PlainNursing
CMS Nursing Home Compare · August 2026

Arbor Hills Care & Rehab Center

800 Chambers Road, Ferguson, MO 63135

Arbor Hills Care & Rehab Center, a 150-bed for profit - limited liability company nursing facility in Ferguson, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #462 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3145241111

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1 / 5
Much below average · CMS overall · nat'l 3.0
#462 of 479
In-state rank among rated MO homes
3.37
Below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 5 serious

The verdict

Arbor Hills Care & Rehab Center, a 150-bed for profit - limited liability company nursing facility in Ferguson, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #462 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#462 of 479
In-state rank among rated MO homes
3.37
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 5 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 487 MO nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
265883
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
150
Residents
90
In Hospital
No
County
St. Louis
Last Inspection
Feb 20, 2026

Staffing Data

How the 3.37 total nursing hours per resident-day are staffed:

RN Hours
0.31 (nat'l avg: 0.69)
LPN Hours
0.68
CNA Hours
2.38
Total Nursing Hours
3.37 (nat'l avg: 3.86)
PT Hours
0.02
Nursing Turnover
79.8%

What the CMS Record Reveals About Arbor Hills Care & Rehab Center

According to CMS Nursing Home Compare, Arbor Hills Care & Rehab Center ranks #462 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Arbor Hills Care & Rehab Center operates 150 certified beds in Ferguson, MO with approximately 90 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 2★).

The inspection file contains 50 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $283K. Per resident day, this facility reports 3.37 total nursing hours (national average 3.86) and 0.31 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Arbor Hills Care & Rehab Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 79.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Feb 20, 2026 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 8, 2026

D - Isolated - Minimal harm Feb 20, 2026 Tag: 0770

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

Category: Administration Deficiencies

Corrected: Apr 8, 2026

D - Isolated - Minimal harm Feb 20, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 8, 2026

D - Isolated - Minimal harm Feb 20, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 8, 2026

D - Isolated - Minimal harm Feb 20, 2026 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 8, 2026

D - Isolated - Minimal harm Feb 20, 2026 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 8, 2026

D - Isolated - Minimal harm Feb 20, 2026 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 8, 2026

E - Pattern - Minimal harm Feb 20, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 8, 2026

E - Pattern - Minimal harm Feb 20, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 9, 2026

E - Pattern - Minimal harm Feb 20, 2026 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Apr 8, 2026

E - Pattern - Minimal harm Feb 20, 2026 Tag: 0568

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

Category: Resident Rights Deficiencies

Corrected: Apr 8, 2026

E - Pattern - Minimal harm Feb 20, 2026 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Apr 8, 2026

F - Widespread - Minimal harm Feb 20, 2026 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 8, 2026

D - Isolated - Minimal harm Sep 16, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 29, 2025

E - Pattern - Minimal harm Sep 16, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 29, 2025

D - Isolated - Minimal harm Apr 28, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 5, 2025

E - Pattern - Minimal harm Apr 3, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 17, 2025

D - Isolated - Minimal harm Mar 12, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Mar 12, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 15, 2025

E - Pattern - Minimal harm Mar 12, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Apr 15, 2025

G - Isolated - Actual harm Mar 12, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Jan 28, 2025 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Jan 28, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 28, 2025

D - Isolated - Minimal harm Jan 28, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Jan 28, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Jan 28, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Apr 15, 2025

G - Isolated - Actual harm Jan 28, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2025

G - Isolated - Actual harm Jan 28, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 28, 2025

G - Isolated - Actual harm Jan 28, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 15, 2025

D - Isolated - Minimal harm Nov 15, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Nov 15, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Sep 19, 2024 Tag: 0800

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 22, 2024

D - Isolated - Minimal harm Sep 19, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Sep 19, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 6, 2024

E - Pattern - Minimal harm Sep 19, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 22, 2024

J - Isolated - Jeopardy Jun 17, 2024 Tag: 0678

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 30, 2024

D - Isolated - Minimal harm May 17, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 1, 2024

D - Isolated - Minimal harm May 17, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jul 29, 2024

D - Isolated - Minimal harm May 17, 2024 Tag: 0742

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 1, 2024

D - Isolated - Minimal harm May 17, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2024

D - Isolated - Minimal harm May 17, 2024 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2024

D - Isolated - Minimal harm May 17, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2024

D - Isolated - Minimal harm May 17, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 1, 2024

D - Isolated - Minimal harm May 17, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 1, 2024

E - Pattern - Minimal harm May 17, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2024

E - Pattern - Minimal harm May 17, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 1, 2024

E - Pattern - Minimal harm May 17, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 1, 2024

E - Pattern - Minimal harm May 17, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 30, 2024

E - Pattern - Minimal harm May 17, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2024

E - Pattern - Minimal harm May 17, 2024 Tag: 0577

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

Category: Resident Rights Deficiencies

Corrected: Jul 30, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 29.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 63.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 24.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 14.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 35.0% No

Penalty History 2 penalties totaling $283K

Date Type Amount
Jan 28, 2025 Fine $127K
Jan 28, 2025 Payment Denial -
May 17, 2024 Fine $156K
May 17, 2024 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Arbor Hills Care & Rehab Center, both outside MO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Arbor Hills Care & Rehab Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
  • Peer homes near 150 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Arbor Hills Care & Rehab Center?
Arbor Hills Care & Rehab Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (2★).
Where does Arbor Hills Care & Rehab Center rank among nursing homes in MO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Arbor Hills Care & Rehab Center ranks 462nd among 479 rated nursing homes in MO (#462 of 479). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Arbor Hills Care & Rehab Center?
Arbor Hills Care & Rehab Center reports 3.37 total nursing hours per resident day (national average: 3.86). RN hours are 0.31 per resident day (national average: 0.69). Nursing staff turnover is 79.8%.
How many beds does Arbor Hills Care & Rehab Center have?
Arbor Hills Care & Rehab Center has 150 certified beds with approximately 90 residents. The facility is located at 800 Chambers Road, Ferguson, MO 63135.
Does Arbor Hills Care & Rehab Center have any deficiencies on record?
Yes, Arbor Hills Care & Rehab Center has 50 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Arbor Hills Care & Rehab Center received any fines or penalties?
Yes, Arbor Hills Care & Rehab Center has received 2 penalties totaling $283K.
Who owns Arbor Hills Care & Rehab Center?
Arbor Hills Care & Rehab Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Arbor Hills Care & Rehab Center last inspected?
The most recent health inspection for Arbor Hills Care & Rehab Center was on Feb 20, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Arbor Hills Care & Rehab Center?
Arbor Hills Care & Rehab Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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