McKnight Place Extended Care

Two McKnight Place · Saint Louis, MO · 63124 · 3149932221

70 certified beds For profit - Corporation Part of a CCRC

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

64% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 100
Staffing 20% 73
Federal penalties 15% 100
Trend 10% 42
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day5.393.48 min · 4.1 strong
RN hours / resident-day0.380.55–0.75
Weekend hours / resident-day4.88≈ weekday level
Nursing turnover / year64%median 45%
Fines (3-yr window)none

Inspection citations (25 in the current record)

  • Potential for harm · D April 9, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected May 20, 2025 · Resident Rights

  • Potential for harm · D April 9, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 20, 2025 · Quality of Life and Care

  • Potential for harm · D April 9, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 20, 2025 · Quality of Life and Care

  • Potential for harm · D April 9, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 20, 2025 · Quality of Life and Care

  • Potential for harm · D April 9, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected May 20, 2025 · Quality of Life and Care

  • Potential for harm · E April 9, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 20, 2025 · Pharmacy Service

  • Potential for harm · E April 9, 2025

    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 May 20, 2025 · Pharmacy Service

  • Potential for harm · E April 9, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 20, 2025 · Nutrition and Dietary

  • Potential for harm · D April 9, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 20, 2025 · Quality of Life and Care

  • Potential for harm · D April 9, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 20, 2025 · Quality of Life and Care

  • No harm found · C April 9, 2025

    The resident has the right to receive notices in a format and a language he or she understands.

    Corrected May 20, 2025 · Resident Rights

  • Potential for harm · D May 31, 2024 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected July 10, 2024 · Resident Rights

  • Potential for harm · D May 31, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 10, 2024 · Quality of Life and Care

  • Potential for harm · E October 11, 2023

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected November 24, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 11, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 24, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 11, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected November 24, 2023 · Pharmacy Service

  • Potential for harm · D October 11, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 24, 2023 · Infection Control

  • Potential for harm · D October 11, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected November 24, 2023 · Infection Control

  • Potential for harm · E March 10, 2020

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 22, 2020 · Resident Assessment and Care Planning

  • Potential for harm · E March 10, 2020

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 22, 2020 · Resident Assessment and Care Planning

  • Potential for harm · E March 10, 2020

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 22, 2020 · Quality of Life and Care

  • Potential for harm · E March 10, 2020

    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 22, 2020 · Pharmacy Service

  • Potential for harm · E March 10, 2020

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 22, 2020 · Nutrition and Dietary

  • Potential for harm · D March 10, 2020

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected April 22, 2020 · Administration

  • Potential for harm · E March 10, 2020

    Provide and implement an infection prevention and control program.

    Corrected April 22, 2020 · Infection Control

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 265849 · certified since June 16, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.