Pillars of North County Health & Rehab Center, the
13700 Old Halls Ferry Road · Florissant, MO · 63033 · 3143550760
120 certified beds For profit - Corporation Chain: Helia Healthcare
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.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.24 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
2.49 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 2.13 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (59 in the current record)
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Potential for harm · D September 11, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 3, 2025 · Quality of Life and Care
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Potential for harm · D March 21, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D March 21, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 21, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 21, 2025
Provide or obtain dental services for each resident.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · E March 21, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 17, 2025 · Nutrition and Dietary
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Potential for harm · E March 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 17, 2025 · Nutrition and Dietary
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Potential for harm · D March 21, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2025
Provide and implement an infection prevention and control program.
Corrected April 17, 2025 · Infection Control
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Potential for harm · D March 21, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 17, 2025 · Infection Control
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Potential for harm · E March 21, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 17, 2025 · Environmental
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Potential for harm · D March 21, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · D March 21, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 17, 2025 · Quality of Life and Care
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Actual harm · G July 2, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 29, 2024 · Quality of Life and Care
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Potential for harm · D March 28, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · D December 19, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 19, 2023 · Resident Rights
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Potential for harm · D December 19, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 1, 2023
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected December 1, 2023 · Resident Rights
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Potential for harm · E November 1, 2023
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Corrected December 1, 2023 · Resident Rights
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Potential for harm · E November 1, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 1, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected December 18, 2023 · Resident Assessment and Care Planning
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
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265341 · certified since January 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.