Name: St Clair Nursing Center — compliance, penalty and ownership record
Creator: CareRecords
License: https://carerecords.org/terms

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Same-type reference in MO

CMS overall star rating: this provider 5/5; median among 479 providers with a published value in the same state and provider category: 2/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to St Clair Nursing Center

The published staff-turnover figure is 56.2%. Ask which reporting period it covers and how the current staffing team compares.
Ask who is responsible for care decisions locally and at AMERICARE SENIOR LIVING. A shared affiliation does not establish identical care at every location.
Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with Americare Senior Living, a group operating 23 facilities in 2 states. Group record: average rating 3.6/5, 3 abuse citation icons, 0 facilities on the Special Focus list, $296,879 in federal fines. This facility rates above its group average (3.6/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.83 (Missouri median: 3.36). RN hours: 0.39. Weekend total: 3.35. Nursing staff turnover: 56%.

Inspection deficiencies

In the downloaded CMS dataset: 8 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey date	Deficiency	Sev.	Type	Status
2026-02-19	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	complaint	Past Non-Compliance
2025-02-07	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	Health	corrected 2025-03-17
2024-03-08	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Health	corrected 2024-04-15
2024-03-08	Provide safe and appropriate respiratory care for a resident when needed.	D	Health	corrected 2024-04-15
2023-01-13	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	Health	corrected 2023-02-14
2023-01-13	Provide and implement an infection prevention and control program.	E	Health	corrected 2023-02-14
2023-01-13	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	Health	corrected 2023-02-14
2023-01-13	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Health	corrected 2023-02-14

Federal penalties

Date	Type	Amount
2026-02-19	Fine	$12,735

Ownership & control records (CMS filings)

Name	Role	Type	%	Since
R H MONTGOMERY PROPERTIES, INC	5% Or Greater Direct Ownership Interest	Organization	NO PERCENTAGE PROVIDED	since 01/01/2003
ST. CLAIR NURSING LLC	5% Or Greater Direct Ownership Interest	Organization	NO PERCENTAGE PROVIDED	since 01/01/2003
MONTGOMERY, ANNA	5% Or Greater Indirect Ownership Interest	Individual	50%	since 01/01/2013
MONTGOMERY, RICHARD	Corporate Director	Individual	NOT APPLICABLE	since 01/16/2003
MONTGOMERY, RICHARD	Corporate Officer	Individual	NOT APPLICABLE	since 08/01/1981
REIKER, JAMES	Corporate Officer	Individual	NOT APPLICABLE	since 04/01/2002
SCHADE, KYLE	Corporate Officer	Individual	NOT APPLICABLE	since 03/01/2021
AMERICARE SYSTEMS, INC.	Operational/Managerial Control	Organization	NOT APPLICABLE	since 04/04/2002
HATLESTAD, STEVEN	Operational/Managerial Control	Individual	NOT APPLICABLE	since 04/01/2002

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How to cite this page: CareRecords, “St Clair Nursing Center — compliance, penalty and ownership record” (CCN 265495), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/st-clair-nursing-center-saint-clair-mo/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265495. Corrections: data@carerecords.org.