Nursing homeActiveSpecial Focus Facility candidate · what this means

Ellisville Rehabilitation And Nursing

322 Old State Road, Ellisville, MO 630216362273431210 certified beds · 120 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
14
since 2020
Deficiencies
65
15212
Penalties · 3 yrs
$260,092
2 fines · 2 actions
Last survey
2026-04-28
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 1
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
DateKindDeficienciesOfficial recordArchived PDF
2026-04-28Complaint011CMS-2567 (Care Compare)
2026-03-04Complaint081CMS-2567 (Care Compare)
2026-01-16Complaint0101CMS-2567 (Care Compare)
2025-06-26Complaint010CMS-2567 (Care Compare)
2025-05-16Complaint001CMS-2567 (Care Compare)
2025-04-21Complaint042CMS-2567 (Care Compare)
2025-03-28Complaint010CMS-2567 (Care Compare)
2025-03-19Complaint021CMS-2567 (Care Compare)
2025-03-03Complaint001CMS-2567 (Care Compare)
2025-02-19Complaint010CMS-2567 (Care Compare)
2025-01-15Complaint031CMS-2567 (Care Compare)
2024-11-26Standard0123CMS-2567 (Care Compare)
2023-07-28Standard010CMS-2567 (Care Compare)
2020-01-10Standard180CMS-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.

2026-04-28Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-06-03Record 265766-20260428-F684
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 265766-20260428-F607
2026-03-04Complaint survey · 9 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-06-03Record 265766-20260304-F684
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 265766-20260304-F607
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260304-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260304-F656
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260304-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260304-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260304-F755
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260304-F804
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260304-F806
2026-01-16Complaint survey · 11 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-06-03Record 265766-20260116-F684
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 265766-20260116-F583
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 265766-20260116-F607
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260116-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260116-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 265766-20260116-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260116-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260116-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260116-F755
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260116-F804
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 265766-20260116-F806
2025-06-26Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 265766-20250626-F600
2025-05-16Complaint survey · 1 deficiencyOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-14Record 265766-20250516-F604
2025-04-21Complaint survey · 6 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-16Record 265766-20250421-F684
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-16Record 265766-20250421-F697
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 265766-20250421-F600
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 265766-20250421-F688
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 2025-05-16Record 265766-20250421-F689
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 265766-20250421-F880
2025-03-28Complaint survey · 1 deficiencyOfficial report
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 265766-20250328-F835
2025-03-19Complaint survey · 3 deficienciesOfficial report
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-03-31Record 265766-20250319-F678
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-31Record 265766-20250319-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-31Record 265766-20250319-F609
2025-03-03Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-16Record 265766-20250303-F684
2025-02-19Complaint survey · 1 deficiencyOfficial report
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 2025-05-16Record 265766-20250219-F689
2025-01-15Complaint survey · 4 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-03-01Record 265766-20250115-F684
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 265766-20250115-F554
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-01Record 265766-20250115-F804
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 265766-20250115-F880
2024-11-26Standard survey · 15 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-16Record 265766-20241126-F684
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.Corrected 2025-05-16Record 265766-20241126-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-16Record 265766-20241126-F697
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 2024-12-19Record 265766-20241126-F550
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-19Record 265766-20241126-F553
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 265766-20241126-F554
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-19Record 265766-20241126-F568
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-19Record 265766-20241126-F569
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-19Record 265766-20241126-F580
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 265766-20241126-F600
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 265766-20241126-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-19Record 265766-20241126-F656
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 265766-20241126-F688
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-01Record 265766-20241126-F804
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 265766-20241126-F880
2023-07-28Standard survey · 1 deficiencyOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-20Record 265766-20230728-F812
2020-01-10Standard survey · 9 deficienciesOfficial report
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-07Record 265766-20200110-F578
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-07Record 265766-20200110-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-07Record 265766-20200110-F645
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-07Record 265766-20200110-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-07Record 265766-20200110-F690
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-07Record 265766-20200110-F760
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-07Record 265766-20200110-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-07Record 265766-20200110-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2020-02-07Record 265766-20200110-F732

Penalties & enforcement

DateActionAmountSource
2026-01-16Civil money penalty$91,055CMS · Penalties
2026-01-16Denial of payment for new admissions
Payment denial for 56 days, from 2026-04-08
CMS · Penalties
2024-11-26Civil money penalty$169,037CMS · Penalties
2024-11-26Denial of payment for new admissions
Payment denial for 91 days, from 2025-02-14
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.43
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.92
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.46
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover72%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover70%
Facility
Missouri
National
Missouri 48% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMissouriNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.0%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
8.4%4.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
27.0%23.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.2%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
21.4%18.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
10.3%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
25.2%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)
EntityRoleInterestSinceRegistry
Ellisville Opco Holdco LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Fischer, Elazar
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST15%
Barth, Michael
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fischer, Elazar
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Phatak, Sarina
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Stern, Aharon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Stern, Simon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ads Capital Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Ads Family Trust
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Barth, Michael
Individual
ADP OF THE SNFNOT APPLICABLE
Birnbaum, Moshe
Individual
ADP OF THE SNFNOT APPLICABLE
Burton, Noah
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Ellisville Propco Holdco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ellisville Propco Holdco LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Fischer, Elazar
Individual
ADP OF THE SNFNOT APPLICABLE
Fischer, Elazar
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Greenwald, Brian
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Israel Discount Bank Of New York - Idb Bank Of York
Organization
ADP OF THE SNFNOT APPLICABLE
Jj Family Grantor Trust
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Pc8 Capital Group LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Pc8 Capital Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Phatak, Sarina
Individual
ADP OF THE SNFNOT APPLICABLE
Sj Family Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Sj Healthcare Capital LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Stern, Shifra
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Stern, Simon
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Superior Back Office Solutions LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Weiss, Hillel
Individual
TRUSTEE OF THE SNFNOT APPLICABLE

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 St. Louis.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Aegis Health And Rehabilitation
Wildwood
2.1 mi2025-09-160385
Delmar Gardens On The Green
Chesterfield
2.9 mi2025-11-260152
Lutheran Senior Services At Meramec Bluffs
Ballwin
3.6 mi2025-12-29030
Manchester Rehab And Healthcare Center
Ballwin
3.7 mi2025-05-232292
Garden View Care Center Of Chesterfield
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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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01