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Nursing homeFAID #7182

Parkwood Skilled Nursing and Rehabilitation Center

3201 PARKWOOD LANE, MARYLAND HEIGHTS, MO, 63043

(314) 291-5911

www.rileyspence.com

130 licensed beds

CMS rates Parkwood Skilled Nursing and Rehabilitation Center 1 out of 5 overall. Federal inspectors issued 88 citations across 15 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Photo of PARKWOOD SKILLED NURSING AND REHABILITATION CENTER

Photo via Google · Parkwood - Skilled Nursing & Rehab

Address

3201 Parkwood Lane

Maryland Heights, MO 63043

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Public record summary

What we can show you for free.

Bed capacity

130

State license

053526

CMS facility ID

265523

Care type

Nursing home

Facility name

Parkwood Skilled Nursing and Rehabilitation Center

Street address

3201 PARKWOOD LANE

City / state / ZIP

Maryland Heights, MO 63043

Phone

(314) 291-5911

Website

www.rileyspence.com

State license #

053526

About this facility — Parkwood Skilled Nursing and Rehabilitation Center

Parkwood Skilled Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Maryland Heights, Missouri. It is licensed for 130 beds — above the median for skilled nursing facilities in Missouri (97 beds).

It is one of 3 senior care facilities in Maryland Heights and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Parkwood Skilled Nursing and Rehabilitation Center 88 times across 15 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Woodlands of Maryland Heights Llc, the

Parent company

Riley Spence Senior Living

Ownership type

For profit - Corporation

Administrator

Paul Cauwenbergh

Registered owners & officers

Riley, Charles

Direct owner · Director · Additional disclosable party — 25% stake — since 2007

Cauwenbergh, Paul

Operational control · Additional disclosable party — since 2018

Riley Spence Management Company, Llc

Operational control · Additional disclosable party — since 2024

Rosenberg, David

Operational control · Additional disclosable party — since 2024

Spence, Gregory

Direct owner · Additional disclosable party — since 2007

Regulatory standing

Licensed / certified since

1993-01-14

License expires

2028-04-30

CMS overall rating

1 of 5 stars

Health deficiencies

31 at the last standard inspection

Federal fines

None on record

Last standard inspection

2024-08-29

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$198 per day (≈ $6,020/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

88% Medicaid · 2% Medicare · 10% private/other

Occupancy

57% (fiscal year 2023)

Vs. state median

23% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

130

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-05Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-07-03

2026-03-12Health inspectionComplaint-triggered1 citation

F-0658

E · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-03-31

12 earlier / fire-safety inspections (86 citations)

2025-11-25Health inspectionComplaint-triggered2 citations

F-0554

D · No harm foundFrom a complaint

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-12-16

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-12-16

2025-11-06Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-11-25

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-11-25

2025-10-27Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-11-25

2025-09-10Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-29

2024-08-29Health inspectionComplaint-triggered24 citations

F-0550

E · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-01

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-10-01

F-0567

E · No harm found

Honor the resident's right to manage his or her financial affairs.

Corrected 2024-10-01

F-0577

C · No harm found

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-10-01

F-0584

E · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-10-01

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-10-01

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-10-17

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-10-01

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-01

F-0677

E · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-01

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-10-01

F-0680

E · No harm found

Ensure the activities program is directed by a qualified professional.

Corrected 2024-10-01

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-01

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-01

F-0693

D · No harm foundFrom a complaint

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-10-01

F-0700

D · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-10-01

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-01

F-0761

E · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-10-01

F-0804

E · No harm foundFood safetyFrom a complaint

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-10-01

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-10-01

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-01

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-01

F-0909

E · No harm found

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2024-10-01

F-0925

E · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-10-01

2024-01-23Health inspectionComplaint-triggered1 citation

F-0759

D · No harm foundFrom a complaint

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-02-09

2023-10-04Health inspectionComplaint-triggered1 citation

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-10-18

2023-04-21Health inspection13 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-26

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-05-26

F-0640

E · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-05-26

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-26

F-0678

J · Immediate jeopardy

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2023-04-03

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-05-26

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-05-26

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-05-26

F-0728

D · No harm found

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2023-05-26

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2023-05-26

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-05-26

F-0868

F · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-05-26

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-05-26

2020-01-27Health inspection18 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2020-02-21

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2020-02-21

F-0568

D · No harm found

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2020-02-21

F-0625

D · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2020-02-21

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2020-02-21

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2020-02-21

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-02-21

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2020-02-21

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2020-02-21

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2020-02-21

F-0758

E · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2020-02-21

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2020-02-21

F-0761

D · No harm found

Corrected 2020-02-21

F-0770

D · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2020-02-21

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2020-02-21

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-02-21

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2020-02-21

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2020-02-21

2024-08-29Fire-safety inspection7 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-10-01

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-10-01

K-0311

E · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2024-10-01

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-10-01

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-01

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-01

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-10-01

2023-04-21Fire-safety inspection13 citations

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2023-05-26

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2023-05-26

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-05-26

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2023-05-26

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-26

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-26

K-0354

F · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-05-26

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-05-26

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-05-26

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-05-26

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-05-26

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-26

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-26

2020-01-27Fire-safety inspection3 citations

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-02-21

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2020-02-21

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2020-02-21

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265523.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 83% of nursing homes in the state

State median: 50

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

3.3

Higher than 46% of nursing homes in the state

State median: 3.4

Nursing staff turnover, annual

51%

Higher than 34% of nursing homes in the state

State median: 57%

Resident outcomes

On 17 federal quality measures, this facility does better than the Missouri average on 7 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	26.3%	17.4%	13.5%	Worse than state
Lose too much weight	10.1%	5.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.3%	0.9%	0.7%	Better than state
With a urinary tract infection	0.3%	2.2%	1.5%	Better than state
Have depressive symptoms	0.4%	20.0%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.0%	4.0%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	41.6%	84.0%	93.7%	Worse than state
Ability to walk independently worsened	31.9%	15.8%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	20.4%	25.6%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	90.2%	90.8%	95.3%	Near state average
With pressure ulcers	8.1%	4.4%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	8.7%	17.1%	18.3%	Better than state
Received an antipsychotic medication	32.3%	23.5%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	59.8%	65.7%	82.3%	Near state average
Newly received an antipsychotic medication	2.2%	2.1%	1.5%	Near state average
Were assessed and appropriately given the seasonal influenza vaccine	44.2%	61.4%	80.1%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0658 5 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0554 3 inspections. Allow residents to self-administer drugs if determined clinically appropriate.
F-0686 3 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0550 3 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0880 3 inspections. Provide and implement an infection prevention and control program.

Verify & compare

Where to check, and what's nearby.

Who to contact in Missouri

Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
File a complaint: 800-392-0210 · Online
Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ssm Health Depaul Hospital St Louis, about 1.1 miles. CMS rating 4 of 5.
Ssm St Joseph Health Center, about 4.0 miles. CMS rating 3 of 5.
Barnes-jewish West County Hospital, about 4.5 miles. CMS rating 5 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Avenir At Mark Twain, Bridgeton, about 0.6 miles. CMS rating 1 of 5.
Stonebridge Maryland Heights, Maryland Heights, about 0.6 miles. CMS rating 2 of 5.
Ssm Health Depaul Hospital - Anna House, Bridgeton, about 0.9 miles. CMS rating 3 of 5.
Nhc Healthcare, Maryland Heights, Maryland Heights, about 1.2 miles. CMS rating 4 of 5.
River Crossing Rehab and Healthcare Center, Saint Louis, about 1.5 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

2.144 ratings on Google

★Julie Hahn · 2026-05-01 · via Google
“My mother is in this facility, she does not have a personal phone in her room i.e. a landline, she doesn’t answer her cell phone however, when you call the front desk and the nurses station, they put you on hold. Then they send you to a voicemail, which I’m quite sure will never read. I sent her socks a week and a half ago and I’m not quite sure that she received them. Because I cannot get anyone …”

★Diamond · 2026-01-10 · via Google
“This hospice facility was a nightmare for my family and my grandfather during the most vulnerable time of his life. What should have been compassionate end-of-life care was instead neglectful, disorganized, and deeply traumatic. Staff were inattentive and slow to respond while my grandfather was visibly uncomfortable, restless, and declining. Our concerns were repeatedly brushed off, communicatio…”

★Naomi Smith · 2025-09-19 · via Google
“Horrible. DO NOT SEND YOUR LOVED ONE HERE IF YOU LOVE THEM IN ANY WAY SHAPE OR FORM. My mother in law was sent to the rehab facility after she broke her femur. They kept her in a diaper in the dark for hours after they confirmed they knew the call button was not working. Nobody checked on her for hours. It should not matter that the button was broken, staff has an obligation to check on those in t…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 88 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered