ST CLAIR NURSING CENTER

Also known publicly as St. Clair Nursing Center Rehabilitation & Skilled Nursing

SAINT CLAIR, MO

CMS provider ID 265495CMS source updated July 29, 2026

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CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 79
Ownership descriptor: For profit - Corporation
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 6366292100Verified public information · checked Aug 2026
Also known publicly as: St. Clair Nursing Center Rehabilitation & Skilled NursingVerified public information · checked Aug 2026

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.39 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Feb 7, 2025 cited 1 deficiencies.

View inspection evidence

Ownership

CMS-published records list 28 ownership or control parties.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 23 facilities across 2 states or territories.

View chain evidence

Enforcement record

CMS records show a $12,735 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: For profit - CorporationCMS
Chain: AMERICARE SENIOR LIVINGCMS identifies this facility as part of the AMERICARE SENIOR LIVING chain.
Related facilities: 16Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

4 CMS-reported ownership organizations
CMS reports 21 individual ownership interests
a CMS chain / common-control group

Related facilities

16 currently connected nursing homes share this CMS organization identity with R H MONTGOMERY PROPERTIES, INC.

Average CMS overall rating: 3.6 stars across 16 reporting facilities
CMS monetary penalties: 6 of 16 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 5 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 5 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 9 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $185,518

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 28
Organizations shown: 7
Individuals shown: 21
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

R H MONTGOMERY PROPERTIES, INC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2003
Other facilities connected through this exact CMS organization identity: 0 across MO.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
ST. CLAIR NURSING LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2003
Other facilities connected through this exact CMS organization identity: 0 across MO.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MONTGOMERY, ANNA
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jan 1, 2013
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
REIKER, JAMES
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Apr 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHADE, KYLE
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Mar 1, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MONTGOMERY, RICHARD
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 16, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MONTGOMERY, RICHARD
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 1, 1981
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
REIKER, JAMES
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHADE, KYLE
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
AMERICARE SYSTEMS, INC.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 4, 2002
Other facilities connected through this exact CMS organization identity: 0 across MO.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
HATLESTAD, STEVEN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MARSH, DENICE
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Aug 15, 2016
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
REIKER, JAMES
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jan 1, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
R H MONTGOMERY PROPERTIES, INC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2003
Other facilities connected through this exact CMS organization identity: 15 across KS, MO.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
ST. CLAIR NURSING LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2003
Other facilities connected through this exact CMS organization identity: 0 across MO.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
MONTGOMERY, ANNA
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jan 1, 2013
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
REIKER, JAMES
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Apr 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHADE, KYLE
Individual · CONTRACTED MANAGING EMPLOYEE
Published ownership percentage: 0%
Association date reported to CMS: Mar 1, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
MONTGOMERY, RICHARD
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 16, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
MONTGOMERY, RICHARD
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 1981
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
REIKER, JAMES
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHADE, KYLE
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Mar 1, 2021
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
AMERICARE SYSTEMS, INC.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 100%
Association date reported to CMS: Apr 4, 2002
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 22 across KS, MO.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
HATLESTAD, STEVEN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 100%
Association date reported to CMS: Apr 1, 2002
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
CROSSON, CLAY
Individual · OTHER
Published ownership percentage: 100%
Association date reported to CMS: Mar 7, 2013
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
MARSH, DENICE
Individual · W-2 MANAGING EMPLOYEE
Published ownership percentage: 100%
Association date reported to CMS: Aug 15, 2016
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
REIKER, JAMES
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jan 1, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source
ST. CLAIR NURSING LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MO.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS records connect R H MONTGOMERY PROPERTIES, INC to 16 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with AMERICARE SENIOR LIVING

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 34 is a grouping identifier, not a legal organization.

Facilities: 23
States and territories: 2
Average overall rating: 3.7
Average staffing rating: 3.6
Average total nurse HPRD: 3.9
Total fines: 12

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	23	3.7	3.6
Mon Jun	23	3.5	3.4
Fri May	23	3.5	3.4
Wed Apr	23	3.7	3.4
Sun Mar	23	3.6	3.3
Sun Feb	23	3.7	3.3

Questions to ask

CMS groups facilities in 2 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 12 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Feb 19, 2026
Survey type: Health Complaint
Linked findings: 1
Highest linked CMS classification: G — Isolated; Actual harm that is not immediate jeopardy

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 265495
Source record locator: csv-row:71959:ccn:265495

View official CMS source

Feb 19, 2026 — Health Complaint — 1 linked finding

F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
265495
Source record locator
csv-row:201737:ccn:265495
View official CMS source

Feb 7, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Feb 7, 2025 — Health Standard — 1 linked finding

F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
265495
Source record locator
csv-row:201738:ccn:265495
View official CMS source

Mar 8, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 8, 2024 — Health Standard — 2 linked findings

F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
265495
Source record locator
csv-row:201739:ccn:265495
View official CMS source
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
265495
Source record locator
csv-row:201740:ccn:265495
View official CMS source

Jan 13, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jan 13, 2023 — Health Standard — 4 linked findings

F0623 — Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
265495
Source record locator
csv-row:201743:ccn:265495
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
265495
Source record locator
csv-row:201744:ccn:265495
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
265495
Source record locator
csv-row:201741:ccn:265495
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
265495
Source record locator
csv-row:201742:ccn:265495
View official CMS source

Tags appearing across inspections

F0689 appears in 3 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Fine — Feb 19, 2026
Published fine amount: $12,735.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
265495
Source record locator
csv-row:7873:ccn:265495
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show a monetary penalty dated Feb 19, 2026. What changes were made after that enforcement action?

Facility history

Facility History

5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Complaint inspection recorded1 deficiencies were recorded. That includes 1 higher-severity deficiency.
Civil monetary penalty recordedCMS recorded a $12,735 civil monetary penalty.

2026

Feb 19
Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Feb 19
Civil monetary penalty recorded
CMS recorded a $12,735 civil monetary penalty.
CMS · Recorded event date · View related evidence

2025

Feb 7
Health inspection completed
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

2024

Mar 8
Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2023

Jan 13
Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.831
RN categories: 0.391
LPN/LVN categories: 1.039
CNA: 1.457

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	4.021	3.354
RN categories	0.453	0.234

Contract staff accounted for 5.8% of reported nursing hours included in this quarter calculation.

PBJ reports zero combined RN-category hours on 1 day with a positive MDS census in this quarter.

Reported RN-category hours per resident day were 0.008 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.988	0.416	1.032	1.36	6.6%	91
2025Q3	3.914	0.37	1.206	1.334	0%	92
2025Q4	3.774	0.382	1.166	1.327	2.4%	92
2026Q1	3.831	0.391	1.039	1.457	5.8%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 5-star overall rating.
CMS reports a 5-star health inspection rating.
CMS reports a 3-star staffing rating.
CMS reports a 5-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Suggest a correction Report a source-data concern Represent this facility? Submit a profile claim

How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Penalties

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: g6vv-u9sr
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Penalties, enforcement, and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility All Owners

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

R H MONTGOMERY PROPERTIES, INC

ST. CLAIR NURSING LLC

MONTGOMERY, ANNA

REIKER, JAMES

SCHADE, KYLE

MONTGOMERY, RICHARD

MONTGOMERY, RICHARD

REIKER, JAMES

SCHADE, KYLE

AMERICARE SYSTEMS, INC.

HATLESTAD, STEVEN

MARSH, DENICE

REIKER, JAMES

R H MONTGOMERY PROPERTIES, INC

ST. CLAIR NURSING LLC

MONTGOMERY, ANNA

REIKER, JAMES

SCHADE, KYLE

MONTGOMERY, RICHARD

MONTGOMERY, RICHARD

REIKER, JAMES

SCHADE, KYLE

AMERICARE SYSTEMS, INC.

HATLESTAD, STEVEN

CROSSON, CLAY

MARSH, DENICE

REIKER, JAMES

ST. CLAIR NURSING LLC

What this means

Questions to ask

CMS groups this facility with AMERICARE SENIOR LIVING

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0689 — Quality of Life and Care Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0550 — Resident Rights Deficiencies

F0695 — Quality of Life and Care Deficiencies

F0623 — Resident Rights Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0880 — Infection Control Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Fine — Feb 19, 2026

Questions generated from the evidence above

Facility History

What changed recently?

2026

2025

2024

2023

Reported nursing staffing at a glance

Weekday and weekend calculations

Staffing over time

Questions to ask

Current Provider Information facts

Additional public-source research

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