Fountain Care at Sunset Hills
10954 Kennerly Road · Saint Louis, MO · 63128 · 3148434242
166 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.
- Federal penalties on record: $91,147 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$91,147 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.14 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
83% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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 | 3.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.14 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 83% | median 45% |
| Fines (3-yr window) | 4 · $119,588 |
Inspection citations (78 in the current record)
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Potential for harm · D January 27, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 26, 2026 · Quality of Life and Care
-
Potential for harm · D January 27, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 26, 2026 · Quality of Life and Care
-
Potential for harm · D April 24, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 8, 2025 · Resident Rights
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Potential for harm · E April 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 8, 2025 · Pharmacy Service
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Potential for harm · D April 24, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 8, 2025 · Pharmacy Service
-
Potential for harm · D April 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 8, 2025 · Nutrition and Dietary
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Potential for harm · D April 24, 2025
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 June 8, 2025 · Nutrition and Dietary
-
Potential for harm · E April 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 5, 2025 · Nutrition and Dietary
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Potential for harm · E April 24, 2025
Provide and implement an infection prevention and control program.
Corrected June 8, 2025 · Infection Control
-
Potential for harm · D April 24, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected June 8, 2025 · Environmental
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Potential for harm · E April 24, 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 June 8, 2025 · Resident Rights
-
Potential for harm · D April 24, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 8, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 24, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 8, 2025 · Quality of Life and Care
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No harm found · C April 24, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected June 8, 2025 · Resident Rights
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Immediate jeopardy · J January 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 26, 2025 · Quality of Life and Care
-
Potential for harm · D December 3, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 3, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J October 21, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 26, 2025 · Quality of Life and Care
-
Potential for harm · D October 21, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 21, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected December 3, 2024 · Quality of Life and Care
-
Actual harm · G July 23, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 19, 2024 · Quality of Life and Care
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Potential for harm · D July 23, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected March 19, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 21, 2024 | Fine | $57,899 |
| October 21, 2024 | Payment Denial | 50 days |
| July 23, 2024 | Fine | $33,248 |
| December 22, 2023 | Fine | $14,518 |
| August 10, 2023 | Fine | $13,923 |
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 265331 · certified since August 22, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.