Facility profile · CCN 265589
St Peters Rehab And Healthcare Center
114 federal citations on record , including 2 at the Immediate Jeopardy level, and 8 federal enforcement actions totaling $213,814.
Record summary
Federal record · Q1 2026114
Total citations
71
Last 3 years
10
Actual harm+
8
Federal penalties
$213,814
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
114 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 4, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Aug 6, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 6, 2025 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint |
| Feb 27, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Nov 27, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Nov 27, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Nov 27, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jun 18, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Jun 18, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Jun 18, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Jun 18, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jun 18, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Jun 18, 2024 | F584 | 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. | E | Complaint |
| Apr 12, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Apr 12, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Apr 12, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint |
| Apr 12, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Apr 12, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Apr 12, 2024 | F584 | 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. | E | Complaint |
| Apr 12, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Apr 12, 2024 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint |
| Apr 12, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Standard |
| Apr 12, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Apr 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 12, 2024 | F761 | 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. | D | Standard |
| Apr 12, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Apr 12, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Apr 12, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Apr 12, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Apr 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 12, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Apr 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Apr 12, 2024 | F680 | Ensure the activities program is directed by a qualified professional. | F | Standard |
| Apr 12, 2024 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Apr 12, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Apr 12, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| Apr 12, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Standard |
| Apr 12, 2024 | F585 | 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. | D | Standard |
| Apr 12, 2024 | F578 | 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. | E | Standard |
| Apr 12, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Apr 12, 2024 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard |
| Apr 12, 2024 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Apr 12, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Nov 15, 2023 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | Complaint |
| Nov 15, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Oct 19, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Oct 19, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Oct 19, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Oct 19, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Oct 19, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint |
| Oct 19, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Sep 12, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Sep 12, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Sep 12, 2023 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| Sep 12, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Sep 12, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Sep 12, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Complaint |
| Sep 12, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Sep 12, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint |
| Sep 12, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Jun 1, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jun 1, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jun 1, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | — |
| May 16, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | Complaint |
| May 16, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| May 16, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| May 16, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| May 16, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 16, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 16, 2023 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint |
| May 16, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint |
| Apr 5, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 5, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Complaint |
| Apr 5, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Apr 13, 2022 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Apr 13, 2022 | F909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard |
| Apr 13, 2022 | F888 | Ensure staff are vaccinated for COVID-19 | C | Standard |
| Apr 13, 2022 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Apr 13, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 13, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 13, 2022 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard |
| Apr 13, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Apr 13, 2022 | F761 | 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. | E | Standard |
| Apr 13, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Apr 13, 2022 | F727 | 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. | F | Standard |
| Apr 13, 2022 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Apr 13, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Apr 13, 2022 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard |
| Apr 13, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Apr 13, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Apr 13, 2022 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard |
| Apr 13, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Apr 13, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Apr 13, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Apr 13, 2022 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard |
| Apr 13, 2022 | F584 | 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. | E | Standard |
| Apr 13, 2022 | F567 | Honor the resident's right to manage his or her financial affairs. | B | Standard |
| Apr 13, 2022 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Apr 13, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Sep 6, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
Federal enforcement history
Federal regulators have imposed 8 enforcement actions against this facility, including 5 civil money penalties totaling $213,814 and 3 payment-denial actions spanning 175 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 4, 2025 | Fine | $19,115 | — |
| Nov 27, 2024 | Fine | $14,050 | — |
| Apr 12, 2024 | Payment Denial | — | May 28, 2024 · 51 days |
| Apr 12, 2024 | Fine | $65,247 | — |
| Sep 12, 2023 | Fine | $76,304 | — |
| Sep 12, 2023 | Payment Denial | — | Nov 21, 2023 · 78 days |
| Apr 5, 2023 | Payment Denial | — | May 13, 2023 · 46 days |
| Apr 5, 2023 | Fine | $39,098 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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