Surrey Place St Luke’s Hospital Skilled Nursing
Surrey Place St. Luke’s Hospital Skilled Nursing is a 130-bed skilled nursing facility at 14701 Olive Blvd, Chesterfield, Missouri, in St. Louis County, operated by St. Luke’s Episcopal-Presbyterian Hospital and administered by Tracy Imhoff.
The facility accepts Medicare, Medicaid, and private-pay residents and holds CMS certification number 265414.
A serious medication error occurred during a September 11, 2024 complaint investigation. This deficiency was cited as a failure to ensure residents were free from significant medication errors and resulted in a moderate citation marked as corrected. Prior to this incident, an August 1, 2024 health inspection found deficiencies in infection control and in the absence of a water system management program to prevent Legionella growth. A December 2022 inspection documented failure to assist a resident with grooming and personal hygiene.
RNs provide 1 hour 50 minutes per resident daily (293% above Missouri’s 28-minute state average); LPNs deliver 1 hour 10 minutes daily (71% above state average); CNAs provide 2 hours 24 minutes daily (4% above state average). Weekend nursing totals 4 hours 29 minutes per resident per day, 47% above the Missouri state average. Physical therapy staffing is unusually comprehensive at 17 minutes per resident daily (751% above state average). RN weekend coverage specifically is 1 hour 6 minutes daily, 230% above state average.
Long-stay residents experienced zero falls with major injury (100% better than state baseline), zero urinary tract infections (100% better), and pneumococcal vaccination rates of 100% (17% better than state). Functional decline for long-stay residents is 1.7 (91% better than state). However, two quality metrics are concerning: long-stay residents with pressure ulcers stand at 9.1% (81% worse than Missouri’s 5% average), and weight loss in long-stay residents is documented at 25% (349% worse than Missouri’s 5.6% baseline). Short-stay re-hospitalization is 27.5% (9% worse than state average of 25.3%), and ability to care for self at discharge is 40.3% (25% worse than state’s 53.7%).
The CMS overall rating is 3 stars (14.1% above state average). Health Inspection rating is 2 stars (31% below state average). Staffing receives 5 stars (131.5% above state average). Quality Measures are rated 4 stars (43.4% above state average).
The facility received designation as Best Nursing Home 2026 by U.S. News and World Report and America’s Best Nursing Homes 2025 by Newsweek.
Inspection history since 2019 includes four health inspections with 16 total citations (4 citations per inspection, compared to Missouri average of 5.67). Zero citations are critical or serious severity. Of 16 citations, 15 are moderate and 1 is minor. No federal penalties have been imposed in the past three years.
Current occupancy is approximately 62% (80 residents in 130 beds). The facility is located less than 3 miles from St. Luke’s Hospital. Walk score is 39, indicating the neighborhood is somewhat walkable with most trips requiring transportation.
Families should ask about corrective measures implemented following the September 2024 medication allergy management failure, specifically regarding how the facility now documents allergy severity.
Capacity and availability
About this community
Occupancy
Surrey Place St Luke’s Hospital Skilled Nursing is legally operated by St Lukes Episcopal Presbyterian Hospital, and administered by Brent Glover.
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.
Inspection Scorecard
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• Total deficiencies (60% above)
• Deficiencies per inspection (62% above) 0 Better No metrics in this bucket.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
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Total deficiencies
| 56 | 35 | This facility has 60% more total deficiencies than a typical Missouri nursing home (56 vs. MO avg 35).↑ 60% worse |
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Deficiencies per inspection
| 4.7 | 2.9 | This facility has 62% more deficiencies per inspection than a typical Missouri nursing home (4.7 vs. MO avg 2.9).↑ 62% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 12 | 12 | This facility has total inspections in line with the Missouri average (12 vs. MO avg 12).— At avg |
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
Missouri average 6.6
Last Health inspection on Sep 2024
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 16 citations resulted from standard inspections; 1 of 16 resulted from complaint investigations; and 4 of 16 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 7 years)
Missouri average: 0.7
Missouri average: 1
Citations history (last 7 years)
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31Registered Nurse
Manages medical care and health needs.
Licensed Practical Nurse
Assists with medical care and medications.
Certified Nursing Assistant
Helps with daily care and mobility.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31Total hours from contractors
304 contractor hours this quarter
Staff by category
Q4 2025 · Oct 1 – Dec 31| Certified Nursing Assistant | 55 | 0 | 55 | 10,478 | 92 | 100% | 6.8 |
| Registered Nurse | 32 | 0 | 32 | 8,831 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 28 | 0 | 28 | 5,402 | 92 | 100% | 6.7 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,167 | 67 | 73% | 8.1 |
| Physical Therapy Aide | 9 | 0 | 9 | 1,884 | 78 | 85% | 7.1 |
| Speech Language Pathologist | 7 | 0 | 7 | 1,872 | 77 | 84% | 7.1 |
| Respiratory Therapy Technician | 9 | 0 | 9 | 1,488 | 76 | 83% | 7.2 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,117 | 78 | 85% | 8.3 |
| Qualified Social Worker | 7 | 0 | 7 | 1,035 | 77 | 84% | 6.7 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,029 | 75 | 82% | 9 |
| Physical Therapy Assistant | 6 | 0 | 6 | 772 | 77 | 84% | 6.8 |
| Other Social Services Staff | 3 | 0 | 3 | 756 | 86 | 93% | 5.3 |
| RN Director of Nursing | 2 | 0 | 2 | 613 | 65 | 71% | 5.5 |
| Administrator | 1 | 1 | 2 | 586 | 64 | 70% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 359 | 52 | 57% | 6.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 323 | 63 | 68% | 5.1 |
| Dietitian | 1 | 0 | 1 | 223 | 44 | 48% | 5.1 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 165 | 27 | 29% | 6.1 |
| Medical Director | 1 | 0 | 1 | 37 | 20 | 22% | 1.9 |
| Nurse Aide in Training | 1 | 0 | 1 | 26 | 2 | 2% | 13.2 |
55 Certified Nursing Assistant
32 Registered Nurse
28 Licensed Practical Nurse
6 Clinical Nurse Specialist
9 Physical Therapy Aide
7 Speech Language Pathologist
9 Respiratory Therapy Technician
4 Mental Health Service Worker
7 Qualified Social Worker
7 Medication Aide/Technician
6 Physical Therapy Assistant
3 Other Social Services Staff
2 RN Director of Nursing
2 Administrator
1 Nurse Practitioner
1 Occupational Therapy Aide
1 Dietitian
1 Occupational Therapy Assistant
1 Medical Director
1 Nurse Aide in Training
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Long-stay resident measures
Short-stay resident measures
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Places of interest near Surrey Place St Luke’s Hospital Skilled Nursing
0.0 miles from city center
Estimated distance in miles from Chesterfield's city center to Surrey Place St Luke’s Hospital Skilled Nursing's address, calculated via Google Maps.
Calculate Travel Distance to Surrey Place St Luke’s Hospital Skilled Nursing
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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.
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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.
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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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Garden View Care Center of Chesterfield | NH AL HOS MC RC SNF | Chesterfield (Lucas Pond) | 52
Facility
52
MO AVG
96
Rank
#380 / 450 |
88.7%
Facility
88.7%
MO AVG
66.5
Rank
#44 / 407 | +33% | 5.98
Facility
5.98
MO AVG
3.74
Rank
#5 / 268 | +21% | +60% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 20
Facility
20
MO AVG
36.5
Rank
#70 / 274 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#71 / 274 | - | 46 | - |
19
Facility
19
MO AVG
46
Rank
#453 / 545 | Jodi Luaders | $8.1MFiscal year ending 05/2024
Facility
$8.1MFiscal year ending 05/2024
MO AVG
$7.4M
Rank
#73 / 251 | $4.2MFiscal year ending 05/2024
Facility
$4.2MFiscal year ending 05/2024
MO AVG
$3.9M
Rank
#72 / 251 | 52.6%Fiscal year ending 05/2024
Facility
52.6%Fiscal year ending 05/2024
MO AVG
54.9%
Rank
#139 / 251 | 265627 | ||||
| Surrey Place St Luke’s Hospital Skilled Nursing | NH SNF | Chesterfield | 130
Facility
130
MO AVG
96
Rank
#75 / 450 | - | - | 4.82
Facility
4.82
MO AVG
3.74
Rank
#31 / 268 | +127% | +29% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 16
Facility
16
MO AVG
36.5
Rank
#51 / 274 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#71 / 274 | - | 159 | - |
39
Facility
39
MO AVG
46
Rank
#326 / 545 | St Lukes Episcopal Presbyterian Hospital | - | - | - | 265414 | ||||
| Delmar Gardens of Chesterfield | NH AL IL MC RC SNF | Chesterfield (Walnut Hill Plaza) | 237
Facility
237
MO AVG
96
Rank
#5 / 450 |
76.4%
Facility
76.4%
MO AVG
66.5
Rank
#136 / 407 | +15% | 4.10
Facility
4.10
MO AVG
3.74
Rank
#77 / 268 | -62% | +10% | $17.2k
Facility
$17.2k
MO AVG
$76.9k
Rank
#188 / 276 | 42
Facility
42
MO AVG
36.5
Rank
#187 / 274 | 8.4
Facility
8.4
MO AVG
5.7
Rank
#247 / 274 | 1 | 173 | - |
36
Facility
36
MO AVG
46
Rank
#347 / 545 | Kavitha Nallabelli | $20.8MFiscal year ending 03/2024
Facility
$20.8MFiscal year ending 03/2024
MO AVG
$7.4M
Rank
#5 / 251 | $11.0MFiscal year ending 03/2024
Facility
$11.0MFiscal year ending 03/2024
MO AVG
$3.9M
Rank
#6 / 251 | 53.1%Fiscal year ending 03/2024
Facility
53.1%Fiscal year ending 03/2024
MO AVG
54.9%
Rank
#134 / 251 | 265170 | ||||
| The Westchester House | NH SNF | Chesterfield (Leesburg Pike) | 159
Facility
159
MO AVG
96
Rank
#42 / 450 |
56.7%
Facility
56.7%
MO AVG
66.5
Rank
#292 / 407 | -15% | 3.49
Facility
3.49
MO AVG
3.74
Rank
#153 / 268 | +46% | -7% | $83.8k
Facility
$83.8k
MO AVG
$76.9k
Rank
#244 / 276 | 66
Facility
66
MO AVG
36.5
Rank
#251 / 274 | 7.3
Facility
7.3
MO AVG
5.7
Rank
#226 / 274 | 6 | 90 | - |
12
Facility
12
MO AVG
46
Rank
#487 / 545 | Robert Bachiel | $6.8MFiscal year ending 12/2023
Facility
$6.8MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#98 / 251 | $3.8MFiscal year ending 12/2023
Facility
$3.8MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#94 / 251 | 56.1%Fiscal year ending 12/2023
Facility
56.1%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#101 / 251 | 265338 |
Financial Assistance for
Nursing Home in Missouri
Surrey Place St Luke’s Hospital Skilled Nursing is located in CHESTERFIELD, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Frequently Asked Questions about Surrey Place St Luke’s Hospital Skilled Nursing
Who is the owner of Surrey Place St Luke’s Hospital Skilled Nursing?
Surrey Place St Luke’s Hospital Skilled Nursing is legally operated by St Lukes Episcopal Presbyterian Hospital, and administered by Brent Glover.
Is Surrey Place St Luke’s Hospital Skilled Nursing in a walkable area?
Surrey Place St Luke’s Hospital Skilled Nursing 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 Surrey Place St Luke’s Hospital Skilled Nursing?
According to MO state health department records, Surrey Place St Luke’s Hospital Skilled Nursing's license number is 052456.
When does Surrey Place St Luke’s Hospital Skilled Nursing's license expire?
According to MO state health department records, Surrey Place St Luke’s Hospital Skilled Nursing's license expires on January 29, 2027.
What is the occupancy rate at Surrey Place St Luke’s Hospital Skilled Nursing?
Surrey Place St Luke’s Hospital Skilled Nursing's occupancy is 100%.
How long has Surrey Place St Luke’s Hospital Skilled Nursing been in business?
Surrey Place St Luke’s Hospital Skilled Nursing has been operating for approximately 1 year, based on available licensing and registration records.
Are pets allowed at Surrey Place St Luke’s Hospital Skilled Nursing?
No, Surrey Place St Luke’s Hospital Skilled Nursing has a no-pet policy.
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