Oak Knoll Skilled Nursing & Rehabilitation Center in Ferguson, MO has a 1-star overall rating, with 1-star staffing and quality measures and 2-star health inspections. Reported nurse staffing is 2.96 hours per resident per day, below the 4.1 federal benchmark, and the facility has a recent abuse citation but no fines in the last 24 months.
Last inspection: June 11, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9597.
Staffing detail
Registered nurses
0.27
Licensed practical nurses
0.53
Nurse aides
2.16
Weekend nursing
2.76
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
32.8%Improving
Residents with a fall causing major injury
8.3%Worsening
Residents with pressure ulcers (bedsores)
5.7%Worsening
Residents with a urinary tract infection
2.1%Worsening
Residents who lost too much weight
11.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
23.4%Improving
Residents whose ability to walk got worse
14.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
22.1%Improving
Residents with a long-term catheter
1.6%Improving
Residents with new or worsening incontinence
7.6%Worsening
Residents with depressive symptoms
2.3%Improving
Long-stay residents given the seasonal flu vaccine
95.4%Steady
Long-stay residents given the pneumonia vaccine
85.7%Improving
Short-stay residents given the pneumonia vaccine
50%Steady
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited May 2024 — limited pattern, potential for harm.
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F-Tag 700 — 42 CFR §483.25(n) — S/S: E
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 — limited pattern, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Occupancy
68.5 residents on an average day (95% of 72 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 28 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.