The nursing home failed to protect residents from abuse and neglect by others. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
GARDEN VIEW CARE CENTER
O FALLON, MO · Medicare-certified · 80 beds
Needs attention
Abuse citationFor-profit
1 of 5 overall
GARDEN VIEW CARE CENTER (O FALLON, MO) has an overall rating of 1 out of 5 stars. Its staffing is above the federal benchmark (4.64 vs. 4.1 hours per resident per day), but quality measures are low at 1 star, health inspection is 2 stars, and there is a recent abuse citation; no fines were reported in the last 24 months.
Facility ratings
Health inspections
Staffing
4.645 hrs/resident/day
Quality measures
Last inspection: November 5, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.645.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.80
- Nurse aides
- 3.38
- Weekend nursing
- 4.15
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
33.3%36.7%Worsening
Residents with a fall causing major injury
11.4%8.9%Improving
Residents with pressure ulcers (bedsores)
5.5%2.5%Improving
Residents with a urinary tract infection
9.1%6.7%Improving
Residents who lost too much weight
15.4%8.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.6%22.2%Improving
Residents whose ability to walk got worse
17.3%32%Worsening
Long-stay residents on antianxiety or sleep medication
20.5%8.3%Improving
Short-stay residents newly given an antipsychotic
0%3.6%Worsening
Residents with a long-term catheter
2%1.6%No change
Residents with new or worsening incontinence
28.3%35.9%Worsening
Residents with depressive symptoms
8.3%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89.8%—
Long-stay residents given the pneumonia vaccine
84.1%86.7%Improving
Short-stay residents given the seasonal flu vaccine
—90.4%—
Short-stay residents given the pneumonia vaccine
87.8%92.9%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure it did not hire anyone with a record of abuse, neglect, exploitation, or theft. Cited June 2023 — widespread issue, potential for harm.
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F-Tag 606 — 42 CFR §483.12 — S/S: F
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $3,145 in total fines · 1 payment denial.
- $3,145
Federal fine
Jul 17, 2023
- 46 days
Medicare/Medicaid payment denial
Jun 23, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 49.6 residents on an average day (62% of 80 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 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.