ST ANDREW'S AT FRANCIS PLACE in Eureka, MO has a 1-star overall rating, with a 1-star staffing rating and nurse staffing below the federal benchmark (2.85 vs 4.1 hours per resident per day). It has no fines in the last 24 months, but it has the lowest overall rating and recent inspection citations related to pressure ulcer care, resident self-determination, and pain management.
Last inspection: November 19, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8462.
Staffing detail
Registered nurses
0.23
Licensed practical nurses
0.54
Nurse aides
2.08
Weekend nursing
2.61
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.8%Improving
Residents with a fall causing major injury
4.2%Improving
Residents with pressure ulcers (bedsores)
3.8%Steady
Residents with a urinary tract infection
1.5%Worsening
Residents who lost too much weight
0.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28.6%Improving
Residents whose ability to walk got worse
26.6%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.9%Steady
Short-stay residents newly given an antipsychotic
3.9%Worsening
Residents with a long-term catheter
1.4%Improving
Residents with new or worsening incontinence
23.8%Worsening
Residents with depressive symptoms
1.1%Improving
Long-stay residents given the seasonal flu vaccine
90.8%Steady
Long-stay residents given the pneumonia vaccine
68.5%Worsening
Short-stay residents given the seasonal flu vaccine
40.5%Steady
Short-stay residents given the pneumonia vaccine
40.2%Steady
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The home failed to support and respect residents’ choices and self-determination. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — 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 10 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $77,664 in total fines.
Federal fine
Jul 26, 2023
$77,664
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
93.3 residents on an average day (88% of 106 beds)
Resident voice
Resident council
Medicare history
Certified for 43 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.