Facility type
Alf**
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
St Joe Manor
St. Joe Manor is a skilled nursing and assisted living facility located in Bonne Terre, Missouri. It offers a range of services including rehabilitation and specialized Alzheimer's care. The facility prioritizes health and wellness for its residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
36
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
96%
Residents per day (avg)
141
Occupancy rate
96%
Residents per day (avg)
141
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
21% of new residents, often for short stays.
Typical stay
11 months
Medicaid
50% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$15.2M
Profit
$2.2M
Privately-owned community
Operated by a business corporation.
Home revenue
$15,160,361.00
Profit
$2,209,988.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.0M
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.
$6.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.0M
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
26 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
License details
County:
SAINT FRANCOIS
Additional licensing details
CMS Certification Number:
265701
Ownership & operating entity
St Joe Manor is administrated by SHARON GRECO.
Owner name:
AMERICAN NURSING & REHAB, LLC
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Michael Lowery
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Programs & Activities
Specific Programs
Services, Amenities, Resources, Careers, Testimonials
Health Inspection History
Inspections
Total health inspections
6
Missouri average 6.6
Last Health inspection on Feb 2025
Total health citations
29
Citations per inspection
4.83
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 29 citations resulted from standard inspections; and 3 of 29 resulted from complaint investigations.
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
29 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Feb 13, 2025
Corrected
Pharmacy moderate citation
Feb 13, 2025
Corrected
Quality of Care moderate citation
Feb 13, 2025
Corrected
Quality of Care moderate citation
Feb 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
9
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
-
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
10
+42%-2%+18%
St Joe Manor
+25%
+21%
+44%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63628-1820
191
A+
-
-
96.0%
$13,045,943.00
$6,047,757.00
46.4%
140.50
4.5342
29
+25%+21%+44%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
-
38
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
St Joe Manor
Type of care:
SNF
AL
Community:
MO 63628-1820
Bed Count:
191
CCN:
265701
Occupancy:
96.0%
Home Revenue:
$13,045,943.00
Payroll Costs:
$6,047,757.00
Payroll %:
46.4%
Avg Residents/Day:
140.50
Overall Rating:
Adj Nurse Hours:
4.5342
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
RN share vs State Avg:
+25%
+25%
Staffing vs State Avg:
+21%
+21%
Occupancy vs State Avg:
+44%
+44%
Places of interest near St Joe Manor
0.0 miles from city center
BONNE TERRE, MO 63628-1820
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
256
Total Staff
214
Employees
42
Contractors
67,127
Total Hours (Quarter)
87
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 25 | 9.5 | Yes |
| Licensed Practical Nurse | 25 | 10.3 | No |
| Certified Nursing Assistant | 99 | 8.1 | No |
Staff by Category
Administration ⓘ
4 staff
8.1hs shift avg
Nursing Staff ⓘ
208 staff
8.6hs shift avg
Physicians & Practitioners ⓘ
3 staff
8hs shift avg
Therapy Services ⓘ
27 staff
6.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
6 staff
6.7hs shift avg
Dietary Services ⓘ
4 staff
7.4hs shift avg
Other Services ⓘ
4 staff
8hs shift avg
Contractor Analysis
4.9%
of total hours from contractors
3,296 contractor hours this quarter
Respiratory Therapy Technician: 8
Registered Nurse: 1
Nurse Aide in Training: 1
Speech Language Pathologist: 7
Qualified Social Worker: 6
Physical Therapy Aide: 7
Physical Therapy Assistant: 2
Feeding Assistant: 5
Medical Director: 2
Occupational Therapy Aide: 1
Respiratory Therapist: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 99 | 0 | 99 | 26,707 | 91 | 100% | 8.1 |
| Registered Nurse | 24 | 1 | 25 | 8,947 | 91 | 100% | 9.5 |
| Nurse Aide in Training | 36 | 1 | 37 | 8,798 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 25 | 0 | 25 | 8,535 | 91 | 100% | 10.3 |
| Medication Aide/Technician | 17 | 0 | 17 | 6,143 | 91 | 100% | 9.3 |
| Dietitian | 4 | 0 | 4 | 1,727 | 68 | 75% | 7.4 |
| Nurse Practitioner | 2 | 0 | 2 | 864 | 65 | 71% | 8 |
| Administrator | 2 | 0 | 2 | 776 | 65 | 71% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 643 | 54 | 59% | 7.7 |
| Qualified Social Worker | 0 | 6 | 6 | 603 | 58 | 64% | 6.7 |
| Mental Health Service Worker | 3 | 0 | 3 | 570 | 65 | 71% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 479 | 61 | 67% | 7.9 |
| Feeding Assistant | 0 | 5 | 5 | 473 | 54 | 59% | 6.6 |
| Speech Language Pathologist | 0 | 7 | 7 | 473 | 47 | 52% | 5.6 |
| Physical Therapy Aide | 0 | 7 | 7 | 425 | 44 | 48% | 6.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 320 | 40 | 44% | 8 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 312 | 45 | 49% | 4.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 156 | 23 | 25% | 6.8 |
| Respiratory Therapist | 0 | 1 | 1 | 74 | 10 | 11% | 7.4 |
| Medical Director | 0 | 2 | 2 | 58 | 6 | 7% | 9.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 46 | 9 | 10% | 5.1 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
139 residents
Residents by payment source
Medicare
8 residents (5.8%)
Medicaid
106 residents (76.3%)
Private pay or other
25 residents (18%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.5
60% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.8
32% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
32.4%
Percent of long-stay residents whose need for help with daily activities has increased
32.4%
64% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
33.2%
Percent of long-stay residents whose ability to move independently worsened
33.2%
61% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.7%
35% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
23% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.5%
Percent of long-stay high risk residents with pressure ulcers
6.5%
28% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
58% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
12.2%
Percent of long-stay residents who lose too much weight
12.2%
119% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
32.0%
Percent of long-stay residents who have depressive symptoms
32.0%
149% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
24.4%
Percent of long-stay residents who received an antipsychotic medication
24.4%
11% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
12% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
5% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.4%
12% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.8%
Percent of short-stay residents who newly received an antipsychotic medication
4.8%
115% worse than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
32.5%
49% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for St Joe Manor based on CMS SNF Cost Reports.
Occupancy Rate
96.0%
↑ 1.2pp vs 2022
Net Income
$2,209,988
↓ ~$16K vs 2022
Total Payroll
$7,980,803
↑ ~$902K vs 2022
Profit Margin
16.9%
↓ 1.1pp vs 2022
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