St Andrew'S At Francis Place has received an F grade based on CMS data, with a score of 28/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Eureka facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at St Andrew'S At Francis Place, with 3.20 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 33 deficiencies at St Andrew'S At Francis Place, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.20 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.24 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.49 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.47 | 2.4 | Average |
| Weekend Total Nursing | 3.01 | 3.8 | Below Average |
| Weekend RN Hours | 0.09 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0561 Severity GHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Nov 18, 2025 · Resident Rights Deficiencies
- Tag 0688 Severity EProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medicAug 28, 2025 · Quality of Life and Care Deficiencies
- Tag 0558 Severity EReasonably accommodate the needs and preferences of each resident.Feb 6, 2025 · Resident Rights Deficiencies
- Tag 0578 Severity EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andFeb 6, 2025 · Resident Rights Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Feb 6, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.7% | 4.5% | Better |
| Falls with major injury | 4.0% | 3.0% | Worse |
| On antipsychotic medication | 17.1% | 14.5% | Worse |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 31.8% | 14.0% | Worse |
| Excessive weight loss | 0.9% | 7.5% | Better |
| New/worsened incontinence | 24.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $77,664
How This Grade Was Calculated
This facility's grade of F is based on a score of 28 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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