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Steelville Senior Living
Nursing Home, Assisted Living, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Steelville, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Interior common area with seating and tables Rehabilitation therapy room with exercise equipment Cozy seating area with natural light and plants Comfortable common area with seating and piano Common area with seating and natural light Cozy common area with seating and a fireplace A shared resident room with two beds Bright dining room with tables and chairs A private resident room with a hospital bed and chair Dining area with tables and chairs in an activity room Long hallway with artwork and vacuum cleaner Bright dining room with tables and chairs Private resident room with a bed and minimal decor

Steelville Senior Living

Nursing Home, Assisted Living, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Steelville, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
311 North Spring St, Steelville, MO 65565-5089 View map Calculator: See prices in your area
Steelville Senior Living accepts Medicare, Medicaid, and private pay.
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Steelville Senior Living accepts Medicare, Medicaid, and private pay.

Overview of Steelville Senior Living

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Administrator Ashley Drewel directs operations at Steelville Senior Living, a 93-bed nursing community located on North Spring Street in Steelville, Missouri. The facility keeps the setup simple for families by working with standard payment options such as private pay, Medicaid, and Medicare. Relatives dropping by for a visit will find a somewhat walkable neighborhood grid, so you can take care of a few small errands on foot, but a vehicle is still your best bet for general travel.

The building runs at a lower occupancy rate of 44 percent since it is a relatively new addition to the area, with residents staying an average of 142 days. This operational timeline shows that the staff splits their daily routine between short-term post-hospital therapy tracks and extended residential care. To keep up with regular clinical targets, the 24-hour shift schedule delivers an average of 3 hours and 49 minutes of direct nursing care per resident each day, utilizing a combined rotation of registered nurses, practical nurses, and aides.

State health department inspectors keep public records of how the building aligns with regular safety and licensing codes. Past evaluation summaries have noted a few procedural areas needing some adjustment, specifically focusing on kitchen food safety protocols, clinical infection control steps, daily staffing schedules, and medication management routines, keeping the total citation rate above zero.

Prospective representatives can evaluate the on-site outpatient rehabilitation programs, therapy spaces, and independent activity rooms. The everyday routine features restaurant-style dining with menu choices planned by a dietitian, plus extras like building-wide Wi-Fi, local transportation, an internal beauty shop, and a private dining room for guests.

Facility Direct Line (573) 260-8850
Facility Direct Line (573) 260-8850
Instagram

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 59.7% Below MO avg. ▼ 59.7% Below MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 27.9% Below MO avg. ▼ 27.9% Below MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 54.3% Below MO avg. ▼ 54.3% Below MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 62.4% Below MO avg. ▼ 62.4% Below MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Missouri averages

Rank #163 / 268Nurse hours — State benchmarkedThis home is ranked 163rd out of 268 homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 268 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 163rd out of 268 homes we track in Missouri for nurse hours. 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 23m

10% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
13m
−52% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info 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.
33m
−19% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info 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 36m
+12% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 6m
Avg State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
0m
−100% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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.
10m
−49% State avg: 20m per day · National avg: 28m per day

4 of 6 metrics below state avg

Standout metric: Nurse Aide is +12% above Missouri average

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 93 Rank #213 / 450Bed count — State benchmarkedThis home is ranked 213th out of 450 homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A newer community that may feature more recent facilities and programs. Rank #116 / 227Years in operation — State benchmarkedThis home is ranked 116th out of 227 homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
1 year
Walk Score Info Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation. Rank #326 / 545Walk Score — State benchmarkedThis home is ranked 326th out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
39 / 100
Residents per day Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
4
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
142 days

About this community

License Details

Facility TypeSkilled Nursing Facility, Assisted Living Facility
StatusActive
IssuanceJanuary 17, 2025
ExpirationJanuary 16, 2027
CountyCrawford
License Number052439, 052440
CMS Certification Number265866
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

Steelville Senior Living is legally operated by Steelville Senior Living LLC, and administered by Ashley Drewel.

Corporate EntitySTEELVILLE SENIOR LIVING, LLC
Owner NameSteelville Senior Living, LLC

Type Of Units

Skilled Nursing Facility
72 units
Assisted Living Facility
21 units
Total beds
93 units

Therapy & Rehabilitation

1 service
Rehabilitation Services

Memory & Specialized Care

1 service
Dedicated Alzheimer's Unit

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Dining
Wi-Fi
Transportation
Salon
Housekeeping
Laundry
Activities
Specific ProgramsOutpatient Rehabilitation, Engaging Social & Independent Activities

Contact Steelville Senior Living

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.

Since 2018 · 8 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 88 deficiencies 16 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2018 vs. Missouri state average
Overall vs. MO average 2 Worse Metrics worse than Missouri average:
• Total deficiencies (33% above)
• Deficiencies per inspection (7% above) 0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 8866 This facility has 33% more total deficiencies than a typical Missouri nursing home (88 vs. MO avg 66).↑ 33% worse
Deficiencies per inspection Info Average deficiencies per inspection. 5.55.12 This facility has 7% more deficiencies per inspection than a typical Missouri nursing home (5.5 vs. MO avg 5.12).↑ 7% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1612 This facility has had 33% more total inspections than the Missouri average (16 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 33% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data
Total health inspections 6

State average 6.6

Last Health inspection on May 2025

Total health citations
15 Rank #44 / 274Health citations — State benchmarkedThis home is ranked 44th out of 274 homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 36.5

Citations per inspection
2.5 Rank #15 / 274Citations per inspection — State benchmarkedThis home is ranked 15th out of 274 homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 5.67

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

12 of 15 citations resulted from standard inspections; and 3 of 15 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)
Critical health citations
1
43% worse than State average

State average: 0.7

Serious health citations
0
100% better than State average

State average: 1

1 critical citation State average: 0.7
0 serious citations State average: 1
13 moderate citations State average: 33.6
1 minor citation State average: 1.2
Citations history (last 7 years)
Nutrition moderate citation May 19, 2025
Corrected
Infection Control moderate citation Aug 16, 2024
Corrected
Nursing Services moderate citation Aug 16, 2024
Corrected
Nutrition moderate citation Aug 16, 2024
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 85
Employees 76
Contractors 9
Staff to resident ratio 2.07 : 1
22% more staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 22
Average shift 8.8 hours
9% better than Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 17,706

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 10 total: 9 full-time employees and 1 contractor. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 21 total: 20 full-time employees and 1 contractor. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

2.9%

516 contractor hours this quarter

Certified Nursing Assistant: 1 Licensed Practical Nurse: 1 Physical Therapy Aide: 1 Qualified Social Worker: 1 Speech Language Pathologist: 1 Medical Director: 1 Occupational Therapy Aide: 1 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Nurse Aide in Training170174,50092100%9.5
Certified Nursing Assistant201214,48692100%9.9
Medication Aide/Technician9092,7449199%8.7
Licensed Practical Nurse91102,2219199%8.4
Registered Nurse6065895358%9.8
Other Dietary Services Staff3035656874%7.4
Mental Health Service Worker2025646773%7.9
RN Director of Nursing4045304751%8.2
Nurse Practitioner3034725964%8
Dietitian1014486065%7.5
Administrator2022162729%8
Physical Therapy Aide0111142325%4.9
Physical Therapy Assistant0111022325%4.4
Qualified Social Worker011451820%2.5
Occupational Therapy Aide0114189%5.1
Occupational Therapy Assistant0112989%3.6
Medical Director011221112%2
Speech Language Pathologist011191415%1.4
17 Nurse Aide in Training
% of Days 100%
21 Certified Nursing Assistant
% of Days 100%
9 Medication Aide/Technician
% of Days 99%
10 Licensed Practical Nurse
% of Days 99%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2024

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 $88K Rank #248 / 276Federal fines — State benchmarkedThis home is ranked 248th out of 276 homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 276 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
20% higher than Missouri average

Missouri average: $73K

Number of fines 1
59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info 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

Fines amount comparison
Fines amount comparison
This facility $88K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Mar 14, 2024 · $88K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 14, 2024
$88K

Last updated: Jan 2026

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 16.2
48% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 30.6
57% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly below average Missouri avg: 2.7 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 36.2%
83% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.8%
45% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.9%
43% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 9.4%
132% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.0%
In line with Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.8%
86% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.3%
90% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 39.3%
79% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
17% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
7% better than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.47
29% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 4.15
77% worse than Missouri average

Missouri average: 2.35

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
47% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 36.0%
43% worse than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 36.2%
43% worse than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.6%
36% better than Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Missouri average

Missouri average: 0.8%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

12% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

35% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

53% of new residents, often for long-term daily care.

Typical stay 3 - 4 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 41
Medicare
3
7.3% of residents
Medicaid
30
73.2% of residents
Private pay or other
8
19.5% of residents

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$61.2K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.5M Rank #180 / 251Net patient revenue — State benchmarkedThis home is ranked 180th out of 251 homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$61.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$190.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #223 / 251Payroll costs — State benchmarkedThis home is ranked 223rd out of 251 homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$1.7M 38.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #240 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 240th out of 251 homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.4M
How we calculate these figures

This home is administered by Ashley Drewel.

This home is owned by Steelville Senior Living, LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265866

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (53% of admissions), and a typical Medicaid stay runs around 3 - 4 months.

Admissions
260 total

Coverage residents most often arrive under.

Medicare 12%
Private pay 35%
Medicaid 53%
Discharges
130 total

Coverage residents most often leave under.

Medicare 24%
Private pay 40%
Medicaid 36%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Steelville Senior Living

Address 0.0 miles from city center Info Estimated distance in miles from Steelville's city center to Steelville Senior Living's address, calculated via Google Maps.

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Compare Nursing Homes around the area

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Life Care Center of St Louis ★ ★ ★ ★ ☆
NH
SNF
Saint Louis
100
Facility 100
MO AVG 96
Rank #175 / 450
90.0%
Facility 90.0%
MO AVG 66.5%
Rank #33 / 407
+35%
3.91
Facility 3.91
MO AVG 3.74
Rank #99 / 268
 ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -8%+5%
$15.6k
Facility $15.6k
MO AVG $76.9k
Rank #186 / 276
41
Facility 41
MO AVG 36.5
Rank #184 / 274
8.2
Facility 8.2
MO AVG 5.7
Rank #243 / 274
190A+
92
Facility 92
MO AVG 46
Rank #23 / 545
Joanna Crooks
$8.9MFiscal year ending 02/2024
Facility $8.9MFiscal year ending 02/2024
MO AVG $7.4M
Rank #62 / 251
$5.8MFiscal year ending 02/2024
Facility $5.8MFiscal year ending 02/2024
MO AVG $3.9M
Rank #36 / 251
65.9%Fiscal year ending 02/2024
Facility 65.9%Fiscal year ending 02/2024
MO AVG 54.9%
Rank #40 / 251
265610
Life Care Center of Waynesville ★ ★ ★ ☆ ☆
NH
MC
SNF
Waynesville
120
Facility 120
MO AVG 96
Rank #87 / 450
63.3%
Facility 63.3%
MO AVG 66.5%
Rank #240 / 407
-5%
3.87
Facility 3.87
MO AVG 3.74
Rank #99 / 268
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +12%+4%
$22.1k
Facility $22.1k
MO AVG $76.9k
Rank #194 / 276
31
Facility 31
MO AVG 36.5
Rank #141 / 274
5.2
Facility 5.2
MO AVG 5.7
Rank #136 / 274
176A+
51
Facility 51
MO AVG 46
Rank #240 / 545
Kimberly Coyne
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #114 / 251
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #76 / 251
68.5%Fiscal year ending 12/2023
Facility 68.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #27 / 251
265373
The Manor ★ ★ ★ ☆ ☆
NH
MC
SNF
Poplar Bluff
90
Facility 90
MO AVG 96
Rank #225 / 450
77.8%
Facility 77.8%
MO AVG 66.5%
Rank #127 / 407
+17%
3.69
Facility 3.69
MO AVG 3.74
Rank #129 / 268
 ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ +61%-1%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
26
Facility 26
MO AVG 36.5
Rank #109 / 274
8.7
Facility 8.7
MO AVG 5.7
Rank #253 / 274
-70A+
67
Facility 67
MO AVG 46
Rank #102 / 545
Tammy Loughary
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #174 / 251
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #190 / 251
47.4%Fiscal year ending 12/2023
Facility 47.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #187 / 251
265442
Lakeview Post Acute ★ ☆ ☆ ☆ ☆
NH
HOS
SNF
Florissant (Old Town Florissant)
120
Facility 120
MO AVG 96
Rank #87 / 450
79.2%
Facility 79.2%
MO AVG 66.5%
Rank #114 / 407
+19%
3.58
Facility 3.58
MO AVG 3.74
Rank #140 / 268
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -48%-4%
$194.5k
Facility $194.5k
MO AVG $76.9k
Rank #265 / 276
93
Facility 93
MO AVG 36.5
Rank #268 / 274
5.5
Facility 5.5
MO AVG 5.7
Rank #157 / 274
795A+
63
Facility 63
MO AVG 46
Rank #141 / 545
Kalvin Stewart$8.1M*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$5.7M*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.70%*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.265838
Steelville Senior Living ★ ☆ ☆ ☆ ☆
NH
AL
HOS
MC
RC
SNF
Steelville
93
Facility 93
MO AVG 96
Rank #213 / 450
--
3.38
Facility 3.38
MO AVG 3.74
Rank #163 / 268
 ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ -8%-10%
$87.7k
Facility $87.7k
MO AVG $76.9k
Rank #248 / 276
15
Facility 15
MO AVG 36.5
Rank #44 / 274
2.5
Facility 2.5
MO AVG 5.7
Rank #15 / 274
14-
39
Facility 39
MO AVG 46
Rank #326 / 545
Steelville Senior Living, LLC
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
MO AVG $7.4M
Rank #180 / 251
$1.7MFiscal year ending 12/2023
Facility $1.7MFiscal year ending 12/2023
MO AVG $3.9M
Rank #223 / 251
38.3%Fiscal year ending 12/2023
Facility 38.3%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #240 / 251
265866
Nursing Home Explorer

Frequently Asked Questions about Steelville Senior Living

Is Steelville Senior Living in a walkable area?

Steelville Senior Living has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Steelville Senior Living?

According to MO state health department records, Steelville Senior Living's license number is 052439, 052440.

When does Steelville Senior Living's license expire?

According to MO state health department records, Steelville Senior Living's license expires on January 16, 2027.

What is the occupancy rate at Steelville Senior Living?

Steelville Senior Living's occupancy is 58.0%.

How long has Steelville Senior Living been in business?

Steelville Senior Living has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Steelville Senior Living?

No, Steelville Senior Living has a no-pet policy.

Does Steelville Senior Living operate as a for-profit or non-profit?

Steelville Senior Living is registered as a for-profit in MO.

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