Schnepp Senior Care and Rehabilitation Center

427 East Washington · St. Louis, MI · 48880 · 9896815721

97 certified beds For profit - Limited Liability company Chain: Nexcare Health Systems

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

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.

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.

Score breakdown

Inspection record 30% of score 54
Serious harm & abuse 20% 58
Staffing 20% 80
Federal penalties 15% 100
Trend 10% 51
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: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.903.48 min · 4.1 strong
RN hours / resident-day0.840.55–0.75
Weekend hours / resident-day3.49≈ weekday level
Nursing turnover / year35%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Actual harm · G August 13, 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 August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 13, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 13, 2025 · found via complaint

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

    Corrected August 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 13, 2025 · found via complaint

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

    Corrected August 22, 2025 · Quality of Life and Care

  • Potential for harm · D June 5, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected June 16, 2025 · Resident Rights

  • Potential for harm · D June 5, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 5, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 5, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 16, 2025 · Resident Rights

  • Potential for harm · D June 5, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 16, 2025 · Infection Control

  • Potential for harm · D June 26, 2024

    Ensure each resident receives an accurate assessment.

    Corrected July 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 26, 2024

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

    Corrected July 16, 2024 · Quality of Life and Care

  • Potential for harm · D June 26, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected July 16, 2024 · Pharmacy Service

  • Potential for harm · D June 26, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected July 16, 2024 · Pharmacy Service

  • Potential for harm · D June 26, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 16, 2024 · Resident Assessment and Care Planning

  • Actual harm · G February 14, 2024 · found via complaint

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

    Corrected February 20, 2024 · Quality of Life and Care

  • Potential for harm · D February 14, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 20, 2024 · Resident Rights

  • Potential for harm · D February 14, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

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 235384 · certified since September 28, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.