Hillside Health Care Center
1265 McLaran Avenue · Saint Louis, MO · 63147 · 3143884121
208 certified beds For profit - Corporation Chain: Ama Holdings
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
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.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
5 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$106,588 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
0.12 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
1.81 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
66% 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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 1.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.12 | 0.55–0.75 |
| Weekend hours / resident-day | 1.56 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 3 · $126,156 |
Inspection citations (120 in the current record)
-
Immediate jeopardy · J April 24, 2026 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Actual harm · G April 24, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G April 24, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · E April 24, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 24, 2026 · found via complaint
Honor the resident's right to choose his or her attending physician.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · E April 24, 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.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 24, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D April 24, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · D April 24, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has no plan of correction · Quality of Life and Care
-
Potential for harm · E April 24, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has no plan of correction · Nutrition and Dietary
-
Potential for harm · E April 24, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Deficient, Provider has no plan of correction · Environmental
-
Potential for harm · D March 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 26, 2026 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected March 30, 2026 · Nursing and Physician Services
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Actual harm · G March 20, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 26, 2025 · Quality of Life and Care
-
Actual harm · G March 20, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 26, 2025 · Quality of Life and Care
-
Potential for harm · D March 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 26, 2025 · Quality of Life and Care
-
Actual harm · G February 6, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 26, 2025 · Quality of Life and Care
-
Actual harm · G February 6, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 26, 2025 · Quality of Life and Care
-
Potential for harm · D February 6, 2025 · 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 3, 2025 · Resident Rights
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Potential for harm · D February 6, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 26, 2025 · Quality of Life and Care
-
Potential for harm · D February 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 3, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 3, 2025 · Quality of Life and Care
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Potential for harm · D November 5, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 26, 2024 · Resident Rights
-
Potential for harm · E November 5, 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 November 26, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 6, 2025 | Fine | $11,492 |
| July 16, 2024 | Fine | $95,096 |
| July 16, 2024 | Payment Denial | 9 days |
| July 14, 2023 | Fine | $19,568 |
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 265585 · certified since August 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.