U-City Forest Manor

1301 Partridge Avenue · Saint Louis, MO · 63130 · 3148625556

120 certified beds For profit - Limited Liability company Chain: Palladian Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • 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.

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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 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.21 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

2.64 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

66% of nursing staff left within a year

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

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 74
Staffing 20% 34
Federal penalties 15% 74
Trend 10% 87
Context 5% 60

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: 2 of 5

Total nurse hours / resident-day2.643.48 min · 4.1 strong
RN hours / resident-day0.210.55–0.75
Weekend hours / resident-day2.40≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)1 · $15,949

Inspection citations (74 in the current record)

  • Potential for harm · D March 27, 2026 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 28, 2026 · Resident Rights

  • Potential for harm · D March 27, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 28, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 27, 2026 · found via complaint

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

    Corrected April 28, 2026 · Quality of Life and Care

  • Potential for harm · D March 27, 2026 · found via complaint

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

    Corrected April 28, 2026 · Quality of Life and Care

  • Potential for harm · D November 17, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected November 28, 2025 · Quality of Life and Care

  • Potential for harm · D February 19, 2025 · found via complaint

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

    Corrected March 5, 2025 · Quality of Life and Care

  • Immediate jeopardy · J December 10, 2024 · found via complaint

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

    Corrected December 27, 2024 · Quality of Life and Care

  • Potential for harm · D December 10, 2024 · found via complaint

    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 27, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 30, 2024 · found via complaint

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

    Corrected October 13, 2024 · Resident Rights

  • Potential for harm · D August 30, 2024 · found via complaint

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

    Corrected October 13, 2024 · Quality of Life and Care

  • Potential for harm · F August 30, 2024 · found via complaint

    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 October 13, 2024 · Nursing and Physician Services

  • Potential for harm · D August 30, 2024 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected October 13, 2024 · Environmental

  • Potential for harm · D May 7, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected May 30, 2024 · Resident Rights

  • Potential for harm · D May 7, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected May 30, 2024 · Resident Rights

  • Potential for harm · D May 7, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 7, 2024

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected May 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E May 7, 2024

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

    Corrected May 30, 2024 · Quality of Life and Care

  • Potential for harm · D May 7, 2024

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

    Corrected June 3, 2024 · Quality of Life and Care

  • Potential for harm · E May 7, 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 May 30, 2024 · Nursing and Physician Services

  • Potential for harm · D May 7, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 30, 2024 · Pharmacy Service

  • Potential for harm · E May 7, 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 May 30, 2024 · Pharmacy Service

  • Potential for harm · D May 7, 2024

    Provide and implement an infection prevention and control program.

    Corrected May 30, 2024 · Infection Control

  • Potential for harm · E May 7, 2024 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected May 30, 2024 · Resident Rights

  • Potential for harm · D May 7, 2024 · found via complaint

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

    Corrected May 30, 2024 · Quality of Life and Care

  • Potential for harm · D February 1, 2024 · found via complaint

    Respond appropriately to all alleged violations.

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

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 10, 2024Fine$15,949

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265736 · certified since May 21, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.