Nursing home report
Registered name: FOUNTAIN CARE AT SUNSET HILLS
SAINT LOUIS, MO · Medicare-certified · 166 beds
Chestnut Rehab And Nursing in Saint Louis, MO has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reports 3.54 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $91,147 in fines in the last 24 months along with a recent federal penalty.
Health inspections
Staffing
3.5424 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5424.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — isolated incident, actual harm.
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 August 2023 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 12 health deficiencies.
Health inspection found 1 health deficiency.
A federal payment denial was recorded.
A federal fine of $57,899 was recorded.
A federal fine of $33,248 was recorded.
On record with Medicare: 4 fines · $119,588 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Oct 21, 2024
Federal fine
Oct 21, 2024
Federal fine
Jul 23, 2024
Federal fine
Dec 22, 2023
Federal fine
Aug 10, 2023
Now operated by Chestnut Rehab and Nursing, previously Sunset Hills Health and Rehabilitation Center.
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.
