Show Inspection Reports
Total health inspections
8
Missouri average 6.6
Last Health inspection on Oct 2025
St Louis Altenheim
Nursing Home · St. Louis, MO
CMS overall rating
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 Louis Altenheim
Nursing Home in St. Louis
CMS overall rating
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.
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
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
This home is ranked 86th out of 239 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.
This home is ranked 86th out of 239 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.
3h 58m per day
Rank #86 / 239Nurse hours — state benchmarkedThis home is ranked 86th out of 239 homes in Missouri.Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 239 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Missouri avg
+4%
Standout metric
LPN / LVN is +39% 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.
| 26m per day | ▼ 7% State avg: 28m per day · National avg: 41m per day |
|
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.
| 57m per day | ▲ 39% State avg: 41m per day · National avg: 52m 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 11m per day | ▼ 6% 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 14m per day | ▲ 6% State avg: 3h 3m per day · National avg: 3h 26m 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.
| 24m per day | ▲ 20% State avg: 20m per day · National avg: 29m per day |
48-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 39 / 100 Rank #26 / 66Walk Score — state benchmarkedThis home is ranked 26th out of 66 homes in Missouri.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.
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.
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How BBB ratings work
About this community
Facility TypeAssisted Living Facility
CountySaint Louis City
St Louis Altenheim is legally operated by Malik St Louis Llc, and administrated by Jean Bardwell.
Corporate EntityMALIK ST LOUIS LLC
Emergency SystemsYes
Rehabilitation Services
Respite Care
24-Hour Staffing
Pets Allowed
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes
Private Bathrooms
Wall-To-Wall Carpeting
Smoke-Free Environment
Beautifully Manicured Landscaping
Fire-Resistant With Sprinkler System
Fresh Flowers Throughout
Lovely Dining Room With Scenic View
Reserved Resident Parking
Some Small Pets Allowed
Specific ProgramsSupported Living, Skilled Nursing Care, Bavaria Memory Care, Recreational Programs, Wellness Programs
Religious ServicesYes
Operating HoursMonday-Sunday: 9am-5pm
Food DescriptionResidents enjoy restaurant-quality food and service at every meal, with a variety of healthy menu items and options for dietary restrictions.
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.
The data displayed corresponds to the last 9 years.
0 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.
Health Inspection History
Inspections
Total health citations
47
Rank #189 / 243Health citations — state benchmarkedThis home is ranked 189th out of 243 homes in Missouri.Shows this facility's total health deficiency citations benchmarked to the Missouri state average, with a ranking across all 243 MO SNFs. Lower citation counts earn a better rank.
Missouri average 36.5
Citations per inspection
5.88
Rank #151 / 243Citations per inspection — state benchmarkedThis home is ranked 151st out of 243 homes in Missouri.Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 243 SNFs with citation data. Lower is better.
Missouri average 5.67
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 6 years)
Critical Health citations
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 6 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 10, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 10, 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.
May 30, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 30, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 30, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 30, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
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.
Living Spaces & Floor Plans for St Louis Altenheim
One Bedroom Suite
Standard Suite
Deluxe Suite
Nursing Care Standard And Deluxe Suites
Nursing Care Premium Companion Suite
Financial Assistance for
Nursing Home in Missouri
St Louis Altenheim is located in St. Louis, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Places of interest near St Louis Altenheim
5.0 miles from city center
Estimated distance in miles from St. Louis's city center to St Louis Altenheim's address, calculated via Google Maps.
— 3.31 miles to nearest hospital (Affinia Healthcare)
Calculate Travel Distance to St Louis Altenheim
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
74
Employees
57
Contractors
17
Staff to resident ratio
1.68:1
0% compared with Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
20
Average shift
8.6 hours
6% better than Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
15,610
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.5 hoursNo contractors work on this role.
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.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
1.2%
183 contractor hours this quarter
Certified Nursing Assistant: 10
Licensed Practical Nurse: 5
Occupational Therapy Aide: 1
Feeding Assistant: 1
Staff by category
| 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 |
36 Certified Nursing Assistant
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
9 Medication Aide/Technician
% of Days
99%
3 Registered Nurse
% of Days
60%
1 Nurse Practitioner
% of Days
84%
1 Administrator
% of Days
65%
1 RN Director of Nursing
% of Days
62%
1 Occupational Therapy Aide
% of Days
3%
1 Feeding Assistant
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
44
Medicaid
20
45.5% of residents
Private pay or other
24
54.5% of residents
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.
1 penalty in the past 3 years
Jul 28, 2023 · 40 days
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
Compare Nursing Home around St Louis The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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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).
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. | St. Louis (Ripa Avenue) | 237 | 53.6% | -20% | 4.27 | -20% | +14% | 0 | 46 | 4.6 | 2 | 99 | A+ | 29 | - | $16.4M | $4.2M | 25.8% | 265417 | ||||
| St Louis Altenheim |
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).
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. | St. Louis (Carondelet) | 48 | - | - | 3.97 | -48% | +6% | 0 | 47 | 5.9 | 2 | 45 | A+ | 39 | Malik St Louis Llc | - | - | - | 26A484 | ||||
| Smiley Manor | - |
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).
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. | St. Louis (Walnut Park East) | 20 | - | - | - | - | - | - | - | - | 0 | - | - | - | - | A+ | 49 | Smiley Manor, Llc | - | - | - | - |
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Frequently Asked Questions about St Louis Altenheim
What neighborhood is St Louis Altenheim in?
St Louis Altenheim is in the Carondelet neighborhood of St. Louis.
Who is the owner of St Louis Altenheim?
The legal owner and operator of St Louis Altenheim is Malik St Louis Llc.
Is St Louis Altenheim in a walkable area?
St Louis Altenheim has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Does St Louis Altenheim have different floorplan options?
Yes — see the floorplan options available at St Louis Altenheim on this page.
Who is the administrator of St Louis Altenheim?
Jean Bardwell is the administrator of St Louis Altenheim.
How many beds does St Louis Altenheim have?
St Louis Altenheim has 48 beds.
Are there photos of St Louis Altenheim?
Yes — there are 10 photos of St Louis Altenheim in the photo gallery on this page.
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