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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriSt Elizabeth Care Center

St Elizabeth Care Center

649 South Walnut, Saint Elizabeth, MO 650755734932215
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
1/5
Quality
1/5
Beds
63
certified
1 fine(s) totaling $37,733

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 63 certified beds with an average of 58.9 residents per day (93% occupancy)

• Last health inspection found 6 deficiencies (inspected Feb 6, 2025)

• Has been fined a total of $37,733 across 1 fine(s)

• Total nursing staff: 2.38 hours per resident per day

• Staff turnover rate: 65.0% (high)

• Part of the Reliant Care Management chain (30 facilities)

St Elizabeth Care Center is a 1-star Medicare and Medicaid certified nursing home in Saint Elizabeth, Missouri with 63 certified beds. It has been operating since 1997. The facility scored below average compared to Missouri facilities.

Beds
63
Avg Residents/Day
58.9
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1997
Sprinklers
Yes
Council
Resident
County
Miller
Last Inspection
Feb 6, 2025
Deficiencies (Cycle 1)
6
Weighted Score
76.0
Infection Citations
0

Deficiency Citations (42)

F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0700Potential for Harm

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.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0887Potential for Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 7, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 7, 2024Corrected: NoCycle: 2
F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0569Potential for Harm

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

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0585Minimal Harm

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.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0625Potential for Harm

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.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0728Potential for Harm

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Oct 20, 2023Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0658Potential for Harm

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

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0567Potential for Harm

Honor the resident's right to manage his or her financial affairs.

Survey: Oct 21, 2022Corrected: NoCycle: 3
F0570Minimal Harm

Assure the security of all personal funds of residents deposited with the facility.

Survey: Oct 21, 2022Corrected: NoCycle: 3
F0575Minimal Harm

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Survey: Oct 21, 2022Corrected: NoCycle: 3

+ 12 more deficiencies

Total Fines
$37,733
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineAug 10, 2023
$37,733

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.83 hrs
National avg: 2.35 hrs
LPN0.29 hrs
National avg: 0.86 hrs
RN0.27 hrs
National avg: 0.68 hrs
Total Nursing2.38 hrs
National avg: 3.89 hrs
Weekend Total2.07 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
65.0%
RN Turnover
60.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
RICHARD J DESTEFANE REVOCABLE LIVING TRUST5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2018
RELIANT CARE MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 2, 2013
DESTEFANE, RICHARDCORPORATE DIRECTORIndividualN/AOct 1, 2010
DESTEFANE, RICHARDCORPORATE OFFICERIndividualN/AOct 1, 2010
KAUS, BRANDYW-2 MANAGING EMPLOYEEIndividualN/AAug 3, 2018

Frequently Asked Questions

What is the CMS rating for St Elizabeth Care Center?▾
St Elizabeth Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
Has St Elizabeth Care Center had any health inspection violations?▾
St Elizabeth Care Center had 6 deficiency citations in its most recent health inspection (Feb 6, 2025). The facility has been fined a total of $37,733 across 1 fine(s).
What are the staffing levels at St Elizabeth Care Center?▾
St Elizabeth Care Center provides 2.38 total nursing staff hours per resident per day, including 0.27 RN hours, 0.29 LPN hours, and 1.83 nurse aide hours. The total staff turnover rate is 65.0%.
How many beds does St Elizabeth Care Center have?▾
St Elizabeth Care Center has 63 certified beds with an average of 58.9 residents per day, resulting in approximately 93% occupancy. The facility is For profit - Corporation owned and is part of the Reliant Care Management chain.

Part of Reliant Care Management

This chain operates 30 facilities. View all →