ARBOR HILLS CARE & REHAB CENTER (FERGUSON, MO) has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It also has a recent abuse citation, $282,840 in fines over the last 24 months, and reported nurse staffing of 3.66 hours per resident per day, below the federal benchmark of 4.1.
Last inspection: February 20, 2026Penalties, last 24 months: $282,840recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6553.
Staffing detail
Registered nurses
0.18
Licensed practical nurses
0.85
Nurse aides
2.62
Weekend nursing
3.23
Hours per resident per day.
Total staff turnover: 100%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
24.6%Improving
Residents with a fall causing major injury
1.3%Improving
Residents with pressure ulcers (bedsores)
5.7%Improving
Residents with a urinary tract infection
1.3%Improving
Residents who lost too much weight
3.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
27.5%Worsening
Residents whose ability to walk got worse
15.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.6%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
26.7%Improving
Residents with depressive symptoms
34.4%Worsening
Long-stay residents given the seasonal flu vaccine
95.7%Steady
Long-stay residents given the pneumonia vaccine
24.8%Worsening
Short-stay residents given the seasonal flu vaccine
35%Steady
Short-stay residents given the pneumonia vaccine
11%Steady
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2025 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $127,275 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $155,565 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $282,840 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Jan 28, 2025
43 days
Federal fine
Jan 28, 2025
$127,275
Medicare/Medicaid payment denial
May 17, 2024
37 days
Federal fine
May 17, 2024
$155,565
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of MGM HEALTHCARE · 33 homes · 2.4 stars avg
Occupancy
78.8 residents on an average day (53% of 150 beds)
Resident voice
Resident council
Medicare history
Certified for 4 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.