Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Nhc Healthcare, St Charles during CMS and state inspections, most recent first.
The facility failed to ensure proper hand hygiene and glove use by nursing staff during personal care of two residents. A CNA did not wash hands before putting on gloves and failed to change gloves between dirty and clean tasks while assisting a resident with toileting and incontinence care. Another CNA did not change gloves after providing incontinence care and before assisting with dressing a resident. Both CNAs acknowledged their failure to follow protocols, and the DON confirmed the expectations for hand hygiene and glove use.
The facility failed to conduct regular inspections of bed frames, mattresses, and bed rails, leading to potential entrapment risks for three residents. One resident had a gap between the mattress and assist rail, exposing the metal bed frame. Another resident used quarter-sized bed rails with no documentation of entrapment zone measurements, and a third resident used a low air loss mattress with assist rails, also lacking inspection records. The Maintenance Director and Administrator were unaware of the lack of documentation.
A resident with moderately impaired cognition and dependent on staff for transfers was injured during a mechanical lift transfer when staff failed to maintain control, causing the resident to hit their head and foot on the lift. The incident occurred due to rushed procedures and inadequate staffing, as confirmed by the CNAs and the DON.
Failure in Hand Hygiene and Glove Use During Resident Care
Penalty
Summary
The facility failed to ensure proper hand hygiene and glove use by nursing staff during personal care of two residents. The facility's policy on hand hygiene and glove technique, dated April 2024, requires handwashing or the use of alcohol-based products before and after contact with each resident, before donning gloves, and after removing gloves. Gloves are to be used to prevent contamination when anticipating direct contact with blood or body fluids, and should be changed between dirty and clean tasks. In the case of Resident #21, who is dependent on staff for toilet hygiene and transfers and is always incontinent of bowel and bladder, a Certified Nurse Assistant (CNA) failed to wash hands before putting on gloves and did not change gloves between dirty and clean tasks. The CNA assisted the resident with toileting, removed soiled clothing, and provided incontinence care without changing gloves. The CNA also failed to wash hands after removing gloves and before putting on new ones, and handled clean items with contaminated gloves. Similarly, for Resident #55, who has severe cognitive impairment and requires maximum assistance with toileting, another CNA did not change gloves after providing incontinence care and before assisting with dressing. The CNA also failed to wash hands after removing gloves. Both CNAs acknowledged their failure to follow proper hand hygiene and glove use protocols, citing being in a hurry as a reason for their actions. The Director of Nursing confirmed the expectations for hand hygiene and glove use, emphasizing the need to change gloves between dirty and clean areas and to wash hands after removing gloves.
Failure to Inspect Bed Safety Features
Penalty
Summary
The facility failed to conduct regular inspections of bed frames, mattresses, and bed rails for safety, leading to potential entrapment risks for three residents. The facility's policy requires regular inspections of seven potential entrapment zones, but there was no documentation of these inspections being conducted for the residents involved. Resident #3 had an assist rail with a gap between the mattress and the rail, exposing the metal bed frame, and there was no evidence of a current inspection in the resident's electronic medical record. Resident #36 used quarter-sized bed rails on both sides of the bed, but there was no documentation of entrapment zone measurements. The resident's care plan indicated dependence on staff for bed mobility and the use of a mechanical lift for transfers. Observations showed the resident on a low air loss mattress with raised bed rails, but the manufacturer's guidelines did not provide directions for bed rail use, and no inspection records were found in the electronic medical record. Resident #7 also used a low air loss mattress with bilateral U-bar/cane assist rails, but there was no documentation of entrapment zone measurements. The Maintenance Director mentioned that entrapment zone measurements were supposed to be assessed monthly, but could not provide documentation. The Administrator believed measurements were completed when there was a change in the resident's status, but no evidence was found to support this.
Failure to Maintain Control During Mechanical Lift Transfer
Penalty
Summary
The facility failed to safely transfer a resident during a mechanical lift transfer, resulting in the resident hitting their head and foot on the lift. The resident, who had moderately impaired cognition and was dependent on staff for transfers, required the use of a mechanical lift with two-person assistance as per their care plan. During the transfer from the bed to the shower gurney, CNA A and CNA B were unable to properly position the resident on the gurney due to the raised side rails. CNA C did not maintain control of the resident, allowing them to swing in midair and subsequently hit their head on the lift. In a subsequent transfer from the shower gurney to the wheelchair, CNA C operated the lift while CNA B prepared the wheelchair, again failing to maintain control of the resident. This resulted in the resident spinning around and hitting their foot on the lift. Interviews with the CNAs involved revealed that they were rushed due to staffing shortages on a heavy care hall, which contributed to the lack of control during the transfers. The Director of Nursing confirmed that staff are expected to maintain control of residents during mechanical lift transfers to prevent such incidents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 898 citations issued within 25 miles in the last 12 months — including the 20 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Saint Charles
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lewis & Clark Gardens | 1.7 mi | ★★★★★ | 7 | 0 |
| Aspen Point Health And Rehabilitation | 2 mi | ★★★★★ | 9 | 0 |
| Laurel Meadows Wellness & Rehabilitation | 2.5 mi | ★★★★★ | 0 | 0 |
| Mcclay Senior Care | 3.3 mi | ★★★★★ | 1 | 0 |
| Windsor Estates Of St Charles | 3.5 mi | ★★★★★ | 10 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Nhc Healthcare, St Charles.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.