Laurel Meadows Wellness & Rehabilitation
723 First Capitol Drive · Saint Charles, MO · 63301 · 6369464140
103 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.
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 4 · $11,536 |
Inspection citations (23 in the current record)
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Potential for harm · D June 4, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · D November 21, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 13, 2024 · Resident Rights
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Potential for harm · E June 17, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 30, 2024 · Environmental
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Potential for harm · D June 6, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 6, 2024
Respond appropriately to all alleged violations.
Corrected July 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 6, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 21, 2024 · Pharmacy Service
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Potential for harm · F June 6, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected July 17, 2024 · Nutrition and Dietary
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Potential for harm · E June 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 17, 2024 · Nutrition and Dietary
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Potential for harm · E June 6, 2024
Provide and implement an infection prevention and control program.
Corrected August 23, 2024 · Infection Control
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Potential for harm · E June 6, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 21, 2024 · Infection Control
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Potential for harm · D June 6, 2024
Keep all essential equipment working safely.
Corrected June 7, 2024 · Environmental
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Potential for harm · E June 6, 2024
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected July 21, 2024 · Environmental
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Potential for harm · D October 31, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 14, 2023 · Resident Rights
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Immediate jeopardy · J October 28, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 29, 2022 · Resident Rights
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Immediate jeopardy · J October 28, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 29, 2022 · Quality of Life and Care
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Potential for harm · D October 28, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 28, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 28, 2022
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected November 28, 2022 · Nursing and Physician Services
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Potential for harm · E October 28, 2022
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 November 28, 2022 · Pharmacy Service
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Potential for harm · F October 28, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 28, 2022 · Nutrition and Dietary
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Potential for harm · D October 28, 2022
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected November 28, 2022 · Infection Control
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Potential for harm · E September 20, 2019
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 1, 2019 · Nutrition and Dietary
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Potential for harm · E September 20, 2019
Provide and implement an infection prevention and control program.
Corrected November 1, 2019 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 13, 2023 | Fine | $2,797 |
| November 6, 2023 | Fine | $2,447 |
| October 30, 2023 | Fine | $2,098 |
| October 10, 2023 | Fine | $4,194 |
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 265783 · certified since June 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.