Assisted living facility · Town and Country, MO
Garden Villas
13590 South Outer 40 Rd, Town and Country, MO 63017-5823 · licensed for 46 residents · operated by Double G Land Co
Sources: Missouri DHSS LTC Directory and Show Me Long Term Care.
The latest inspection, in plain English
Missouri inspectors' most recent visit on file was on Dec 15, 2025 (state licensure). They cited 7 requirements that the facility did not meet. Missouri classes violations from I (most serious) to III; the citations here were marked class I/II, II, II/III. The average for St. Louis-area assisted living and residential care facilities at their latest inspection is 2.4 citations. Across the 3 inspection dates we collected, 0 visits found nothing to cite and the facility had 18 citations in total.
Inspection history
Show all findings
Dec 15, 2025 · State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| General Requirements. (H) Facilities shall not use space under stairways to store combustible materials. | I/II | 3/4/2026 |
| Furniture and equipment shall be maintained in good condition and shall be replaced if broken, torn, heavily soiled or damaged. Rooms shall be so designed and furnished that the comfort and safety of the residents are provided for at all times. | II/III | 3/4/2026 |
| Plumbing fixtures which are accessible to residents and which supply hot water shall be thermostatically controlled so that the water temperature at the fixture does not exceed one hundred twenty degrees Fahrenheit (120��F) (49��C) and the water shall be at a temperature range between one hundred five degrees Fahrenheit (105��F) (41��C) and one hundred twenty degrees Fahrenheit (120��F) (49��C). | I/II | 3/4/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (F) Completes a community based assessment conducted by an appropriately trained and qualified individual as defined in section (4) of this rule: 1. Time frame requirements for assessment shall be: B. At least semiannually; | II | 3/4/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (G) Develops an individualized service plan (ISP), which means the planning document prepared by an assisted living facility which outlines a resident ' s needs and preferences, services to be provided, and goals expected by the resident or the resident ' s legal representative in partnership with the facility; | II | 3/4/2026 |
| The administrator shall develop and implement a safe and effective system of medication control and use, which assures that all residents ' medications are administered by personnel at least eighteen (18) years of age, in accordance with physicians ' instructions using acceptable nursing techniques. The facility shall employ a licensed nurse eight (8) hours per week for every thirty (30) residents to monitor each resident ' s condition and medication. Administration of medication shall mean delivering to a resident his or her prescription medication either in the original pharmacy container, o | I/II | 3/4/2026 |
| Poisonous or toxic materials consist of the following categories: insecticides and rodenticides; disinfectants, sanitizer and related cleaning or drying agents; and caustics, acids, polishes and other chemicals. Each of these three (3) categories set forth shall be stored and physically located separate from each other. All poisonous or toxic materials shall be stored in locked cabinets or in a similar physically separate place used for no other purpose which is not accessible to residents. | II | 3/4/2026 |
Mar 18, 2025 · State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| Complete Fire Alarm Systems. (C) All facilities shall test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. | I/II | 4/4/2025 |
Nov 7, 2024 · State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| General Requirements. (A) If the facility admits or retains any individual needing more than minimal assistance due to having a physical, cognitive or other impairment that prevents the individual from safely evacuating the facility, the facility shall: 6. At a minimum the evacuation plan shall include the following components: C. The plan shall evaluate the resident for his or her location within the facility and the proximity to exits and areas of refuge. The plan shall evaluate the resident, as applicable, for his or her risk of resistance, mobility, the need for additional staff support, c | II | 1/15/2025 |
| Prior to allowing any person who has been hired in a full-time, part-time, or temporary position to have contact with any resident, the facility shall, or in the case of temporary employees hired through or contracted from an employment agency, the employment agency shall, prior to sending a temporary employee to a facility: (B) Make an inquiry to the department, as provided in section 660.315, RSMo, as to whether the person is listed on the EDL. Each facility shall maintain documents verifying that the EDL checks were requested, the date of each such request, and the nature of the response re | II/III | 1/15/2025 |
| The facility shall screen residents and staff for tuberculosis as required for long-term care facilities by 19 CSR 20-20.100. | II | 1/15/2025 |
| Protective oversight shall be provided twenty-four (24) hours a day. For residents departing the premises on voluntary leave, the facility shall have, at a minimum, a procedure to inquire of the resident or resident ' s guardian of the resident ' s departure, of the resident ' s estimated length of absence from the facility, and of the resident ' s whereabouts while on voluntary leave. | I/II | 1/15/2025 |
| In addition to the orientation training required in section (62) of this rule any facility that provides care to any resident having Alzheimer ' s disease or related dementia shall provide orientation training regarding mentally confused residents such as those with Alzheimer ' s disease and related dementias as follows: (A) For employees providing direct care to such persons, the orientation training shall include at least three (3) hours of training including at a minimum an overview of mentally confused residents such as those having Alzheimer ' s disease and related dementias, communicatin | II/III | 1/15/2025 |
| Poisonous or toxic materials consist of the following categories: insecticides and rodenticides; disinfectants, sanitizer and related cleaning or drying agents; and caustics, acids, polishes and other chemicals. Each of these three (3) categories set forth shall be stored and physically located separate from each other. All poisonous or toxic materials shall be stored in locked cabinets or in a similar physically separate place used for no other purpose which is not accessible to residents. | II | 1/15/2025 |
| Employees shall thoroughly wash their hands and the exposed portions of their arms with soap and warm water before starting work, during work as often as is necessary to keep them clean and after smoking, eating, drinking or using the toilet. Employees shall keep their fingernails clean and trimmed. | II/III | 1/15/2025 |
| The outer clothing of all employees shall be clean and employees shall use effective hair restraints to prevent the contamination of food or food-contact surfaces. | III | 1/15/2025 |
| The traffic of unnecessary persons through the food-preparation and utensil-washing areas is prohibited. | III | 1/15/2025 |
| (8) If a resident installs and uses an electronic monitoring device, a notice to alert and inform visitors shall be posted at the entrance of the facility and resident's room. (B) The facility shall require the resident to post and maintain a conspicuous notice at the entrance of the resident's room stating: "This room is being monitored by an electronic monitoring device." | III | 1/15/2025 |
From Missouri's Show Me Long Term Care site, in the state's own wording.
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Questions about Garden Villas
Answers computed from Missouri state data for this facility.
What kind of facility is Garden Villas?
Garden Villas is licensed by the Missouri Department of Health and Senior Services as a assisted living facility for up to 46 residents. LIMITED LIABILITY COMPANY
How did Garden Villas do on its last state inspection?
Missouri inspectors' most recent visit on file was on Dec 15, 2025 (state licensure). They cited 7 requirements that the facility did not meet. Missouri classes violations from I (most serious) to III; the citations here were marked class I/II, II, II/III. The average for St. Louis-area assisted living and residential care facilities at their latest inspection is 2.4 citations. Across the 3 inspection dates we collected, 0 visits found nothing to cite and the facility had 18 citations in total.
Does Garden Villas offer memory care?
The state directory does not list an Alzheimer's special care unit here. Ask the facility directly whether it accepts residents with dementia.
Does Garden Villas have a Medicare star rating?
No. Medicare rates nursing homes only. Assisted living and residential care in Missouri are licensed and inspected by the state, so we show the state's inspection findings instead.
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Inspection findings reflect conditions on the inspection date and may since have been corrected.