Hearth Record

Garden View Care Center

A nursing home in O Fallon, Missouri 63366

700 Garden Path, O Fallon, Missouri 63366. (636) 240-2840.

  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 17 citations in 4 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

14 health citations at the latest inspection cycle

The Missouri average is 11.4.

Last standard inspection Jan 16, 2025.

Most serious in three years: actual harm (G), at a complaint inspection on Jul 1, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

17 citations in 4 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

17 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 17 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 6 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 1, 2026: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint.

Nov 5, 2025: complaint inspection2 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 19, 2025.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 19, 2025.

Mar 14, 2025: complaint inspection3 citations
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 7, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 7, 2025.

  • Provide 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.

    Rule F0742. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 7, 2025.

Jan 16, 2025: standard inspection11 citations
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Try 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.

    Rule F0700. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Ensure 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Regularly 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.

    Rule F0909. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Rule F0623. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

  • Notify 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.

    Rule F0625. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Mar 4, 2025.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Feb 19, 1988.
  • Not on CMS’s special focus list.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 80 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 6 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

4.45 nurse hours per resident per day

The Missouri average is 3.40.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMissouri average
Nurse hours per resident per day4.453.40
Of which registered nurses0.420.46
At weekends4.022.96
Nursing staff turnover71.6%56.9%
Registered nurse turnover80%50%
Administrators who left2Not given

Who owns it?

  • Larus Corporation owns 100% directly since Feb 19, 1988.
  • Larus Corporation and Larus Management Corporation and Choice Rehabilitation LLC run it.
  • 27 owners or officers are people: Richard L Winter (owns 5% or more through other companies, 50%); Richard L Winter (corporate officer, 50%); Richard L Winter (corporate director, 50%); George W Weier (corporate officer, 50%); George W Weier (corporate director, 50%); George W Weier (owns 5% or more through other companies, 25%); Patricia R. Weier (owns 5% or more through other companies, 25%); Cheryl Strickland (runs it (operational or managerial control)); Cheryl Strickland (additional disclosable party (controls, leases property to, or provides services to the home)); Sanjay A Patwardhan (runs it (operational or managerial control)); Sanjay A Patwardhan (additional disclosable party (controls, leases property to, or provides services to the home)); Shawn Baker (runs it (operational or managerial control)); Shawn Baker (additional disclosable party (controls, leases property to, or provides services to the home)); Richard L Winter (runs it (operational or managerial control)); Richard L Winter (additional disclosable party (controls, leases property to, or provides services to the home)); Charlotte Litle (corporate officer, 0%); Charlotte Litle (runs it (operational or managerial control)); Charlotte Litle (additional disclosable party (controls, leases property to, or provides services to the home)); George W Weier (runs it (operational or managerial control)); George W Weier (additional disclosable party (controls, leases property to, or provides services to the home)); Jodi Luaders (corporate officer, 0%); Jodi Luaders (runs it (operational or managerial control)); Jodi Luaders (additional disclosable party (controls, leases property to, or provides services to the home)); Courtney Nieves (corporate officer, 0%); Courtney Nieves (runs it (operational or managerial control)); Courtney Nieves (additional disclosable party (controls, leases property to, or provides services to the home)); Patricia R. Weier (additional disclosable party (controls, leases property to, or provides services to the home)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Larus CorporationOwns 5% or more directly100%Feb 19, 1988
Larus CorporationRuns it (operational or managerial control)100%Feb 19, 1988
Larus Management CorporationRuns it (operational or managerial control)100%Sep 12, 2001
Richard Lawrence Winter TrustOwns 5% or more through other companies50%Sep 20, 2007
G. William Weier and Patricia R. Weier TrustOwns 5% or more through other companies50%Nov 12, 2007
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 22, 1986
Nhi PartnershipAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 22, 1986
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 22, 1986
Bank of WashingtonAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 25, 2020
Larus CorporationAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 9, 2025
Larus Management CorporationAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2025
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 29, 2022
Choice Rehabilitation LLCRuns it (operational or managerial control)Nov 1, 2023
Choice Rehabilitation LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2025
G. William Weier and Patricia R. Weier TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 12, 2007

How do residents fare?

  • CMS rates its quality measures 1 of 5 (Missouri average 2.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing3 of 5
Quality measures1 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 9.3 miles, this one had the 3rd most health citations at the latest inspection cycle (14; the middle value was 5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 8, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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