Facility type
Alf**
Nursing Home
St Louis Altenheim
Overview of St Louis Altenheim
St. Louis Altenheim is more than just a senior living residence – it’s a place where the dedicated staff is attuned to their every need. Nestled in the historic Carondelet Neighborhood, the Altenheim has been a local St. Louis landmark for over a century, offering independent living, supported care, memory care, and skilled care. Respite care is also available for those who need assistance for a shorter period of time, providing much-needed rest for caregivers. Each room is private and comes with its own bathroom, offering residents the comfort and privacy they deserve. The beautifully manicured landscaping, gardens, and grounds provide a serene atmosphere for residents to enjoy.
Inside, the residence is smoke-free and fire-resistant with a sprinkler system, ensuring the safety and well-being of every resident. Fresh flowers are thoughtfully placed throughout the building, adding a touch of beauty to the already picturesque surroundings. The dining room overlooks the Mississippi River, providing a stunning view to accompany delicious meals. Reserved resident parking and the option to bring small pets, including cats, into their rooms, add to the overall feeling of home. St. Louis Altenheim is a place where seniors can truly thrive, surrounded by a caring community and all the amenities they could need.
Jean Bardwell serves as the Administrator at St Louis Altenheim, overseeing the community's operations and ensuring compassionate care for all residents. She is a key member of the team dedicated to maintaining a warm and supportive environment.
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.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
23
Residents per day (avg)
45
23-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score: 39 / 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
License details
County:
SAINT LOUIS CITY
Ownership & operating entity
St Louis Altenheim is legally operated by MALIK ST LOUIS LLC, and administrated by BARDWELL.
Corporate entity:
MALIK ST LOUIS LLC
Safety & Compliance
Emergency Systems:
Yes
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing
Additional Policies & Features
Pets Allowed
Housekeeping:
Yes
Linen Service:
Yes
Utilities Included:
Yes
Amenities & Lifestyle
Programs & Activities
Specific Programs
Independent Living, Supported Living, Respite Care, Skilled Nursing Care, Bavaria Memory Care, Recreational Programs, Dining, Wellness Programs
Religious Services
Yes
Operating Hours
Monday-Sunday: 9am-5pm
Dining & Nutrition
Food Description
Residents enjoy restaurant-quality food and service at every meal, with a variety of healthy menu items and options for dietary restrictions.
Meals Included
Yes
Meals Per Day
3
Health Inspection History
Inspections
Total health inspections
8
Missouri average 6.6
Last Health inspection on Oct 2025
Total health citations
47
Citations per inspection
5.88
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
34 of 47 citations resulted from standard inspections; 12 of 47 resulted from complaint investigations; and 1 of 47 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
186% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
2 critical citations
0 serious citations
43 moderate citations
2 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Oct 10, 2025
Corrected
Quality of Care moderate citation
May 30, 2025
Corrected
Resident Rights moderate citation
May 30, 2025
Corrected
Pharmacy moderate citation
Sep 12, 2024
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 St Louis
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
McKnight Place
-4%
+72%
+22%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
St. Louis
70
A+
52
M P EXTENDED CARE INC
81.5%
$11,500,685.00
$4,676,993.00
40.7%
54
6.4245
27
-
-4%+72%+22%
Ascension Living Sherbrooke Village
-20%
+14%
-20%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
St. Louis
237
A+
29
-
53.6%
$16,179,101.00
$4,232,492.00
26.2%
99.10
4.2701
46
2
-20%+14%-20%
St Louis Altenheim
-48%
+6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
St. Louis (Carondelet)
23
A+
39
-
-
-
-
-
45
3.9660
47
2
-48%+6%
-
Mary Ryder Home
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
St. Louis (Central West End)
-
-
69
-
-
-
-
-
-
-
-
-
-
-
Smiley Manor
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
St. Louis (Walnut Park East)
20
A+
49
-
-
-
-
-
-
-
-
-
-
-
McKnight Place
Type of care:
SNF
AL
Community:
St. Louis
Bed Count:
70
Operator:
M P EXTENDED CARE INC
CCN:
265849
Occupancy:
81.5%
Home Revenue:
$11,500,685.00
Payroll Costs:
$4,676,993.00
Payroll %:
40.7%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
6.4245
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
27
RN share vs State Avg:
-4%
-4%
Staffing vs State Avg:
+72%
+72%
Occupancy vs State Avg:
+22%
+22%
Ascension Living Sherbrooke Village
Type of care:
SNF
AL
Community:
St. Louis
Bed Count:
237
CCN:
265417
Occupancy:
53.6%
Home Revenue:
$16,179,101.00
Payroll Costs:
$4,232,492.00
Payroll %:
26.2%
Avg Residents/Day:
99.10
Overall Rating:
Adj Nurse Hours:
4.2701
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
46
Severe Citations:
2
RN share vs State Avg:
-20%
-20%
Staffing vs State Avg:
+14%
+14%
Occupancy vs State Avg:
-20%
-20%
St Louis Altenheim
Type of care:
SNF
AL
Community:
St. Louis (Carondelet)
Bed Count:
23
CCN:
26A484
Avg Residents/Day:
45
Overall Rating:
Adj Nurse Hours:
3.9660
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
47
Severe Citations:
2
RN share vs State Avg:
-48%
-48%
Staffing vs State Avg:
+6%
+6%
Living Spaces & Floor Plans
One Bedroom Suite
Standard Suite
Deluxe Suite
Nursing Care Standard And Deluxe Suites
Nursing Care Premium Companion Suite
Places of interest near St Louis Altenheim
5.0 miles from city center — 3.31 miles to nearest hospital (Affinia Healthcare)
5408 S Broadway, St. Louis, MO 63111
Calculate Travel Distance to St Louis Altenheim
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
74
Total Staff
57
Employees
17
Contractors
15,610
Total Hours (Quarter)
20
Avg Staff/Day
8.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 3 | 12.5 | No |
| Licensed Practical Nurse | 21 | 9.7 | Yes |
| Certified Nursing Assistant | 36 | 8 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
71 staff
8.4hs shift avg
Physicians & Practitioners ⓘ
1 staff
8hs shift avg
Therapy Services ⓘ
1 staff
6.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
0 staff
0hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
1.2%
of total hours from contractors
183 contractor hours this quarter
Licensed Practical Nurse: 5
Certified Nursing Assistant: 10
Occupational Therapy Aide: 1
Feeding Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 26 | 10 | 36 | 8,018 | 91 | 100% | 8 |
| Licensed Practical Nurse | 16 | 5 | 21 | 3,466 | 91 | 100% | 9.7 |
| Medication Aide/Technician | 9 | 0 | 9 | 1,835 | 90 | 99% | 8.4 |
| Registered Nurse | 3 | 0 | 3 | 961 | 55 | 60% | 12.5 |
| Nurse Practitioner | 1 | 0 | 1 | 608 | 76 | 84% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 224 | 56 | 62% | 4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 19 | 3 | 3% | 6.3 |
| Feeding Assistant | 0 | 1 | 1 | 8 | 1 | 1% | 8 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
44 residents
Residents by payment source
Medicaid
20 residents (45.5%)
Private pay or other
24 residents (54.5%)
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
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.
16.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.7
53% 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.
27.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.5
41% worse 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
30.7%
Percent of long-stay residents whose need for help with daily activities has increased
30.7%
55% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
34.6%
Percent of long-stay residents whose ability to move independently worsened
34.6%
68% 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
17.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.1%
5% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.0%
Percent of long-stay residents experiencing one or more falls with major injury
7.0%
73% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.5%
Percent of long-stay high risk residents with pressure ulcers
3.5%
30% 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%
36% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.8%
Percent of long-stay residents who lose too much weight
7.8%
40% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.2%
Percent of long-stay residents who have depressive symptoms
8.2%
37% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.4%
Percent of long-stay residents who received an antipsychotic medication
17.4%
21% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
13% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.7%
6% worse than Missouri averageMissouri average: 90.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.39
Number of hospitalizations per 1,000 long-stay resident days.
1.39
33% 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.
1.95
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.95
17% better than Missouri averageMissouri average: 2.35
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.8%
12% worse than Missouri averageMissouri average: 66.6%
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
$0
100% lower than Missouri averageMissouri average: $73K
Number of fines
0
100% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$0
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 28, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 28, 2023
40 days
Last updated: Jan 2026
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