Oak Knoll Skilled Nursing & Rehabilitation Center
37 North Clark Avenue · Ferguson, MO · 63135 · 3145217419
72 certified beds For profit - Corporation
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.27 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
2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D June 11, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 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 May 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 3, 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 March 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 24, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 24, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected July 8, 2024 · Quality of Life and Care
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Potential for harm · E May 24, 2024
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 July 8, 2024 · Nursing and Physician Services
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Potential for harm · E May 24, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 8, 2024 · Pharmacy Service
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Potential for harm · E May 24, 2024
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 July 8, 2024 · Pharmacy Service
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Potential for harm · E May 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 8, 2024 · Nutrition and Dietary
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Potential for harm · E May 24, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 24, 2024
Provide and implement an infection prevention and control program.
Corrected July 8, 2024 · Infection Control
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Potential for harm · E May 24, 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 8, 2024 · Environmental
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Potential for harm · E November 15, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 30, 2023 · Resident Rights
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Potential for harm · D November 11, 2022
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected December 26, 2022 · Resident Rights
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Potential for harm · D November 11, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 26, 2022 · Resident Rights
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Potential for harm · D November 11, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 26, 2022 · Resident Rights
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Potential for harm · D November 11, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 26, 2022 · Resident Rights
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Potential for harm · D November 11, 2022
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected December 26, 2022 · Resident Rights
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Potential for harm · D November 11, 2022
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 26, 2022 · Resident Assessment and Care Planning
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Potential for harm · E November 11, 2022
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected December 26, 2022 · Resident Assessment and Care Planning
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Potential for harm · D November 11, 2022
Ensure each resident receives an accurate assessment.
Corrected December 26, 2022 · Resident Assessment and Care Planning
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Potential for harm · D November 11, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 26, 2022 · Resident Assessment and Care Planning
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Potential for harm · D November 11, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 26, 2022 · Resident Assessment and Care Planning
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Potential for harm · D November 11, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 11, 2023 · Quality of Life and Care
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Potential for harm · D November 11, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 26, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265680 · certified since August 8, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.