Ellisville Rehabilitation and Nursing
Ellisville, Missouri · CCN 265766
34 surveys since 2011, 26 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 137
- Surveys
- 34
- Harm or worse
- 26
- Immediate jeopardy
- 15
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 210
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- St. Louis
- Medicare-certified since
- 2003
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 75 for-profit facilities with 128 or more beds in Missouri.
Last survey on record
Jul 8, 2026
124 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.92 | 3.15 |
| Registered-nurse hours per resident day | 0.43 | — |
| Annual nurse turnover | 71.9% | 58.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $255,601 across 3 penalties
- Payment denials
- 2
- Special focus
- SFF Candidate
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1014.7% | K— | L— |
| Actual harm | G34.4% | H— | I— |
| No harm, potential for more than minimal | D4261.8% | E811.8% | F45.9% |
| No harm, potential for minimal | A— | B— | C11.5% |
Most frequently cited here
In CMS’s current monthly file.
- F6848×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6004×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6074×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F8044×
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F8804×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Ellisville Rehabilitation and Nursing, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600Jul 8, 2026
Based on observation, interview, and record review, the facility failed to ensure residents were free from physical abuse when one staff member, Certified Nursing Assistant (CNA) A struck two residents. On 06/28/26 at approximately 2:50 A.M., CNA A was observed by Licensed Practical Nurse (LPN) B and CNA D using excessive force for one resident (Resident #2) while boosting him/her up in bed which caused Resident #2 to hit his/her head on the backboard. CNA A was also observed striking the resident on the lower back with a closed fist. Between 4:00 A.M. to 4:30 A.M., LPN B assessed CNA A and instructed him/her to leave the facility, due to concerns of intoxication. CNA A did not leave the facility as instructed. […]
- Immediate jeopardy, isolatedF684Jan 16, 2026
Based on interview and record review, the facility failed to appropriately respond to one resident's (Resident #35) change of condition and/or conduct and document a thorough assessment and contact the resident's physician. The resident began vomiting on 02/25/26, continued to vomit through 03/01/26 when staff called 911 to send him/her to the hospital. Staff documented the nurse practitioner (NP) assessed the resident on 2/26/26. The order for ondansetron (Zofran, anti-nausea medication) was sent on 2/27/26. Staff administered the medication on 2/27/26 at 1:53 P.M. The resident continued to vomit after the administration of the medication. On 2/28/26, staff said the vomit started to darken in color. […]
- Immediate jeopardy, isolatedF678Mar 19, 2025
Based on interview and record review, the facility failed to provide basic life support including cardiopulmonary resuscitation (CPR, a lifesaving technique that's used in emergencies in which someone's breathing and/or heartbeat has stopped) after Resident #1 had a rapid change in condition and coded. Registered Nurse (RN) F began CPR when he/she was unable to locate the resident's code status (initiate CPR or do not initiate CPR). RN F did not call for additional staff assistance over the facility intercom system, did not provide rescue breaths during CPR, and did not use the automated external defibrillator (AED, a portable device that can be used to treat a person whose heart has suddenly stopped working) located at the nurse's station. […]
- Immediate jeopardy, isolatedF684Mar 3, 2025
Based on interview and record review, the facility staff failed to appropriately respond to a resident's (Resident #1's) change of condition, failed to conduct a thorough, documented assessment, and failed to contact the resident's physician, regarding the resident's change of condition, which began on 2/20/25. Staff failed to assess the resident who was not eating, stared blankly and could not keep his/her head up. The resident became unresponsive and was sent to the hospital with diagnoses of pneumonia (a lung infection, often caused by bacteria, viruses, or fungi, that inflames the air sacs (alveoli) and can lead to fluid or pus buildup, causing symptoms like cough, fever, and difficulty breathing), respiratory failure, and sepsis (a life-threatening condition that occurs when the… […]
- Immediate jeopardy, isolatedF684Nov 26, 2024
Based on interview and record review, the facility staff failed to appropriately respond to a resident's (Resident #351) change of condition, failed to conduct a thorough, documented assessment, and failed to contact the resident's physician, regarding the resident's change of condition, which began on [DATE]. The resident expired in the facility on [DATE]. The sample was 23. The facility census was 134. The Administrator was notified on [DATE] at 11:45 A.M., of an immediate jeopardy (IJ) which began on [DATE]. […]
Read 36 findings in full →The most serious and the most recent: 36 of 137 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 8, 2026Complaint4 findings · 2 harm
- Apr 28, 2026Complaint2 findings · 1 harm
- Mar 4, 2026Complaint9 findings · 1 harm
- Jan 16, 2026Complaint11 findings · 1 harm
- Jun 26, 2025Complaint1 finding
- May 16, 2025Complaint1 finding · 1 harm
- Apr 21, 2025Complaint6 findings · 2 harm
- Mar 28, 2025Complaint1 finding
Show the 26 earlier surveys
- Mar 19, 2025Complaint3 findings · 1 harm
- Mar 3, 2025Complaint1 finding · 1 harm
- Feb 19, 2025Complaint1 finding
- Jan 15, 2025Complaint4 findings · 1 harm
- Nov 26, 2024Standard and complaint21 findings · 4 harm
- Jul 28, 2023Standard1 finding
- Oct 17, 2022Complaint2 findings · 2 harm
- Jun 1, 2022Complaint1 finding · 1 harm
- Mar 1, 2022Complaint2 findings · 1 harm
- Jan 10, 2020Standard9 findings
- Aug 26, 2019Complaint1 finding
- Mar 13, 2019Standard8 findings
- Apr 27, 2018Standard6 findings · 1 harm
- Jul 17, 2017Complaint2 findings
- Apr 5, 2017Complaint1 finding
- Mar 9, 2017Standard and complaint10 findings
- Jan 5, 2017Complaint2 findings
- Oct 5, 2016Complaint1 finding · 1 harm
- Apr 8, 2016Standard2 findings
- Jul 6, 2015Complaint1 finding
- Mar 6, 2015Standard3 findings
- Jul 17, 2014Complaint1 finding
- Jan 17, 2014—6 findings · 3 harm
- Mar 11, 2013—7 findings · 1 harm
- Apr 19, 2012—3 findings · 1 harm
- Mar 3, 2011—3 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction