Residential care facility · St. Louis, MO
Legacy Healthcare Center
3715 Jamieson Ave, St. Louis, MO 63109-1109 · licensed for 111 residents · operated by Kasey Paige Health Care Center
State licensed
Latest state inspection19 citedDec 22, 2025St. Louis-area average 2.4
RCLicense Residential care facility, #053770, expires Jun 12, 2028
111Capacity licensed beds
NoAlzheimer's unit not listed
3Inspections on file from Show Me Long Term Care
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 22, 2025 (complaint investigation / state licensure). They cited 19 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, 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 29 citations in total.
Inspection history
Dec 22, 202519complaint investigation / state licensure
Dec 3, 20252complaint investigation
Mar 11, 20258state licensure
Show all findings
Dec 22, 2025 · Complaint Investigation / State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| General Requirements. (E) Following the discovery of any fire, the facility shall monitor the area and/or the source of the fire for a twenty-four- (24-) hour period. This monitoring shall include, at a minimum, hourly visual checks of the area. These hourly visual checks shall be documented. | I/II | 4/30/2026 |
| Smoking. (A) Smoking shall be permitted in designated areas only. Areas where smoking is permitted shall be designated as such and shall be supervised either directly or by a resident informing an employee of the facility that the area is being used for smoking. | II/III | 4/30/2026 |
| Smoking. (B) Ashtrays shall be made of noncombustible material and safe design and shall be provided in all areas where smoking is permitted. | II/III | 4/30/2026 |
| The building shall be substantially constructed and shall be maintained in good repair and in accordance with the construction and fire safety rules in effect at the time of initial licensing. | II/III | 4/30/2026 |
| 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 | 4/30/2026 |
| An individual bed, in good repair and of a rigid type, shall be provided to each resident. Beds shall be at least thirty-six inches (36") wide. Double beds of satisfactory construction may be provided for married couples. Rollaway, metal cots or folding beds shall not be used. | II/III | 4/30/2026 |
| Each bed shall be provided with at least one (1) clean, comfortable pillow. Extra pillows shall be available to meet the needs of the residents. | III | 4/30/2026 |
| 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 | 4/30/2026 |
| 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 | 4/30/2026 |
| 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 | 4/30/2026 |
| Deodorizers or sprays shall not be used to cover up odors. Odors shall be eliminated to the source by prompt cleaning of bedpans and commodes, floors, furniture and equipment and by proper ventilation. | II/III | 4/30/2026 |
| All floors in the facility shall be clean and shall be maintained in good repair. Floors and floor coverings of all food-preparation, food-storage and utensil-washing areas, and the floors of all walk-in refrigerating units, dressing rooms, locker rooms, toilet rooms and vestibules shall be constructed of smooth durable material such as sealed concrete, terrazzo, ceramic tile, durable grades of linoleum or plastic, or tight wood impregnated with plastic. Nothing in this section shall prohibit the use of antislip floor covering in areas where necessary for safety reasons. | III | 4/30/2026 |
| Carpeting, if used as a floor covering, shall be of closely woven construction, properly installed, easily cleanable and maintained in good repair. Carpeting is prohibited in food-preparation, equipment-washing and utensil-washing areas where it would be exposed to large amounts of grease and water, in food-storage areas and toilet room areas where urinals or toilet fixtures are located. | III | 4/30/2026 |
| Plumbing shall be sized, installed and maintained according to the National Plumbing Code. | II/III | 4/30/2026 |
| The potable water system shall be installed to preclude the possibility of backflow. Devices shall be installed to protect against backflow and back siphonage at all fixtures and equipment where an air gap at least twice the diameter of the water supply inlet is not provided between the water supply inlet and the fixture ' s flood level rim. A hose shall not be attached to a faucet unless a backflow prevention device is installed. | II | 4/30/2026 |
| Lavatories, soap dispensers, hand-drying devices and all related fixtures shall be kept clean and in good repair. | III | 4/30/2026 |
| To avoid unnecessary manual contact with food, suitable preparation and dispensing utensils shall be used by employees or provided to consumers who serve themselves. Between uses, during service, dispensing utensils shall be stored in a manner which would prevent contamination. | III | 4/30/2026 |
| Nonfood-contact surfaces of equipment shall be cleaned as often as is necessary to keep the equipment free of accumulation of dust, dirt, food particles and other debris. | III | 4/30/2026 |
| Within five (5) calendar days of the discharge of a resident, the resident, his/her designee, guardian and conservator, or conservator shall be given an up-to-date accounting of the resident ' s personal funds and the balance of the funds and all personal possessions shall be returned to the resident. This requirement shall not apply for residents discharged due to death, or for residents discharged to hospitals when those residents are expected to return to the facility. The operator shall have a receipt for all funds and possessions returned to the resident, his/her designee, guardian and co | II/III | 4/30/2026 |
Dec 3, 2025 · Complaint Investigation
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| When a resident is admitted, the resident, his/her designee, guardian and conservator, or conservator shall be provided with a statement explaining the facility ' s policies and resident ' s rights regarding personal funds. If the facility handles residents ' funds, this statement shall include an explanation of the procedure for deposit or withdrawals of funds from any source to the resident or to the resident ' s account. The facility shall allow the residents access to their personal possessions and funds during regular business hours, Monday through Friday, excluding banking holidays. | III | 1/17/2026 |
| All written accounts of the residents ' funds shall be reconciled monthly and a written statement showing the current balance and all transactions shall be given to the resident, his/her designee, guardian and conservator, or conservator on a quarterly basis. | II/III | 4/3/2026 |
Mar 11, 2025 · State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| Fire Extinguishers. (D) All fire extinguishers shall bear the label of the Underwriters ' Laboratories (UL) or the Factory Mutual (FM) Laboratories and shall be installed and maintained in accordance with NFPA 10, 1998 edition. This includes the documentation and dating of a monthly pressure check. | II/III | 7/7/2025 |
| Fire Drills and Emergency Preparedness. (D) A minimum of twelve (12) fire drills shall be conducted annually with at least one (1) every three (3) months on each shift. At least four (4) of the required fire drills must be unannounced to residents and staff, excluding staff who are assigned to evaluate staff and resident response to the fire drill. The fire drills shall include a resident evacuation at least once a year. | II/III | 7/7/2025 |
| Fire Safety Training Requirements. (A) The facility shall ensure that fire safety training is provided to all employees: 1. During employee orientation; 2. At least every six (6) months; and 3. When training needs are identified as a result of fire drill evaluations. | II/III | 7/7/2025 |
| Exits, Stairways, and Fire Escapes. (A) Each floor of a facility shall have at least two (2) unobstructed exits remote from each other. | I/II | 7/7/2025 |
| 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 | 7/7/2025 |
| Complete Fire Alarm Systems. (E) Facilities shall test by activating the complete fire alarm system at least once a month. | I/II | 7/7/2025 |
| Sprinkler Systems. (B) Facilities that have a sprinkler system installed prior to August 28, 2007, shall inspect, maintain, and test these systems in accordance with the requirements that were in effect for such facilities on August 27, 2007. | I/II | 7/7/2025 |
| In facilities that are constructed or have plans approved after July 1, 2005, electrical wiring shall be installed and maintained in accordance with the requirements of the National Electrical Code, 1999 edition, National Fire Protection Association, Inc., incorporated by reference, in this rule and available by mail at One Batterymarch Park, Quincy, MA 02269, and local codes. This rule does not incorporate any subsequent amendments or additions to the materials incorporated by reference. Facilities built between September 28, 1979 and July 1, 2005 shall be maintained in accordance with the re | II/III | 7/7/2025 |
From Missouri's Show Me Long Term Care site, in the state's own wording.
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Questions about Legacy Healthcare Center
Answers computed from Missouri state data for this facility.
What kind of facility is Legacy Healthcare Center?
Legacy Healthcare Center is licensed by the Missouri Department of Health and Senior Services as a residential care facility for up to 111 residents. LIMITED LIABILITY COMPANY
How did Legacy Healthcare Center do on its last state inspection?
Missouri inspectors' most recent visit on file was on Dec 22, 2025 (complaint investigation / state licensure). They cited 19 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, 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 29 citations in total.
Does Legacy Healthcare Center 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 Legacy Healthcare Center 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.