Arbor Hills Care & Rehab Center
800 Chambers Road · Ferguson, MO · 63135 · 3145241111
150 certified beds For profit - Limited Liability company Chain: Mgm Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $127,275 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$127,275 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.18 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
100% 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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.18 | 0.55–0.75 |
| Weekend hours / resident-day | 3.23 | ≈ weekday level |
| Nursing turnover / year | 100% | median 45% |
| Fines (3-yr window) | 2 · $282,840 |
Inspection citations (54 in the current record)
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Potential for harm · D February 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · E February 20, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 8, 2026 · Infection Control
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Potential for harm · D September 16, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 29, 2025 · Quality of Life and Care
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Potential for harm · E September 16, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 29, 2025 · Quality of Life and Care
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Potential for harm · D April 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 5, 2025 · Quality of Life and Care
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Potential for harm · E April 3, 2025 · found via complaint
Ensure 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.
Corrected April 17, 2025 · Pharmacy Service
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Actual harm · G March 12, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · E March 12, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 15, 2025 · Resident Rights
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Potential for harm · D March 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 12, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Actual harm · G January 28, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 28, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 28, 2025 · Quality of Life and Care
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Actual harm · G January 28, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D January 28, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 15, 2025 · Resident Rights
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Potential for harm · D January 28, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 28, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 28, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D November 15, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 15, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 6, 2024 · Pharmacy Service
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Potential for harm · D September 19, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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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 October 22, 2024 · Quality of Life and Care
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Potential for harm · D September 19, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 6, 2024 · Pharmacy Service
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Potential for harm · D September 19, 2024 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected October 22, 2024 · Nutrition and Dietary
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Immediate jeopardy · J June 17, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected July 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 |
|---|---|---|
| January 28, 2025 | Fine | $127,275 |
| January 28, 2025 | Payment Denial | 43 days |
| May 17, 2024 | Fine | $155,565 |
| May 17, 2024 | Payment Denial | 37 days |
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 265883 · certified since January 19, 2022. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.