St Peters Rehab and Healthcare Center, Saint Peters, Missouri

99
Citations from health inspectionsMissouri average: 36 a home: 7
Residents harmed or put in dangerMissouri average: 1.7 a home: $117,902
Fines from the federal governmentMissouri average: $37,425 a home: 1 out of 5
Overall rating in starsMissouri average: 2.5

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

12 inspection visits produced 99 citations. Residents were in immediate danger in two findings. Residents were found hurt in five cases. Federal fines came to $117,902 (four fines). Once, Medicare stopped paying for new admissions.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 2 out of 5
Rating for quality of care: 2 out of 5
Nurse time for each resident: 3.32 hours each dayThe Missouri average is 3.43 hours
Time from registered nurses: 0.57 hours each dayThe Missouri average is 0.46 hours
Nursing staff who left during one year: 67%against the Missouri average of 56%
Beds that are certified: 96
Ownership: Corporation (for profit)
Chain: Ama Holdings, with 13 homes
Street address: 230 Spencer Road, Saint Peters, Missouri 63376
County: St. Charles

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

13 citations dated June 11, 2026

F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread, found on a complaint visit.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F835 Run the Facility Effectively: risk of harm, no one found hurt, a pattern, several residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, widespread, found on a complaint visit.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

One citation dated Feb. 20, 2026

F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Sept. 4, 2025

F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

Two citations dated Aug. 6, 2025

F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated Feb. 27, 2025

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Three citations dated Nov. 27, 2024

F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Six citations dated June 18, 2024

F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

30 citations dated April 12, 2024

F919 Working Call System in Bathrooms: risk of harm, no one found hurt, widespread.
F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F745 Medically Related Social Services: risk of harm, no one found hurt, one or a few residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
F697 Pain Management: residents were harmed, one or a few residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F680 Qualified Activities Director: risk of harm, no one found hurt, widespread.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: immediate danger to residents, one or a few residents.
F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
F559 Right to Choose Roommate and Notice Before Changes: risk of harm, no one found hurt, one or a few residents.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F553 Resident Involvement in Care Planning: risk of harm, no one found hurt, one or a few residents.
F551 Representative May Exercise Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Two citations dated Nov. 15, 2023

F742 Mental Health and Trauma Treatment: residents were harmed, one or a few residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Six citations dated Oct. 19, 2023

F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread, found on a complaint visit.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Nine citations dated Sept. 12, 2023

F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread, found on a complaint visit.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

25 citations dated April 13, 2022

F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents.
F909 Regular Safety Checks of Beds and Rails: risk of harm, no one found hurt, a pattern, several residents.
F888 Staff Coronavirus Vaccination: minimal risk to residents, widespread.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, a pattern, several residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, a pattern, several residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F678 CPR and Basic Life Support: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F625 Written Notice of Bed Hold Policy: minimal risk to residents, a pattern, several residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
F567 Right to Manage Own Finances: minimal risk to residents, a pattern, several residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

Payment Denials and Fines

Date	Penalty	Amount
June 11, 2026	Fine	$26,180
Sept. 4, 2025	Fine	$12,425
Nov. 27, 2024	Fine	$14,050
April 12, 2024	Fine	$65,247
April 12, 2024	Payment denial for new admissions	51 days

Ownership and Management of the Home

The direct 100% owner is St Peters Holdco LLC.
Owns a share through another company: Ama Holdings LLC.
Owns a share through another company: Def Holdings LLC.
Owns a share through another company: St Peters Partners LLC.

Two people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265589. Other homes in Missouri.