Occupancy rate
73%
In line with Missouri averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
St. Clair Nursing Center
Nursing Home in Union
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
St. Clair Nursing Center
Nursing Home in Union
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Nestled in the peaceful grounds of Plaza Court North, Saint Clair, MO, is the esteemed senior living community of St. Clair Nursing Center Skilled Nursing by Americare, which offers skilled nursing, hospice care, home health care, and rehabilitation. Featuring private and semi-private studio accommodations, the community ensures seniors have a peaceful and safe stay on its premises. Let go of your worries with a team of dedicated and well-trained professionals caring for your special needs and aspirations.
Live an active and connected life with enjoyable activities and exciting events. Moreover, the community utilizes a holistic approach to ensure residents are taken care of in every aspect of their well-being. St. Clair Nursing Center strives to provide a haven for seniors to make the most out of their best years without worries.
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 hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
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.
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.
4h 3m per day
vs Missouri avg
+7%
Standout metric
Total Nursing (Weekend) is +16% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 21% State avg: 28m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 20m per day | ■ Avg State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 32m per day | ▲ 16% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 11m per day | ▼ 45% State avg: 20m per day · National avg: 29m per day |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
79
Avg. Length of Stay
70 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
19% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
67% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
14% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.7M
Profit
$131.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.7M
Profit
$131.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.5M
79-bed community
A larger shared setting that may offer more common spaces and organized community services.
28 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 48 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Missouri averageOccupied beds
58 / 79
Average residents
72 per day
Facility TypeSnf
CountyFranklin
CMS Certification Number265495
St. Clair Nursing Center is legally operated by St Clair Nursing, Llc, and administrated by Marsh.
Corporate EntityST CLAIR NURSING, LLC
Staffing
Key information about the people who lead and staff this community.
ContactMs. Tina Gotsch, Administrator
What does this home offer?
Pets Allowed: Yes, Pets Allowed
Room Sizes: 210 sq. ft.
Housing Options: Private Room / Semi-Private Room
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at St. Clair Nursing Center
Skilled Nursing
Hospice Care
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
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.
3 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Show Inspection Reports
Latest inspection
Date
February 7, 2025
Routine8 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
Inspection Report Summary for St. Clair Nursing Center
The most recent inspection on February 7, 2025, identified deficiencies related to unsafe wheelchair propulsion and unsecured hazardous materials storage. Earlier inspections noted issues with resident dignity and respiratory care, as well as concerns about resident transfers, food safety, and infection control. Inspectors cited recurring themes involving resident safety, hygiene, and proper care procedures. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The pattern of deficiencies suggests ongoing challenges in maintaining safety and care standards without a clear trend of improvement or decline.
Health Inspection History
Inspections
Total health inspections
3
Missouri average 6.6
Last Health inspection on Feb 2025
Total health citations
7
Missouri average 36.5
Citations per inspection
2.33
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
7 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 07, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 07, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 08, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Mar 08, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 08, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 08, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 13, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 13, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Union The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| St. Clair Nursing Center |
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | St Clair | 81 | 65.8% | -1% | 4.05 | +26% | +8% | 1 | 7 | 2.3 | 0 | 54 | A+ | 48 | St. Clair Nursing Llc | $5.7M | $2.8M | 48.9% | 265495 |
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Places of interest near St. Clair Nursing Center
7.9 miles from city center
Estimated distance in miles from St Clair's city center to St. Clair Nursing Center's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
142
Employees
90
Contractors
52
Staff to resident ratio
2.45:1
43% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
35
Average shift
8 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
25,606
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
50
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
10.1%
2,596 contractor hours this quarter
Certified Nursing Assistant: 22
Registered Nurse: 6
Licensed Practical Nurse: 6
Respiratory Therapy Technician: 5
Speech Language Pathologist: 4
Qualified Social Worker: 3
Physical Therapy Assistant: 2
Physical Therapy Aide: 1
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 28 | 22 | 50 | 6,722 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 15 | 6 | 21 | 4,725 | 91 | 100% | 8.9 |
| Medication Aide/Technician | 12 | 0 | 12 | 4,507 | 91 | 100% | 10.1 |
| Physical Therapist | 13 | 0 | 13 | 3,180 | 91 | 100% | 6.3 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,324 | 84 | 92% | 8.4 |
| Registered Nurse | 8 | 6 | 14 | 1,212 | 77 | 85% | 10.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 503 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 58 | 64% | 7.9 |
| Dietitian | 1 | 0 | 1 | 442 | 57 | 63% | 7.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 419 | 65 | 71% | 6.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 409 | 65 | 71% | 6.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 391 | 52 | 57% | 7.5 |
| RN Director of Nursing | 1 | 0 | 1 | 375 | 52 | 57% | 7.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 239 | 60 | 66% | 4 |
| Medical Director | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 51 | 41 | 45% | 1.2 |
| Qualified Social Worker | 0 | 3 | 3 | 39 | 24 | 26% | 1.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 3 | 3% | 6.6 |
50 Certified Nursing Assistant
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
12 Medication Aide/Technician
% of Days
100%
13 Physical Therapist
% of Days
100%
8 Nurse Aide in Training
% of Days
92%
14 Registered Nurse
% of Days
85%
1 Mental Health Service Worker
% of Days
69%
1 Administrator
% of Days
64%
1 Nurse Practitioner
% of Days
64%
1 Dietitian
% of Days
63%
1 Physical Therapy Aide
% of Days
71%
4 Speech Language Pathologist
% of Days
71%
1 Clinical Nurse Specialist
% of Days
57%
1 RN Director of Nursing
% of Days
57%
2 Physical Therapy Assistant
% of Days
66%
1 Medical Director
% of Days
14%
5 Respiratory Therapy Technician
% of Days
45%
3 Qualified Social Worker
% of Days
26%
1 Occupational Therapy Aide
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58
Medicare
2
3.4% of residents
Medicaid
38
65.5% of residents
Private pay or other
18
31% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
43% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.7
9% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.6%
Percent of long-stay residents whose need for help with daily activities has increased
8.6%
57% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.8%
Percent of long-stay residents whose ability to move independently worsened
14.8%
28% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.7%
64% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
33% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.8%
Percent of long-stay high risk residents with pressure ulcers
1.8%
65% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.7%
Percent of long-stay residents with a urinary tract infection
1.7%
39% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.2%
Percent of long-stay residents who lose too much weight
3.2%
42% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.5%
Percent of long-stay residents who received an antipsychotic medication
14.5%
34% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.73
Number of hospitalizations per 1,000 long-stay resident days.
1.73
17% better than Missouri averageMissouri average: 2.08
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.10
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.10
11% better than Missouri averageMissouri average: 2.35
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
49% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
51% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
58% better than Missouri averageMissouri average: 63.5%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.5%
32% worse than Missouri averageMissouri average: 25.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.6%
51% better than Missouri averageMissouri average: 13.4%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
60.6%
Rate of successful return to home or community from a skilled nursing facility.
60.6%
20% better than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$10K
87% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$10K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 13, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for St. Clair Nursing Center based on CMS SNF Cost Reports.
Occupancy Rate
65.8%
↑ 3.3pp vs 2022
Net Income
$131.6K
↑ ~$105.2K vs 2022
Total Payroll
$3.1M
↑ ~$168.7K vs 2022
Profit Margin
2.3%
↑ 1.8pp vs 2022
Loading trend charts...
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