri average:
• Deficiencies per inspection (15% below)
• Total deficiencies (70% above) 1 Better Metrics better than Missouri average:
• Deficiencies per inspection (15% below)
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 63 | 37.0 | This facility has 70% more total deficiencies than a typical Missouri nursing home (63 vs. MO avg 37).↑ 70% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.9 | 4.6 | This facility has 15% fewer deficiencies per inspection than a typical Missouri nursing home (3.9 vs. MO avg 4.6).↓ 15% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 16 | 8.0 | This facility has had 100% more total inspections than the Missouri average (16 vs. MO avg 8). More inspections can mean more regulatory scrutiny rather than worse care.↑ 100% more |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
9
↑ 36% · MO 6.6This facility: 9, 36% above the MO average of 6.6 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
49
Rank #219 / 277Health citations — State benchmarked This nursing home is ranked 219th out of 277 nursing homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 277 MO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 36% · MO 36.1This facility: 49, 36% above the MO average of 36.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
5.44
Rank #157 / 277Citations per inspection — State benchmarked This nursing home is ranked 157th out of 277 nursing homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 277 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 3% · MO 5.61This facility: 5.44, 3% below the MO average of 5.61 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
95% corrected
47 of 49 citations corrected · 2 still open
Critical
J–L
0
↓ 100% · MO 0.6This facility: 0, 100% below the MO average of 0.6 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
2
↑ 82% · MO 1.1This facility: 2, 82% above the MO average of 1.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
Actual harm
Moderate
D–F
45
↑ 35% · MO 33.3This facility: 45, 35% above the MO average of 33.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
95% corrected · 2 open
No harm, more than minimal risk
Minor
A–C
2
↑ 82% · MO 1.1This facility: 2, 82% above the MO average of 1.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, minimal riskLatest inspection: Feb 05, 2026 · 1 citation (Quality of Care, moderate), not yet corrected
Most cited category: Quality of Life & Care, 17 of 49 citations · 8 categories in total
Citations history
Most recent first
Feb 05, 2026
1 citation
Quality of Care moderate citation
Jan 08, 2026
1 citation
Quality of Care moderate citation
Corrected
Corrected
Dec 16, 2025
1 citation
Quality of Care moderate citation
Nov 17, 2025
1 citation
Quality of Care moderate citation
Corrected
Corrected
Jul 29, 2025
4 citations
Quality of Care serious citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Mar 14, 2025
17 citations
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Administration minor citation
Corrected
Corrected
Jul 24, 2024
1 citation
Care Planning moderate citation
Corrected
Corrected
Oct 26, 2023
11 citations
Quality of Care serious citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Oct 09, 2020
12 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Top deficiency categories
Share of 49 citations
Quality of Life & Care
17 deficiencies (35%)
Pharmacy Services
14 deficiencies (29%)
Resident Assessment & Care Planning
7 deficiencies (14%)
Infection Control
3 deficiencies (6%)
Resident Rights
3 deficiencies (6%)
Abuse, Neglect & Exploitation
3 deficiencies (6%)
Administration
1 deficiency (2%)
Environmental
1 deficiency (2%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
38 of 49 citations resulted from standard inspections; 9 of 49 resulted from complaint investigations; and 2 of 49 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
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 Oct 2026
2 penalties in the past 3 years
Latest: Mar 14, 2025 · 4-day payment denial
Oct 26, 2023 · $11,928 civil money penalty
Mar 14, 2025 · 4-day payment denial
Total fines
$11,928
↓ 86% · MO $84KThis facility: $11,928, 86% below the Missouri average of $83,906. Average among the 213 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #170 / 278Federal fines — State benchmarked This nursing home is ranked 170th out of 278 nursing homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 278 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 44% · MO 1.79This facility: 1, 44% below the Missouri average of 1.79. Average among the 213 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
4 days
↑ 38% · MO 0.72This facility: 1, 38% above the Missouri average of 0.72. Average among the 213 Missouri facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Mar 14, 2025
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
4 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
4 days
Oct 26, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$11,928
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$11,928Fine amount comparison
This facility
$11,928
Missouri average
$83,906
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Missouri and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Missouri average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 63% · MO 2.7This facility: 1.0, 63% below the MO average of 2.7 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↑ 42% · MO 2.1This facility: 3.0, 42% above the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
19.5
Score · lower is better
↑ 110% · MO 9.3This facility: 19.5, 110% above the MO average of 9.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
34.5
Score · lower is better
↑ 106% · MO 16.8This facility: 34.5, 106% above the MO average of 16.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 5 worse, 3 near MO average
8 short-stay measures: 1 better, 3 worse, 1 near MO average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
38.0%
↑ 118% · MO 17.4This facility: 38.0, 118% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
38.0%
↑ 118% · MO 17.4This facility: 38.0, 118% above the MO average of 17.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
47.9%
↑ 204% · MO 15.8This facility: 47.9, 204% above the MO average of 15.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
47.9%
↑ 204% · MO 15.8This facility: 47.9, 204% above the MO average of 15.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
↑ 4% · MO 17.0This facility: 17.7, 4% above the MO average of 17.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.7%
↑ 4% · MO 17.0This facility: 17.7, 4% above the MO average of 17.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.8%
↑ 28% · MO 2.2This facility: 2.8, 28% above the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.8%
↑ 28% · MO 2.2This facility: 2.8, 28% above the MO average of 2.2 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
↓ 80% · MO 4.0This facility: 0.8, 80% below the MO average of 4.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
↓ 80% · MO 4.0This facility: 0.8, 80% below the MO average of 4.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
7.4%
↑ 66% · MO 4.5This facility: 7.4, 66% above the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
7.4%
↑ 66% · MO 4.5This facility: 7.4, 66% above the MO average of 4.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
3.6%
↓ 31% · MO 5.1This facility: 3.6, 31% below the MO average of 5.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
3.6%
↓ 31% · MO 5.1This facility: 3.6, 31% below the MO average of 5.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · MO 20.0This facility: 0.0, 100% below the MO average of 20.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · MO 20.0This facility: 0.0, 100% below the MO average of 20.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
20.9%
↓ 11% · MO 23.5This facility: 20.9, 11% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
20.9%
↓ 11% · MO 23.5This facility: 20.9, 11% below the MO average of 23.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
57.8%
↓ 31% · MO 84.0This facility: 57.8, 31% below the MO average of 84.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
57.8%
↓ 31% · MO 84.0This facility: 57.8, 31% below the MO average of 84.0 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
↑ 4% · MO 90.8This facility: 94.3, 4% above the MO average of 90.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
↑ 4% · MO 90.8This facility: 94.3, 4% above the MO average of 90.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.02
↓ 3% · MO 2.08This facility: 2.02, 3% below the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.02
↓ 3% · MO 2.08This facility: 2.02, 3% below the MO average of 2.08 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.14
↓ 51% · MO 2.35This facility: 1.14, 51% below the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.14
↓ 51% · MO 2.35This facility: 1.14, 51% below the MO average of 2.35 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
57.6%
↑ 7% · US 53.7This facility: 57.6, 7% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
57.6%
↑ 7% · US 53.7This facility: 57.6, 7% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
57.6%
↑ 14% · US 50.6This facility: 57.6, 14% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
57.6%
↑ 14% · US 50.6This facility: 57.6, 14% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
↑ 64% · US 0.8This facility: 1.3, 64% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
↑ 64% · US 0.8This facility: 1.3, 64% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
↓ 75% · MO 2.1This facility: 0.5, 75% below the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
↓ 75% · MO 2.1This facility: 0.5, 75% below the MO average of 2.1 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.4%
↓ 1% · MO 65.8This facility: 65.4, 1% below the MO average of 65.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
65.4%
↓ 1% · MO 65.8This facility: 65.4, 1% below the MO average of 65.8 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.8%
↓ 8% · MO 61.5This facility: 56.8, 8% below the MO average of 61.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.8%
↓ 8% · MO 61.5This facility: 56.8, 8% below the MO average of 61.5 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.9%
↑ 38% · MO 25.3This facility: 34.9, 38% above the MO average of 25.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.9%
↑ 38% · MO 25.3This facility: 34.9, 38% above the MO average of 25.3 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
↑ 7% · MO 13.4This facility: 14.4, 7% above the MO average of 13.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
↑ 7% · MO 13.4This facility: 14.4, 7% above the MO average of 13.4 (among MO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Nazareth Living Center’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 270 Missouri nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, but less than last year
−96.5% operating margin
+17.5 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($14.4M) turns it into a net profit to $0.4M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Missouri homes
47.9% payroll share of revenue
MO average 55.0%Rank #180 / 270Payroll % of net patient revenue — State benchmarked This nursing home is ranked 180th out of 270 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.4M while revenue rose $2.2M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Missouri homes.
Revenue & profit
Big revenue, persistent losses
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $14.4M | +$2.2M | Trend 20182025 | MO median $6.2M | Rank in MO Rank #20 / 270Net patient revenue — State benchmarked This nursing home is ranked 20th out of 270 nursing homes we track in Missouri for net patient revenue. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 93% of homes | Top 7% in MO Higher net patient revenue than 93% of MO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $28.3M | +$2.1M | Trend 20182025 | MO median $6.5M | Rank in MO Rank #5 / 270Operating expenses — State benchmarked This nursing home is ranked 5th out of 270 nursing homes we track in Missouri for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Missouri homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 99% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$13.9M | +$0.1M | Trend 20182025 | MO median −$0.1M | Rank in MO Rank #267 / 270Net patient income — State benchmarked This nursing home is ranked 267th out of 270 nursing homes we track in Missouri for net patient income. Shows net patient revenue minus operating expenses, compared with other Missouri homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 1% of homes | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −96.5% | +17.5 pts | Trend 20182025 | MO median −1.4% | Rank in MO Rank #266 / 270Operating margin — State benchmarked This nursing home is ranked 266th out of 270 nursing homes we track in Missouri for operating margin. Shows net patient income as a share of net patient revenue, compared with other Missouri homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 1% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $14.4M | — | Trend — | MO median $0.0M | Rank in MO Rank #3 / 264Other income — State benchmarked This nursing home is ranked 3rd out of 264 nursing homes we track in Missouri for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Missouri homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 99% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | $0.4M | +$0.8M | Trend — | MO median $0.0M | Rank in MO Rank #79 / 270Net income — State benchmarked This nursing home is ranked 79th out of 270 nursing homes we track in Missouri for net income. Shows the bottom line after other income, compared with other Missouri homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 71% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Missouri homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | MO median | Compared with MO homesRank in MO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $6.9M | +$0.4M | Trend 20182025 | MO median $3.5M | Rank in MO Rank #31 / 270Payroll costs — State benchmarked This nursing home is ranked 31st out of 270 nursing homes we track in Missouri for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 89% of homes | Above MO median Higher payroll than 89% of MO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 47.9% | −5.1 pts | Trend 20182025 | MO median 52.4% | Rank in MO Rank #180 / 270Payroll % of net patient revenue — State benchmarked This nursing home is ranked 180th out of 270 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 33% of homes | 7.1 pts under MO average The MO average is 55.0% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · MO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Missouri payroll average.
% of net patient revenue
Payroll share Operating margin MO payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $11.1M | $11.5M | $11.5M | $9.5M | $11.7M | $11.6M | $12.3M | $14.4M |
| Operating expenses | $19.1M | $19.6M | $22.2M | $20.5M | $23.4M | $24.8M | $26.3M | $28.3M |
| Net patient income | −$8.0M | −$8.2M | −$10.7M | −$11.0M | −$11.7M | −$13.1M | −$14.0M | −$13.9M |
| Operating margin | −72.3% | −71.0% | −92.7% | −115.4% | −99.9% | −112.8% | −113.9% | −96.5% |
| Net income | −$2.1M | $0.1M | $1.1M | $0.1M | −$0.8M | −$0.5M | −$0.5M | $0.4M |
| Payroll costs | $6.1M | $6.1M | $6.3M | $4.9M | $5.5M | $5.8M | $6.5M | $6.9M |
| Payroll share of revenue | 55.3% | 53.2% | 54.3% | 51.9% | 47.1% | 49.9% | 53.0% | 47.9% |
| Beds | 121 | 121 | 121 | 121 | 121 | 121 | 121 | 121 |
| Gross revenue | $14.0M | $14.2M | $12.8M | $11.4M | $14.0M | $14.8M | $15.9M | $17.5M |
| Salaries | $4.9M | $4.8M | $5.0M | $3.8M | $4.4M | $4.7M | $5.3M | $5.6M |
| Wage-related costs | $1.2M | $1.3M | $1.3M | $1.1M | $1.1M | $1.1M | $1.2M | $1.3M |
| Contract labor | $1.9M | $1.5M | $1.6M | $2.1M | $3.2M | $2.5M | $2.3M | $2.6M |
| Other operating costs | $13.0M | $13.5M | $16.0M | $15.5M | $17.9M | $19.0M | $19.8M | $21.4M |
| Net patient revenue per day | $282 | $285 | $312 | $319 | $336 | $352 | $361 | $418 |
| Cost per day | $485 | $488 | $601 | $687 | $672 | $750 | $773 | $820 |
| Average length of stay | 53.9 days | 96.7 days | 73.1 days | 63.4 days | 45.4 days | 68.1 days | 45.8 days | 50.9 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
835 admissions · FY2025
Residents admitted during the year.
Medicare
196 · 23%
Medicaid
29 · 3%
Private pay & other
610 · 73%
Resident snapshot
93 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
23 · 25%
Medicaid
32 · 34%
Private pay & other
38 · 41%
Leaving
679 discharges · FY2025
Residents discharged during the year.
Medicare
139 · 20%
Medicaid
7 · 1%
Private pay & other
533 · 78%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Living Spaces & Floor Plans for Nazareth Living Center
Places of interest near Nazareth Living Center
2 Nazareth Ln, Saint Louis, MO 63129-7600
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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-ranked to lowest-ranked based on our 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.
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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: 55.0% 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Life Care Center of St Louis | NH SNF | Saint Louis | 100
Facility
100
MO AVG
112
Rank
#154 / 287 |
83.3%
Facility
83.3%
MO AVG
69.5%
Rank
#67 / 265 | +20% | 4.43
Facility
4.43
MO AVG
3.65
Rank
#51 / 275 | -25% | +21% | $15.6k
Facility
$15.6k
MO AVG
$89.7k
Rank
#191 / 278 | 39
Facility
39
MO AVG
36.1
Rank
#175 / 277 | 6.5
Facility
6.5
MO AVG
5.6
Rank
#235 / 277 | 1 | 83 | A+ |
92
Facility
92
MO AVG
50
Rank
#15 / 294 | Cmc Extended Care Center, Inc | $11.2MFiscal year ending 02/2025
Facility
$11.2MFiscal year ending 02/2025
MO AVG
$8.1M
Rank
#56 / 270 | $6.2MFiscal year ending 02/2025
Facility
$6.2MFiscal year ending 02/2025
MO AVG
$4.2M
Rank
#41 / 270 | 55.2%Fiscal year ending 02/2025
Facility
55.2%Fiscal year ending 02/2025
MO AVG
55%
Rank
#117 / 270 | 265610 | ||||
| The Manor | NH MC SNF | Poplar Bluff | 90
Facility
90
MO AVG
112
Rank
#189 / 287 |
73.0%
Facility
73.0%
MO AVG
69.5%
Rank
#120 / 265 | +5% | 3.55
Facility
3.55
MO AVG
3.65
Rank
#156 / 275 | +31% | -3% | $0
Facility
$0
MO AVG
$89.7k
Rank
#1 / 278 | 26
Facility
26
MO AVG
36.1
Rank
#112 / 277 | 8.7
Facility
8.7
MO AVG
5.6
Rank
#255 / 277 | - | 66 | A+ |
67
Facility
67
MO AVG
50
Rank
#65 / 294 | Poplar Bluff No 1, Inc | $5.4MFiscal year ending 12/2024
Facility
$5.4MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#166 / 270 | $2.4MFiscal year ending 12/2024
Facility
$2.4MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#208 / 270 | 44.8%Fiscal year ending 12/2024
Facility
44.8%Fiscal year ending 12/2024
MO AVG
55%
Rank
#223 / 270 | 265442 | ||||
| Delhaven Manor | NH SNF | Saint Louis | 156
Facility
156
MO AVG
112
Rank
#44 / 287 |
29.4%
Facility
29.4%
MO AVG
69.5%
Rank
#261 / 265 | -58% | 4.65
Facility
4.65
MO AVG
3.65
Rank
#33 / 275 | -46% | +28% | $73.0k
Facility
$73.0k
MO AVG
$89.7k
Rank
#238 / 278 | 48
Facility
48
MO AVG
36.1
Rank
#215 / 277 | 4.8
Facility
4.8
MO AVG
5.6
Rank
#115 / 277 | 1 | 46 | A+ |
92
Facility
92
MO AVG
50
Rank
#15 / 294 | Delhaven Manor No. 2, Inc | $4.9MFiscal year ending 12/2024
Facility
$4.9MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#188 / 270 | $2.9MFiscal year ending 12/2024
Facility
$2.9MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#169 / 270 | 59.3%Fiscal year ending 12/2024
Facility
59.3%Fiscal year ending 12/2024
MO AVG
55%
Rank
#85 / 270 | 265392 | ||||
| Lakeview Post Acute | NH HOS SNF | Florissant (Old Town Florissant) | 120
Facility
120
MO AVG
112
Rank
#76 / 287 |
82.8%
Facility
82.8%
MO AVG
69.5%
Rank
#71 / 265 | +19% | 3.69
Facility
3.69
MO AVG
3.65
Rank
#124 / 275 | -37% | +1% | $66.0k
Facility
$66.0k
MO AVG
$89.7k
Rank
#271 / 278 | 86
Facility
86
MO AVG
36.1
Rank
#273 / 277 | 5.7
Facility
5.7
MO AVG
5.6
Rank
#167 / 277 | 5 | 99 | A+ |
63
Facility
63
MO AVG
50
Rank
#89 / 294 | Florissant Skilled Nursing LLC | $13.5MFiscal year ending 12/2024
Facility
$13.5MFiscal year ending 12/2024
MO AVG
$8.1M
Rank
#30 / 270 | $6.2MFiscal year ending 12/2024
Facility
$6.2MFiscal year ending 12/2024
MO AVG
$4.2M
Rank
#40 / 270 | 45.9%Fiscal year ending 12/2024
Facility
45.9%Fiscal year ending 12/2024
MO AVG
55%
Rank
#210 / 270 | 265838 | ||||
| Nazareth Living Center | NH AL IL MC RC SNF | Saint Louis | 235
Facility
235
MO AVG
112
Rank
#6 / 287 |
42.1%
Facility
42.1%
MO AVG
69.5%
Rank
#246 / 265 | -39% | 3.97
Facility
3.97
MO AVG
3.65
Rank
#93 / 275 | +43% | +9% | $11.9k
Facility
$11.9k
MO AVG
$89.7k
Rank
#170 / 278 | 49
Facility
49
MO AVG
36.1
Rank
#219 / 277 | 5.4
Facility
5.4
MO AVG
5.6
Rank
#157 / 277 | 2 | 99 | A+ |
29
Facility
29
MO AVG
50
Rank
#238 / 294 | Nazareth Living Center | $14.4MFiscal year ending 06/2025
Facility
$14.4MFiscal year ending 06/2025
MO AVG
$8.1M
Rank
#20 / 270 | $6.9MFiscal year ending 06/2025
Facility
$6.9MFiscal year ending 06/2025
MO AVG
$4.2M
Rank
#31 / 270 | 47.9%Fiscal year ending 06/2025
Facility
47.9%Fiscal year ending 06/2025
MO AVG
55%
Rank
#180 / 270 | 265636 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Nazareth Living Center
Quick answers from public records and the community's own listing.01 Is Nazareth Living Center in a walkable area?
Nazareth Living Center has a walk score of 29. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
02 What is the license number of Nazareth Living Center?
According to MO state health department records, Nazareth Living Center's license number is 052138, 052990.
03 What is the occupancy rate at Nazareth Living Center?
Nazareth Living Center's occupancy is 42.1%.
04 How long has Nazareth Living Center been in business?
Nazareth Living Center has been operating for approximately 39 years, based on available licensing and registration records.
05 Does Nazareth Living Center have different floorplan options?
Yes — see the floorplan options available at Nazareth Living Center on this page.
06 Are pets allowed at Nazareth Living Center?
Yes, Nazareth Living Center allows residents to bring their pets.
07 Does Nazareth Living Center operate as a for-profit or non-profit?
Nazareth Living Center is registered as a non-profit in MO.
Updated on
