Senior CareScorecard

Nursing home · Florissant, MO

The Pillars of North County Health & Rehab Center

13700 Old Halls Ferry Road, Florissant, MO 63033 · 120 certified beds · for profit ownership · part of Helia Healthcare

Medicare & Medicaid
Medicare overall rating2 / 5Below averageSt. Louis area 2.1 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
1/5Staffing Much below average
5/5Quality measures Much above average
–Short-stay (rehab) quality Not rated
5/5Long-stay quality Much above 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 4, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Mar 21, 2025) it had 18 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 2.39 hours per resident per day here, 30% less than the Missouri average (3.43) and 38% less than the U.S. average (3.86). Registered nurses account for 0.25 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 48% over the past year, 8 points lower than Missouri (56%) and 2 points higher than the U.S. (46%).

How The Pillars of North County Health & 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 day2.393.663.433.86
Registered nurse hours per resident per day0.250.430.460.68
Weekend nurse hours per resident per day2.013.223.013.42
Nursing staff turnover (past year)48%58%56%46%
Registered nurse turnover (past year)—56%48%43%
Citations at the most recent standard inspection1814.711.49.2

Inspection history

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

Jun 4, 20261complaint
Sep 11, 20252complaint
Mar 21, 202515standard + complaint
Jul 2, 20241complaint · 1 harm-level citation
Mar 28, 20241complaint
Dec 19, 20232complaint
Nov 1, 202316standard + complaint
Oct 6, 202022standard · 1 harm-level citation

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

Most recent 40 of 60 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Jun 4, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident rights · complaint
DDeficient, Provider has date of correction
Sep 11, 2025Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Sep 11, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 21, 2025Develop 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
Mar 21, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
DDeficient, Provider has date of correction
Mar 21, 2025Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Mar 21, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident assessment and care planning
DDeficient, Provider has date of correction
Mar 21, 2025Provide or obtain dental services for each resident.
Quality of life and care
DDeficient, Provider has date of correction
Mar 21, 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
Mar 21, 2025Provide 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
Mar 21, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of life and care
DDeficient, Provider has date of correction
Mar 21, 2025Coordinate 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
Mar 21, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 21, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident rights · complaint
DDeficient, Provider has date of correction
Mar 21, 2025Reasonably accommodate the needs and preferences of each resident.
Resident rights
DDeficient, Provider has date of correction
Mar 21, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
EDeficient, Provider has date of correction
Mar 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Mar 21, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and dietary
EDeficient, Provider has date of correction
Jul 2, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Mar 28, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Dec 19, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Dec 19, 2023Reasonably accommodate the needs and preferences of each resident.
Resident rights · complaint
DDeficient, Provider has date of correction
Nov 1, 2023Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident assessment and care planning
DDeficient, Provider has date of correction
Nov 1, 2023Ensure 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
DDeficient, Provider has date of correction
Nov 1, 2023Ensure medication error rates are not 5 percent or greater.
Pharmacy service
DDeficient, Provider has date of correction
Nov 1, 2023Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of life and care
DDeficient, Provider has date of correction
Nov 1, 2023Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care
DDeficient, Provider has date of correction
Nov 1, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
Nov 1, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Nov 1, 2023Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
Nov 1, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Nov 1, 2023Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Nov 1, 2023Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration
EDeficient, Provider has date of correction
Nov 1, 2023Try 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
Nov 1, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Nov 1, 2023Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Resident rights
EDeficient, Provider has date of correction
Nov 1, 2023Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident rights
EDeficient, Provider has date of correction
Nov 1, 2023Regularly 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 6, 2020Implement a program that monitors antibiotic use.
Infection control
EDeficient, Provider has date of correction
Oct 6, 2020Implement 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
EDeficient, 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 The Pillars of North County Health & Rehab Center

Answers computed from CMS data for this facility.

What is The Pillars of North County Health & Rehab Center's Medicare rating?

Medicare rates The Pillars of North County Health & Rehab Center 2 out of 5 stars overall (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 The Pillars of North County Health & Rehab Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Jun 4, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Mar 21, 2025) it had 18 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Has The Pillars of North County Health & Rehab Center been fined?

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

Does The Pillars of North County Health & Rehab Center accept Medicaid?

The Pillars of North County Health & Rehab Center is certified for both Medicare and Medicaid. Call (314) 355-0760 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.