CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2654952026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

St Clair Nursing Center

1035 Plaza Court North · Saint Clair, MO 63077 · Franklin County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds79CMS provider file
Recent citation rows19current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-02-0722025-02-070
Cycle 22024-03-0822024-03-083
Cycle 32023-01-1342023-01-138
02 / CITATION DETAIL

19 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-02-19 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Past Non-Compliance · complaint
2025-02-07 · HEALTHF0689Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-17
2024-03-08 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-04-15
2024-03-08 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2024-04-15
2024-03-08 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2024-04-15
2024-03-08 · FIREK0346Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Correction field: Deficient, Provider has date of correction · 2024-04-15
2024-03-08 · FIREK0354Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-04-15
2023-01-13 · HEALTHF0623Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · FIREK0222Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · FIREK0374Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · FIREK0741Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · FIREK0911Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Correction field: Deficient, Provider has date of correction · 2023-02-14
2023-01-13 · FIREK0914Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Deficient, Provider has date of correction · 2023-02-14
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2026-02-19Fine$12,7350
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • R H MONTGOMERY PROPERTIES, INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 01/01/2003
  • ST. CLAIR NURSING LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 01/01/2003
  • MONTGOMERY, ANNAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    50% · since 01/01/2013
  • REIKER, JAMESIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 04/01/2002
  • SCHADE, KYLEIndividual · CONTRACTED MANAGING EMPLOYEE
    NOT APPLICABLE · since 03/01/2021
  • MARSH, DENICEIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 08/15/2016
  • REIKER, JAMESIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 01/01/2003
  • MONTGOMERY, RICHARDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/16/2003
  • MONTGOMERY, RICHARDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 08/01/1981
  • REIKER, JAMESIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 04/01/2002
  • SCHADE, KYLEIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 03/01/2021
  • AMERICARE SYSTEMS, INC.Organization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/04/2002
  • HATLESTAD, STEVENIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2002

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.83per resident day
RN hours0.39per resident day
Weekend nurse hours3.35per resident day
Staff turnover56.2%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Missouri ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.