Ellisville Rehabilitation and Nursing
A nursing home in Ellisville, Missouri 63021
322 Old State Road, Ellisville, Missouri 63021. (636) 227-3431.
- A candidate for CMS’s special focus list
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 41 health citations at the latest inspection cycle Missouri average: 11.4
- 3.90 nurse hours per resident per day Missouri average: 3.40
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- 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.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- 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?
41 health citations at the latest inspection cycle
The Missouri average is 11.4.
Last standard inspection Nov 26, 2024.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jul 8, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
59 citations in 11 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 59 citations in the last three years
Grouped by inspection, newest first. Each carries 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)., from A, the least serious, to L, the most. 54 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 8, 2026: complaint inspection4 citations
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 28, 2026: complaint inspection2 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Mar 4, 2026: complaint inspection9 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Respond appropriately to all alleged violations.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Provide enough food/fluids to maintain a resident’s health.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Jan 16, 2026: complaint inspection11 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Keep residents’ personal and medical records private and confidential.
-
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Respond appropriately to all alleged violations.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Provide enough food/fluids to maintain a resident’s health.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Jun 26, 2025: complaint inspection1 citation
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 16, 2025: complaint inspection1 citation
-
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Apr 21, 2025: complaint inspection6 citations
-
Provide safe, appropriate pain management for a resident who requires such services.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide and implement an infection prevention and control program.
Mar 28, 2025: complaint inspection1 citation
-
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Mar 19, 2025: complaint inspection3 citations
-
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Mar 3, 2025: complaint inspection1 citation
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 19, 2025: complaint inspection1 citation
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 15, 2025: complaint inspection4 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Allow residents to self-administer drugs if determined clinically appropriate.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Provide and implement an infection prevention and control program.
Nov 26, 2024: standard inspection5 citations
-
Allow residents to self-administer drugs if determined clinically appropriate.
-
Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.
-
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
-
Respond appropriately to all alleged violations.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Nov 26, 2024: standard and complaint inspection10 citations
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide safe, appropriate pain management for a resident who requires such services.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Aug 14, 2003.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- 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, limited liability company.
- 210 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $255,601 in all.
- 2 Medicare payment denials in the last three years.
- 54 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 8, 2026 | Fine | $27,378 |
| Jan 16, 2026 | Medicare payment denial | Not given |
| Jan 16, 2026 | Fine | $59,186 |
| Nov 26, 2024 | Medicare payment denial | Not given |
| Nov 26, 2024 | Fine | $169,037 |
Who does the caring?
3.90 nurse hours per resident per day
The Missouri average is 3.40.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Missouri average |
|---|---|---|
| Nurse hours per resident per day | 3.90 | 3.40 |
| Of which registered nurses | 0.35 | 0.46 |
| At weekends | 3.47 | 2.96 |
| Nursing staff turnover | 75.9% | 56.9% |
| Registered nurse turnover | 72.2% | 50% |
| Administrators who left | 4 | Not given |
Who owns it?
- Ellisville Opco Holdco LLC owns 100% directly since Jul 1, 2024.
- 17 owners or officers are people: Elazar Fischer (owns 5% or more through other companies, 15%); Moshe Birnbaum (owns 5% or more through other companies, 5%); Sarina T Phatak (runs it (operational or managerial control)); Sarina T Phatak (additional disclosable party (controls, leases property to, or provides services to the home)); Hillel D Weiss (trustee); Shifra Stern (trustee); Noah Burton (trustee); Elazar Fischer (runs it (operational or managerial control)); Elazar Fischer (on the governing body (managing control)); Elazar Fischer (additional disclosable party (controls, leases property to, or provides services to the home)); Michael Barth (runs it (operational or managerial control)); Michael Barth (additional disclosable party (controls, leases property to, or provides services to the home)); Aharon Stern (runs it (operational or managerial control)); Brian Greenwald (trustee); Moshe Birnbaum (additional disclosable party (controls, leases property to, or provides services to the home)); Simon J Stern (runs it (operational or managerial control)); Simon J Stern (on the governing body (managing control)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Ellisville Propco Holdco LLC | Holds 5% or more of the mortgage | 100% | Jul 1, 2024 |
| Ellisville Opco Holdco LLC | Owns 5% or more directly | 100% | Jul 1, 2024 |
| Sj Healthcare Capital LLC | Owns 5% or more through other companies | 40% | Jul 1, 2022 |
| PC8 Capital Group LLC | Owns a share through other companies | 40% | Jul 1, 2024 |
| Sj Family Trust | Owns 5% or more through other companies | 38% | Jul 1, 2024 |
| ADS Capital Trust | Owns 5% or more through other companies | 38% | Jul 1, 2024 |
| Jj Family Grantor Trust | Owns a share through other companies | 1.8% | Jul 1, 2024 |
| Ads Family Trust | Owns a share through other companies | 1.8% | Jul 1, 2024 |
| Sj Family Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 18, 2024 | |
| Israel Discount Bank of New York - Idb Bank of York | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 18, 2024 | |
| Superior Back Office Solutions LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 18, 2024 | |
| ADS Capital Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 18, 2024 | |
| Ellisville Propco Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 26, 2024 | |
| Sj Healthcare Capital LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 18, 2024 | |
| PC8 Capital Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2024 |
How do residents fare?
- CMS rates its quality measures 1 of 5 (Missouri average 2.9).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 1 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 6.0 miles, this one had the 1st most health citations at the latest inspection cycle (41; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Ellisville Rehabilitation and Nursing This nursing home | 41 | |
| Aegis Health and Rehabilitation | 2.1 | 7 |
| Delmar Gardens on the Green | 2.9 | 12 |
| Lutheran Senior Services at Meramec Bluffs | 3.6 | 3 |
| Manchester Rehab and Healthcare Center | 3.7 | 11 |
| Garden View Care Center of Chesterfield | 5.3 | 8 |
| Delmar Gardens of Chesterfield | 5.5 | 7 |
| St Andrew’s at Francis Place | 5.6 | 11 |
| Athene Nursing and Rehabilitation | 5.7 | 31 |
| Mason Pointe Care Center | 5.8 | 2 |
| Delmar Gardens West | 5.8 | 9 |
| Big Bend Woods Healthcare Center | 6.0 | 9 |
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.
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.