St. Louis County, Missouri · Nursing home
Pillars of North County Health & Rehab Center, the
2 of 5 overall from CMS
13700 Old Halls Ferry Road, Florissant, MO 63033
At a glance
- Overall rating 2 of 5 Below the state average of 2.5
- Nurse time per resident, per day 2.39 hours Below the state average of 3.43
- Nursing staff who left in a year 48.1% Below the state average of 56.0%
- Health citations, last 3 inspection cycles 60 2 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 49.8% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Pillars of North County Health & Rehab Center, the is a 120-bed nursing home in Florissant, Missouri (St. Louis County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 2.39 nurse staffing hours per resident per day, below the Missouri average of 3.43. CMS lists no fines in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 59.7
- Certified since
- 1989 (37 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Helia Healthcare (13 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Pillars of North County Health & Rehab Center, the
Chosen from this home's public data.
- CMS counts 18 health deficiencies in the latest inspection cycle (the standard inspection on Mar 21, 2025 plus complaint and infection-control inspections); the Missouri average is 11.4. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.01 hours per resident on weekends against 2.39 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 49.8% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Missouri average 2.5
- Health inspections 2 of 5 Missouri average 2.8
- Staffing 1 of 5 Missouri average 2.2
- Quality measures 5 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.39 h Missouri average 3.43
- Nurse aides 1.59 h Missouri average 2.29
- Licensed practical nurses 0.54 h Missouri average 0.68
- Registered nurses 0.25 h Missouri average 0.46
- All staff, weekends 2.01 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover48.1%
- Missouri average56.0%
- Registered nurse turnoverNot reported
- Missouri average47.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 4.3% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.5% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.2% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 8.1% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.5% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 0.9% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.1% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 16.4% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 37.2% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.5% | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 60 health deficiencies in the three most recent inspection cycles. Of these, 2 involved actual harm; the rest were graded as no actual harm. 11 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 2, 2024: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 21, 2025 | 18 | 4 |
| Nov 1, 2023 | 16 | 4 |
| Oct 6, 2020 | 26 | 4 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (60)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 29, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 3, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 3, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 17, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 17, 2025)
Show 25 more
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 17, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Apr 17, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 15, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 19, 2023)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 10, 2024)
-
EPotential for more than minimal harm, pattern
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights · Deficient, Provider has date of correction (Dec 1, 2023)
-
EPotential for more than minimal harm, pattern
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Resident Rights · Deficient, Provider has date of correction (Dec 1, 2023)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 1, 2023)
-
EPotential for more than minimal harm, pattern
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 20, 2023)
-
EPotential for more than minimal harm, pattern
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · Deficient, Provider has date of correction (Dec 1, 2023)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 1, 2023)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 1, 2023)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Dec 1, 2023)
Showing the 30 most recent of 60.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size114 of 487 by certified beds
- Missouri average residents per day73.0
- ChainHelia Healthcare
- Chain average overall rating2.2 of 5
- Resident or family councilResident
- Homes in Florissant9
- Homes in St. Louis County69
Common questions
What is the CMS star rating for Pillars of North County Health & Rehab Center, the?
Pillars of North County Health & Rehab Center, the has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 5.
How many beds does Pillars of North County Health & Rehab Center, the have?
Pillars of North County Health & Rehab Center, the has 120 certified beds. It averages 59.7 residents per day, about 49.8% of its certified beds.
How much nursing care do residents get at Pillars of North County Health & Rehab Center, the?
The home reports 2.39 hours of nurse staffing per resident per day, including 0.25 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Pillars of North County Health & Rehab Center, the been fined?
CMS lists no fines for this home in the past three years.
Does Pillars of North County Health & Rehab Center, the accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Lakeview Post Acute 120beds 86.0%in use 3.97nurse hours a day
- 2 of 5 Delmar Gardens North 240beds 73.9%in use 3.56nurse hours a day
- 1 of 5 Crestwood Health Care Center 150beds 92.8%in use 2.62nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in St. Louis County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265341. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.