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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
St. Andrew’s at Francis Place is a 106-bed skilled nursing facility at 400 Summerville Boulevard in Eureka, Missouri. It’s operated by St. Andrews Resources for Seniors System, a church-affiliated non-profit in St. Louis County. Accepted are Medicare, Medicaid, and private pay, with an average stay length of 341 days and only 1 of 73 current residents on Medicare, oriented strongly toward long-term care. The facility operates near capacity at 95 percent occupancy, far above Missouri’s 66.6 percent average, ranking among the most in-demand skilled nursing communities statewide.
CMS rates the facility 3 stars, 14.1 percent above Missouri average, with staffing as the clearest strength at 38.9 percent above state average. Nurse hours reach 3h 54m per resident daily. Over 9 inspections since 2020, the facility recorded 33 total citations, 16 of them from complaint investigations, including 1 critical finding. One $78,000 federal fine was assessed, last issued in 2023, with no payment denials.
Amenities feature spa areas, a contemplative chapel, nature walks, and private and companion rooms. Respite care and memory care programming are confirmed services alongside skilled rehabilitation.
St. Andrew’s at Francis Place suits residents in the Eureka area of St. Louis County seeking long-term skilled nursing or memory care in a church-affiliated, non-profit setting.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 111th out of 276 homes in Missouri. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
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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.
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14m per day | ▼ 50% State avg: 28m per day · National avg: 41m per day |
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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.
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30m per day | ▼ 27% State avg: 41m per day · National avg: 52m per day |
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Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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2h 28m per day | ▲ 6% State avg: 2h 19m per day · National avg: 2h 20m per day |
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Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
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3h 0m per day | ■ Avg State avg: 3h 3m per day · National avg: 3h 26m per day |
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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.
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4m per day | ▲ 100% State avg: 2m per day · National avg: 4m per day |
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Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
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5m per day | ▼ 75% State avg: 20m per day · National avg: 28m per day |
St Andrew’s at Francis Place is legally operated by St Andrew's At Francis Place, and administrated by Courtney West.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Inspections
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This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
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Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
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0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better |
Missouri average 6.6
Last Health inspection on Aug 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 33 citations resulted from standard inspections; and 16 of 33 resulted from complaint investigations.
43% worse than Missouri average
Missouri average: 0.7
In line with Missouri average
Missouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
29% worse than Missouri average
5% worse than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 3 RN Staff are full-time employees. No contractors work on this role.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Assists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Helps with daily care and mobility.
All 44 CNA Staff are full-time employees. No contractors work on this role.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,756 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 44 | 0 | 44 | 17,837 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 12 | 0 | 12 | 4,604 | 92 | 100% | 7.8 |
| Registered Nurse | 3 | 0 | 3 | 1,001 | 91 | 99% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 984 | 73 | 79% | 7.4 |
| Nurse Practitioner | 1 | 1 | 2 | 548 | 67 | 73% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 541 | 73 | 79% | 5.3 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 537 | 64 | 70% | 5.2 |
| Physical Therapy Aide | 0 | 4 | 4 | 497 | 66 | 72% | 7 |
| Administrator | 1 | 0 | 1 | 495 | 66 | 72% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 469 | 63 | 68% | 7.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 446 | 53 | 58% | 8.4 |
| Dietitian | 1 | 0 | 1 | 436 | 60 | 65% | 7.3 |
| Physical Therapy Assistant | 0 | 4 | 4 | 367 | 58 | 63% | 4.7 |
| Qualified Social Worker | 0 | 3 | 3 | 245 | 56 | 61% | 4.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 45 | 6 | 7% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 29 | 3 | 3% | 9.7 |
| Medical Director | 1 | 0 | 1 | 6 | 13 | 14% | 0.5 |
Includes penalties issued in 2023
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)
6% higher than Missouri average
Missouri average: $73K
59% fewer fines than Missouri average
Missouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri average
Missouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 26, 2023 · $78K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 26, 2023
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.4
41% worse than Missouri average
Missouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.7
58% worse than Missouri average
Missouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
30.9%
56% worse than Missouri average
Missouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
36.8%
78% worse than Missouri average
Missouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.3%
34% worse than Missouri average
Missouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
In line with Missouri average
Missouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
3.5%
30% better than Missouri average
Missouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.3%
53% better than Missouri average
Missouri average: 2.7%
Percent of long-stay residents who lose too much weight
1.8%
68% better than Missouri average
Missouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
1.2%
91% better than Missouri average
Missouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
18.2%
17% better than Missouri average
Missouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.0%
7% worse than Missouri average
Missouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
In line with Missouri average
Missouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.56
23% worse than Missouri average
Missouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.58
75% better than Missouri average
Missouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
39.4%
41% worse than Missouri average
Missouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
8% better than Missouri average
Missouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
40.5%
36% worse than Missouri average
Missouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.1%
15% worse than Missouri average
Missouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
28% worse than Missouri average
Missouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri average
Missouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
61.8%
15% better than Missouri average
Missouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
57.4%
14% better than Missouri average
Missouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
26% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for St Andrew’s at Francis Place based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #40 / 286Payroll — State benchmarkedThis home is ranked 40th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Eureka's city center to St Andrew’s at Francis Place's address, calculated via Google Maps.
Add your location
St Andrew’s at Francis Place is located in EUREKA, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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Farmington | 90 | 74.4% | +12% | 4.58 | +49% | +23% | $12.6k | 9 | 2.3 | 1 | 64 | A+ | 66 | Jane Hull | $9.9M | $6.3M | 63% | 265583 | ||||
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Weldon Spring | 81 | - | - | 5.01 | -16% | +34% | $41.3k | 16 | 4.0 | 2 | 46 | A+ | 2 | Holly Stevens | $20.9M | $12.2M | 58.6% | 265767 | ||||
| St Andrew’s at Francis Place |
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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
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Eureka | 106 | - | - | 3.89 | -56% | +4% | $77.7k | 33 | 3.7 | 2 | 94 | - | 54 | St Andrews Resources For Seniors System | $14.3M | $6.9M | 48.6% | 265195 | ||||
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AL
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AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
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The legal owner and operator of St Andrew’s at Francis Place is St Andrew's At Francis Place.
St Andrew’s at Francis Place has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, St Andrew’s at Francis Place's license number is 053035.
According to MO state health department records, St Andrew’s at Francis Place's license expires on September 30, 2027.
Courtney West is the administrator of St Andrew’s at Francis Place.
St Andrew’s at Francis Place has 106 beds.
Yes — there are 16 photos of St Andrew’s at Francis Place in the photo gallery on this page.
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