Oak Park Care Center
Saint Louis, Missouri · CCN 265427
27 surveys since 2011, 9 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
- 131
- Surveys
- 27
- Harm or worse
- 9
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Corporation
- Chain
- MGM HEALTHCARE
- County
- St. Louis City
- Medicare-certified since
- 1990
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Missouri.
Last survey on record
Aug 14, 2024
817 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 | 3.80 | 3.32 |
| Registered-nurse hours per resident day | 0.16 | — |
| Annual nurse turnover | 55.4% | 57.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G12.6% | H— | I— |
| No harm, potential for more than minimal | D2256.4% | E1230.8% | F12.6% |
| No harm, potential for minimal | A— | B25.1% | C12.6% |
Most frequently cited here
In CMS’s current monthly file.
- F5503×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6902×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
In the surveyor’s words
From the most serious findings on record at Oak Park Care Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Dec 27, 2022
Based on interview and record review, the facility failed to ensure each resident receives adequate supervision to prevent accidents for one resident (Resident #5) with a history of choking episodes. The resident was seen by speech therapy on [DATE] for a choking episode at breakfast. The resident was care planned for aspiration risk for chewing food too quickly. The resident had a choking episode on [DATE] and was sent to the emergency room . The care plan was updated to include the resident taking food from other residents and aspirating it. The resident resided on the locked unit. On [DATE], facility staff left the locked unit unsupervised. […]
- Immediate jeopardy, isolatedF678May 13, 2022
Based on observation, interview and record review, the facility failed to immediately initiate basic life support, including cardiopulmonary resuscitation (CPR, an emergency procedure consisting of chest compressions often combined with artificial ventilation in an effort to restore spontaneous blood circulation and breathing) and failed to immediately notify Emergency Medical Services (EMS) for one resident, who was found unresponsive and was a full code (full support which includes CPR, if the patient has no heartbeat and is not breathing) (Resident #1). Facility staff found the resident unresponsive at 7:54 A.M. Staff notified the physician at 8:00 A.M., that the resident had expired, however at 8:20 A.M., staff obtained the crash cart and rushed to the resident's room. […]
- Actual harm, isolatedF693Apr 30, 2024
Based on interview and record review, the facility failed to provide appropriate administration of water flushes and enteral nutrition for one resident who was dependent upon a gastrostomy tube (g-tube, a tube inserted through the belly that brings nutrition directly to the stomach) for nutrition and hydration for one residents (Resident #1). Resident #1 was admitted to the facility on [DATE]. Admission orders showed Nepro (balanced, high-calorie nutrition) 50 milliliters (ml)/hour via g-tube continuously and water flushes 180 ml every four hours. On 3/5/24, the order was changed to Glucerna (calorically dense formula) due to the unavailability of Nepro. […]
- No harm, potential for more than minimal, patternF812Aug 14, 2024
Based on observation, interview and record review, the facility failed to store food in a safe and sanitary manner to prevent potential cross-contamination and failed to label and date food items. This had the potential to affect all residents who consumed food from the facility kitchen, The facility had a census of 85. Review of the facility Food Storage Policy, dated [DATE], revised on [DATE], showed: -Policy: Ensure food storage and safety practices are maintained and monitored and comply with Federal and State regulations governing food storage and safety; -Responsibility: Dietary Aide, Dietary Cook, & Dietary Manager; -Dating of leftovers shall be as follows: -Multiple ingredients shall be used the same day of preparation then discarded; -Other potentially hazardous leftovers shall… […]
- No harm, potential for more than minimal, patternF880Aug 14, 2024
45083 Based on observation, interview and record review, the facility failed to maintain an infection prevention and control program when staff failed to wear appropriate personal protective equipment (PPE), in accordance with the facility's policy, during high-contact activities with residents on enhanced barrier precautions (EBP, precautions for use during high-contact resident care activities for residents infected with a multidrug-resistant organism (MDRO, microorganisms that are resistant to one or more classes of antimicrobial agents) for three residents (Residents #57, #29 and #82). Furthermore, the facility failed to follow their incontinent care policy when staff provided perineal area care (cleansing between the legs and buttocks area) to Resident #82. […]
Read 27 findings in full →The most serious and the most recent: 27 of 131 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 6, 2026Complaint2 findings
- Aug 14, 2024Standard5 findings
- Apr 30, 2024Complaint1 finding · 1 harm
- Jan 11, 2024Complaint3 findings
- Jul 13, 2023Complaint1 finding
- Apr 28, 2023Complaint1 finding
- Jan 27, 2023Standard and complaint17 findings
- Dec 27, 2022Complaint1 finding · 1 harm
Show the 19 earlier surveys
- Oct 11, 2022Complaint1 finding
- May 13, 2022Complaint1 finding · 1 harm
- Mar 3, 2021Complaint1 finding
- Dec 7, 2020Complaint1 finding · 1 harm
- Jul 22, 2019Standard12 findings
- Dec 10, 2018Complaint1 finding
- Aug 24, 2018Standard8 findings
- Feb 5, 2018Complaint1 finding · 1 harm
- Jul 14, 2017Standard6 findings
- Mar 10, 2017Complaint1 finding
- Aug 5, 2016Standard7 findings
- Sep 23, 2015Standard7 findings
- Dec 22, 2014Complaint1 finding
- Sep 23, 2014Complaint1 finding · 1 harm
- Jul 16, 2014Standard and complaint18 findings
- Aug 20, 2013—3 findings
- Jul 25, 2012—20 findings · 2 harm
- Aug 26, 2011—9 findings
- Apr 27, 2011—1 finding · 1 harm
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.
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