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Nursing homeFAID #7163

St Clair Nursing Center

1035 PLAZA COURT NORTH, SAINT CLAIR, MO, 63077
(636) 629-2100
79 licensed beds
★★★★★5/5CMS Five-Star overall5/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
79
State license
052348
CMS facility ID
265495
Care type
Nursing home
Facility name
St Clair Nursing Center
Street address
1035 PLAZA COURT NORTH
City / state / ZIP
Saint Clair, MO 63077
Phone
(636) 629-2100
State license #
052348

St Clair Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Saint Clair, Missouri. It is licensed for 79 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 3 senior care facilities in Saint Clair 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 St Clair Nursing Center 19 times across 7 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $12,735 in fines. 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 August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
St Clair Nursing, Llc
Parent company
Americare Senior Living
Ownership type
For profit - Corporation
Administrator
Denice Marsh

Registered owners & officers

Montgomery, Anna
Indirect owner — 50% stake — since 2013
Americare Systems, Inc.
Operational control — since 2002
Hatlestad, Steven
Operational control — since 2002
Marsh, Denice
Managing employee — since 2016
Montgomery, Richard
Director · Officer — since 1981
R H Montgomery Properties, Inc
Direct owner — since 2003
Reiker, James
Managing employee · Officer — since 2002
Schade, Kyle
Managing employee · Officer — since 2021
St. Clair Nursing Llc
Direct owner — since 2003

Regulatory standing

Licensed / certified since
1992-04-01
License expires
2026-12-09
CMS overall rating
5 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
$12,735 total
Last standard inspection
2025-02-07
Nurse staffing
3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$291 per day (≈ $8,850/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
52% Medicaid · 6% Medicare · 42% private/other
Occupancy
66% (fiscal year 2023)
Vs. state median
13% above the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
79
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-02-19Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-02-07Health inspection1 citation
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 2025-03-17
4 earlier / fire-safety inspections (17 citations)
2024-03-08Health inspection2 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 2024-04-15
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-15
2023-01-13Health inspection4 citations
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-02-14
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-14
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 2023-02-14
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-02-14
2024-03-08Fire-safety inspection3 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-15
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-04-15
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-04-15
2023-01-13Fire-safety inspection8 citations
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-02-14
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-14
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-14
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-02-14
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-02-14
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-02-14
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-02-14
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-02-14

Federal penalties

2026-02-19Fine$12,735
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 265495.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 19 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
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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