Amberwood Estates Nursing and Rehabilitation
5303 Bermuda Drive · Saint Louis, MO · 63121 · 3143850910
115 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.59 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
81% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 2.36 | ≈ weekday level |
| Nursing turnover / year | 81% | median 45% |
| Fines (3-yr window) | 3 · $19,760 |
Inspection citations (74 in the current record)
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Potential for harm · E February 4, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 16, 2026 · Resident Rights
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Potential for harm · E February 4, 2026 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected March 16, 2026 · Resident Rights
-
Potential for harm · E February 4, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 16, 2026 · Resident Rights
-
Potential for harm · E February 4, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 16, 2026 · Quality of Life and Care
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Potential for harm · E February 4, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · D February 4, 2026 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected March 16, 2026 · Nutrition and Dietary
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Potential for harm · E February 4, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 16, 2026 · Infection Control
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Potential for harm · E September 9, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · D August 6, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · E November 22, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · E November 22, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2024 · Quality of Life and Care
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Potential for harm · D September 19, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected December 9, 2024 · Resident Rights
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Potential for harm · E September 19, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 9, 2024 · Resident Rights
-
Potential for harm · D September 19, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 19, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 19, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 2, 2024 · Quality of Life and Care
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Potential for harm · E September 19, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 9, 2024 · Quality of Life and Care
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Potential for harm · D April 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 28, 2024 · Resident Rights
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Potential for harm · E April 18, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 28, 2024 · Resident Rights
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Potential for harm · D April 18, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 28, 2024 · Quality of Life and Care
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Potential for harm · D April 18, 2024
Provide 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.
Corrected May 28, 2024 · Quality of Life and Care
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Potential for harm · E April 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 28, 2024 · Quality of Life and Care
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Potential for harm · D April 18, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 30, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 25, 2023 | Fine | $3,882 |
| September 5, 2023 | Fine | $9,527 |
| July 31, 2023 | Fine | $6,351 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265719 · certified since June 7, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.