Nursing home report
Registered name: PINE GROVE MANOR
SAINT LOUIS, MO · Medicare-certified · 77 beds
Avalon Garden Skilled Nursing & Rehabilitation Center in Saint Louis, MO has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings despite a 4-star quality measures rating. It reports 3.14 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has had $9,510 in fines in the last 24 months, and carries a recent federal penalty flag.
Health inspections
Staffing
3.1396 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1396.
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 pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited December 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited October 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 June 2022 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited March 2026 — limited pattern, potential for harm.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 5 health deficiencies.
A federal fine of $9,510 was recorded.
Health inspection found 4 health deficiencies.
Health inspection found 6 health deficiencies.
On record with Medicare: 2 fines · $31,665 in total fines · 1 payment denial.
Federal fine
Dec 22, 2025
Medicare/Medicaid payment denial
Apr 3, 2024
Federal fine
Apr 3, 2024
Now operated by Pine Grove Manor, previously Avalon Garden.
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.
