Senior CareScorecard

Nursing home · O'Fallon, MO

Abbey Senior Health

206 North Main Street, O'Fallon, MO 63366 · 55 certified beds · for profit ownership

Medicare & MedicaidMedicare abuse icon
Medicare overall rating3 / 5AverageSt. Louis area 2.1 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
5/5Staffing Much above average
2/5Quality measures Below average
3/5Short-stay (rehab) quality Average
2/5Long-stay quality Below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Jun 11, 2026, when they cited 3 problems, 1 of them from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Jun 11, 2026) it had 4 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 4.74 hours per resident per day here, 38% more than the Missouri average (3.43) and 23% more than the U.S. average (3.86). Registered nurses account for 0.73 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 36% over the past year, 20 points lower than Missouri (56%) and 10 points lower than the U.S. (46%).

How Abbey Senior Health compares

This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).

This homeSt. Louis areaMissouriU.S.
Total nurse hours per resident per day4.743.663.433.86
Registered nurse hours per resident per day0.730.430.460.68
Weekend nurse hours per resident per day4.103.223.013.42
Nursing staff turnover (past year)36%58%56%46%
Registered nurse turnover (past year)27%56%48%43%
Citations at the most recent standard inspection414.711.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Jun 11, 20263standard + complaint
Sep 11, 20251complaint
Dec 19, 20241complaint
Oct 25, 20249standard
Jun 9, 202313standard · 1 harm-level citation

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 27 of 27 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Jun 11, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident rights · complaint
EDeficient, Provider has date of correction
Jun 11, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care
DDeficient, Provider has date of correction
Jun 11, 2026Ensure that residents are free from significant medication errors.
Pharmacy service
EDeficient, Provider has date of correction
Sep 11, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from abuse, neglect, and exploitation · complaint
DPast Non-Compliance
Dec 19, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
DPast Non-Compliance
Oct 25, 2024Try 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.
Quality of life and care
EDeficient, Provider has date of correction
Oct 25, 2024Notify 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.
Resident rights
BDeficient, Provider has date of correction
Oct 25, 2024Regularly 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.
Environmental
EDeficient, Provider has date of correction
Oct 25, 2024Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Oct 25, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident assessment and care planning
BDeficient, Provider has date of correction
Oct 25, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Oct 25, 2024Give residents a notice of rights, rules, services and charges.
Resident rights
EDeficient, Provider has date of correction
Oct 25, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Oct 25, 2024The resident has the right to receive notices in a format and a language he or she understands.
Resident rights
EDeficient, Provider has date of correction
Jun 9, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
DDeficient, Provider has date of correction
Jun 9, 2023Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Jun 9, 2023Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration
DDeficient, Provider has date of correction
Jun 9, 2023Implement 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.
Pharmacy service
DDeficient, Provider has date of correction
Jun 9, 2023Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy service
DDeficient, Provider has date of correction
Jun 9, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
DDeficient, Provider has date of correction
Jun 9, 2023Assess the resident when there is a significant change in condition
Resident assessment and care planning
DDeficient, Provider has date of correction
Jun 9, 2023Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Jun 9, 2023Ensure the activities program is directed by a qualified professional.
Quality of life and care
EDeficient, Provider has date of correction
Jun 9, 2023Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration
FDeficient, Provider has date of correction
Jun 9, 2023Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration
FDeficient, Provider has date of correction
Jun 9, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
G actual harmDeficient, Provider has date of correction
Jun 9, 2023Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Abbey Senior Health

Answers computed from CMS data for this facility.

What is Abbey Senior Health's Medicare rating?

Medicare rates Abbey Senior Health 3 out of 5 stars overall (average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.

How did Abbey Senior Health do on its last inspection?

Inspectors' most recent visit in the CMS data was on Jun 11, 2026, when they cited 3 problems, 1 of them from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Jun 11, 2026) it had 4 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Has Abbey Senior Health been fined?

CMS reports no federal fines for this facility in the past three years.

Does Abbey Senior Health accept Medicaid?

Abbey Senior Health is certified for both Medicare and Medicaid. Call (636) 240-5754 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.