Nursing homeActive
St Clair Nursing Center
1035 Plaza Court North, Saint Clair, MO 63077636629210079 certified beds · 55 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
8
● 0● 7● 1
Penalties · 3 yrs
$12,735
1 fine
Last survey
2026-02-19
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-19 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-02-07 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-08 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-01-13 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 265495-20260219-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-17Record 265495-20250207-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 265495-20240308-F550
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 265495-20240308-F695
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-14Record 265495-20230113-F623
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-14Record 265495-20230113-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-02-14Record 265495-20230113-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-02-14Record 265495-20230113-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-02-19 | Civil money penalty | $12,735 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.39
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.83
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.35
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover56%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover33%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.0% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.2% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.5% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.7% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.9% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.6% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 11.6% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| R H Montgomery Properties, Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| St. Clair Nursing LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Montgomery, Anna Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| Americare Systems, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hatlestad, Steven Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Marsh, Denice Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Montgomery, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Montgomery, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Reiker, James Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Reiker, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Reiker, James Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Schade, Kyle Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Schade, Kyle Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Americare Senior Living — 23 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Franklin.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Union Nursing Union | 5.5 mi | 2025-11-19 | 0100 |
| Sunset Health Care Center Union | 6.7 mi | 2025-05-30 | 5131 |
| Grandview Healthcare Center Washington | 14.7 mi | 2026-01-14 | 0231 |
| Meramec Nursing Sullivan | 15.2 mi | 2025-09-08 | 1182 |
| Life Care Center Of Sullivan Sullivan | 15.1 mi | 2026-06-25 | 1151 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |