Senior CareScorecard

Nursing home · Ferguson, MO

Arbor Hills Care & Rehab Center

800 Chambers Road, Ferguson, MO 63135 · 150 certified beds · for profit ownership · part of Mgm Healthcare

Medicare & MedicaidFined $282,840 in 3 yearsChanged owners in last 12 months
Medicare overall rating1 / 5Much below averageSt. Louis area 2.1 · Missouri 2.51 · U.S. 2.99
1/5Health inspections Much below average
1/5Staffing Much below average
2/5Quality measures Below average
1/5Short-stay (rehab) quality Much below average
3/5Long-stay quality 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 Feb 20, 2026, when they cited 13 problems, 2 of them from complaint investigations. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 13 are marked corrected in the CMS data. At its most recent standard inspection (Feb 20, 2026) it had 15 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 3.37 hours per resident per day here, about the same as the Missouri average (3.43) and 13% less than the U.S. average (3.86). Registered nurses account for 0.31 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 80% over the past year, 24 points higher than Missouri (56%) and 34 points higher than the U.S. (46%).

How Arbor Hills Care & Rehab Center 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 day3.373.663.433.86
Registered nurse hours per resident per day0.310.430.460.68
Weekend nurse hours per resident per day2.773.223.013.42
Nursing staff turnover (past year)80%58%56%46%
Registered nurse turnover (past year)—56%48%43%
Citations at the most recent standard inspection1514.711.49.2

Inspection history

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

Feb 20, 202613standard + complaint
Sep 16, 20252complaint
Apr 28, 20251complaint
Apr 3, 20251complaint
Mar 12, 20254complaint · 1 harm-level citation
Jan 28, 20258complaint · 3 harm-level citations
Nov 15, 20242complaint
Sep 19, 20244complaint
Jun 17, 20241complaint · 1 harm-level citation
May 17, 202425standard + complaint · 2 harm-level citations
Feb 23, 20241complaint
Jan 10, 20241complaint
Oct 20, 20232complaint

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

Most recent 40 of 65 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Feb 20, 2026Procure 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
Feb 20, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Feb 20, 2026Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and dietary
DDeficient, Provider has date of correction
Feb 20, 2026Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration
DDeficient, Provider has date of correction
Feb 20, 2026Ensure that residents are free from significant medication errors.
Pharmacy service
DDeficient, Provider has date of correction
Feb 20, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Feb 20, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care
DDeficient, Provider has date of correction
Feb 20, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights
EDeficient, Provider has date of correction
Feb 20, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident assessment and care planning
DDeficient, Provider has date of correction
Feb 20, 2026Provide and implement an infection prevention and control program.
Infection control · complaint
EDeficient, Provider has date of correction
Feb 20, 2026Ensure 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.
Pharmacy service
EDeficient, Provider has date of correction
Feb 20, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident rights
EDeficient, Provider has date of correction
Feb 20, 2026Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident rights
EDeficient, Provider has date of correction
Sep 16, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
EDeficient, Provider has date of correction
Sep 16, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Apr 28, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DPast Non-Compliance
Apr 3, 2025Ensure 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.
Pharmacy service · complaint
EDeficient, Provider has date of correction
Mar 12, 2025Provide enough food/fluids to maintain a resident's health.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Mar 12, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights · complaint
EDeficient, Provider has date of correction
Mar 12, 2025Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 12, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Jan 28, 2025Protect 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
G actual harmDeficient, Provider has date of correction
Jan 28, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Jan 28, 2025Provide enough food/fluids to maintain a resident's health.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Jan 28, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights · complaint
DDeficient, Provider has date of correction
Jan 28, 2025Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Jan 28, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Jan 28, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Jan 28, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Nov 15, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Nov 15, 2024Ensure that residents are free from significant medication errors.
Pharmacy service · complaint
DDeficient, Provider has date of correction
Sep 19, 2024Ensure that residents are free from significant medication errors.
Pharmacy service · complaint
DDeficient, Provider has date of correction
Sep 19, 2024Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and dietary · complaint
DDeficient, Provider has date of correction
Sep 19, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Sep 19, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
EDeficient, Provider has date of correction
Jun 17, 2024Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of life and care · complaint
J immediate jeopardyDeficient, Provider has date of correction
May 17, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from abuse, neglect, and exploitation · complaint
EDeficient, Provider has date of correction
May 17, 2024Implement 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 · complaint
DDeficient, Provider has date of correction
May 17, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy service · complaint
DDeficient, Provider has date of correction
May 17, 2024Provide 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.
Quality of life and care · complaint
DDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Jan 28, 2025Fine$127,275
Jan 28, 2025Payment Denial43 days
May 17, 2024Fine$155,565
May 17, 2024Payment Denial37 days

Location

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Questions about Arbor Hills Care & Rehab Center

Answers computed from CMS data for this facility.

What is Arbor Hills Care & Rehab Center's Medicare rating?

Medicare rates Arbor Hills Care & Rehab Center 1 out of 5 stars overall (much below 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 Arbor Hills Care & Rehab Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Feb 20, 2026, when they cited 13 problems, 2 of them from complaint investigations. The most common area was quality of life and care (3 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 13 are marked corrected in the CMS data. At its most recent standard inspection (Feb 20, 2026) it had 15 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Has Arbor Hills Care & Rehab Center been fined?

Yes. CMS reports 2 fines totaling $282,840 in the past three years.

Does Arbor Hills Care & Rehab Center accept Medicaid?

Arbor Hills Care & Rehab Center is certified for both Medicare and Medicaid. Call (314) 524-1111 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.