Deficiency Index

Parkwood Skilled Nursing and Rehabilitation Center

Maryland Heights, Missouri · CCN 265523

36 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
198
Surveys
36
Harm or worse
9
Immediate jeopardyall corrected before survey
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file24/36

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
130
Ownership
For profit - Corporation
Chain
RILEY SPENCE SENIOR LIVING
County
St. Louis
Medicare-certified since
1993

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
2

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 75 for-profit facilities with 128 or more beds in Missouri.

Last survey on record

Jun 5, 2026

157 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.183.15
Registered-nurse hours per resident day0.13—
Annual nurse turnover51.6%58.6%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ11.5%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3959.1%E2334.8%F11.5%
No harm, potential for minimalA—B—C23.0%
CMS’s current file: 66 of the 198 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6586×

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

  • F5503×

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

  • F5543×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F6843×

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

  • F6863×

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

In the surveyor’s words

From the most serious findings on record at Parkwood Skilled Nursing and Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF678Apr 21, 2023

    42247 Based on interview and record review, the facility failed to ensure staff provided cardiopulmonary resuscitation (CPR, refers to any medical intervention used to restore circulatory and/or respiratory function that has ceased) for one resident (Resident #80) per the resident's wishes. Resident #80 was found to be unresponsive and without signs of life. Staff began CPR, then stopped. When Emergency Medical Services (EMS, 911, first responders, paramedics, police officers and/or fire fighters) arrived, staff were not performing CPR. The sample was 19. The census was 92. The Administrator was notified on [DATE] at 1:44 P.M. of an Immediate Jeopardy (IJ) of past non-compliance which occurred on [DATE]. […]

  • No harm, potential for more than minimal, widespreadF868Apr 21, 2023

    Based on interview and record review, the facility failed to ensure quality assurance performance improvement (QAPI) meetings consisted of the required committee members when the medical director failed to attend the facility's QAPI meetings. The census was 92. Review of the facility's Roles and Responsibilities of QAPI policy, undated, showed: -QAPI meets monthly the third week of the month to establish QAPI projects and all personnel involved in QAPI projects. Purpose of meeting is to establish roles and responsibilities of educators and trainers on how quality assurance project will be established and performed for all members of the QAPI team; -QAPI team consists of nursing, housekeeping, maintenance, activities, social services, dietary, management, and administrative staff; -The… […]

  • No harm, potential for more than minimal, patternF658Mar 12, 2026

    Based on observation, interview, and record review the facility failed to ensure orders for weight monitoring were completed as ordered. Concerns were noted in four of five residents identified by the facility as receiving dialysis services (Resident's #6, #9, #10 and #12). The resident sample was 11. The census was 85.Review of the facility's Physician's Orders policy, revised 4/16/2024, showed:-The purpose of the policy is to transcribe and follow physician orders accurately;-Orders received by the physician are to be followed as prescribed. In the event that a resident refuses, documentation must be completed and the physician must be notified. […]

  • No harm, potential for more than minimal, patternF550Aug 29, 2024

    40290 Based on observation, interview and record review, the facility failed to treat each resident with respect and dignity when staff spoke to one resident in a disrespectful manner regarding the resident's hygiene and failed to provide care to promote his/her dignity (Resident #9), staff failed to provide one resident with grooming and feeding assistance (Resident #168) and staff entered one resident's room without knocking (Resident #34). In addition, staff failed to wear name badges to identify themselves to residents. The sample was 17. […]

  • No harm, potential for more than minimal, patternF567Aug 29, 2024

    Based on observation, interview and record review, the facility failed to ensure resident requests for less than $100.00 ($50.00 for Medicaid residents) are honored within the same day, and the facility failed to ensure resident funds in excess of $100.00 (or $50.00 for Medicaid residents), were held in an interest-bearing account. This affected 40 residents whose funds were handled by the facility. The census was 76. 1. During a group interview on 8/29/24 at 10:04 A.M., seven residents, whom the facility identified as cognitively intact, said requests for personal funds are limited to $20.00. […]

Read 28 findings in full →The most serious and the most recent: 28 of 198 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 5, 2026Complaint1 finding
  • Mar 12, 2026Complaint1 finding
  • Nov 25, 2025Complaint2 findings
  • Nov 6, 2025Complaint2 findings
  • Oct 27, 2025Complaint1 finding
  • Sep 10, 2025Complaint1 finding
  • Aug 29, 2024Standard and complaint24 findings
  • Jan 23, 2024Complaint1 finding
Show the 28 earlier surveys
  • Oct 4, 2023Complaint1 finding
  • Aug 11, 2023Complaint1 finding
  • Apr 21, 2023Standard13 findings · 1 harm
  • Apr 15, 2022Complaint1 finding
  • Jan 27, 2020Standard and complaint18 findings
  • Jul 11, 2019Complaint2 findings
  • Dec 11, 2018Standard12 findings
  • Oct 17, 2018Complaint1 finding
  • Jan 30, 2018Standard21 findings
  • Aug 30, 2017Complaint1 finding
  • Jun 8, 2017Complaint1 finding
  • Apr 3, 2017Standard18 findings · 2 harm
  • Jun 30, 2016Complaint2 findings
  • May 24, 2016Complaint3 findings · 1 harm
  • Mar 29, 2016Standard10 findings · 1 harm
  • Feb 22, 2016Complaint2 findings
  • Jan 4, 2016Complaint1 finding
  • Sep 18, 2015Complaint1 finding
  • May 6, 2015Standard1 finding
  • Mar 6, 2015Standard and complaint9 findings
  • Apr 21, 2014Standard1 finding
  • Feb 26, 2014Standard and complaint8 findings · 3 harm
  • Jan 21, 2014—3 findings
  • Apr 4, 2013Complaint3 findings
  • Feb 8, 2013Standard and complaint8 findings
  • Jun 1, 2012—2 findings
  • Feb 1, 2012—10 findings
  • Jan 28, 2011—11 findings · 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.

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