Deficiency Index

Scenic Wellness and Rehabilitation Center

Herculaneum, Missouri · CCN 265216

17 surveys since 2010, 2 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
54
Surveys
17
Harm or worse
2
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/17

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

The facility

Certified beds
189
Ownership
For profit - Limited Liability company
Chain
Independent
County
Jefferson
Medicare-certified since
1984

CMS ratings

Overall
4
Health inspection
5
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer 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

Jun 18, 2026

144 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 day2.863.15
Registered-nurse hours per resident day0.32—
Annual nurse turnover43.5%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 jeopardyJ—K—L—
Actual harmG14.8%H—I—
No harm, potential for more than minimalD1781.0%E29.5%F—
No harm, potential for minimalA—B—C14.8%
CMS’s current file: 21 of the 54 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5692×

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F7002×

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

In the surveyor’s words

From the most serious findings on record at Scenic Wellness and Rehabilitation Center, in the surveyor’s own words.

  • Actual harm, isolatedF684Jul 28, 2023

    Based on interview and record review, the facility failed to follow professional standards of practice and the facility's medication administration policy when Certified Medication Technician (CMT) A pre-poured (medications prepared in advance and stored until time for administration) evening medications for all residents residing on the 500 Hall. CMT A failed to administer the correct medications to one resident (Resident #1) when Resident #2's medications were administered to Resident #1. The facility census was 160. The Administration was notified on 07/28/23 of the Past Non-Compliance citation on 07/14/23. At the time of the event on 07/14/23, facility staff took appropriate corrective actions as confirmed by survey staff during the onsite visit. […]

  • No harm, potential for more than minimal, patternF567Sep 22, 2022

    U4413 Based on record review and interview, the facility staff failed to ensure resident funds were placed in an account separate from the facility operating account. The facility did not provide residents refunds of their personal funds from the operating account in a timely manner for five residents (Resident #47, #50, #51, #52 and #53). Additionally, the facility staff failed to obtain written authorization from the resident and/or financial guardian for money withdrawn for nine residents (Resident #6, #7, #9, #10, #11, #13, #18, #21 and #22) out of a sample of 22. […]

  • No harm, potential for more than minimal, patternF689Sep 22, 2022

    Based on observation and interview, the facility failed to ensure the residents' environment was free of accident hazards by not maintaining water temperatures between 105 degrees Fahrenheit (F) to 120 degrees F in occupied resident room sinks and a community shower, which put residents at increased risk for [CONDITION(S)] caused by scalding water. This practice affected three residents (Residents #47, #68 and #86) out of 33 sampled residents and one resident (Resident #56) outside of the sample. This practice could have potentially affected all residents. […]

  • No harm, potential for more than minimal, isolatedF600Aug 5, 2026

    Based on observation, interview, and record review, the facility failed to protect one resident (Resident #1) from physical abuse when Certified Nurse Aide (CNA) A struck Resident #1 on the right upper arm. The physical contact frightened Resident #1 and caused the resident to cry. The facility census was 159.On 08/04/26, the Administration was notified that the deficient practice would be cited as Past Noncompliance. The facility identified and corrected the deficient practice prior to the survey. The facility initiated an investigation on 08/01/26, assessed Resident #1, removed CNA A from resident care, and subsequently terminated CNA A. […]

  • No harm, potential for more than minimal, isolatedF569Jun 18, 2026

    Based on interview and record review, the facility failed to notify five residents (Residents #116, #123, #160, #170, and #186) out of 10 sampled residents when their resident trust fund account balances were within $200 of their Medicaid spend-down limit. This deficient practice had the potential to affect all residents receiving Medicaid benefits with a spend-down requirement. The facility census was 169. The facility did not provide a policy regarding spend-down notifications. […]

Read 21 findings in full →The most serious and the most recent: 21 of 54 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 5, 2026Complaint1 finding
  • Jun 18, 2026Standard6 findings
  • Apr 11, 2025Standard3 findings
  • Mar 1, 2024Standard3 findings
  • Jul 28, 2023Complaint1 finding · 1 harm
  • Sep 22, 2022Standard8 findings
  • Jan 10, 2020Standard3 findings
  • Nov 16, 2018Standard3 findings
Show the 9 earlier surveys
  • Feb 8, 2018Standard2 findings
  • Dec 2, 2016Standard2 findings
  • Dec 4, 2015Standard1 finding
  • Jan 31, 2014—4 findings
  • May 10, 2013—1 finding · 1 harm
  • Dec 7, 2012—3 findings
  • Jan 24, 2012—5 findings
  • Apr 6, 2011—1 finding
  • Dec 20, 2010—7 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.

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