St. Louis County, Missouri · Nursing home
Kirkwood Wellness & Rehabilitation
1 of 5 overall from CMS
711 South Kirkwood Road, Kirkwood, MO 63122
At a glance
- Overall rating 1 of 5 Below the state average of 2.5
- Nurse time per resident, per day 3.86 hours Above the state average of 3.43
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 69 8 at the harm level or above
- Fines in 3 years $172,400 1 fine
- Certified beds in use 86.3% of 117 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.
Kirkwood Wellness & Rehabilitation is a 117-bed nursing home in Kirkwood, Missouri (St. Louis County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.86 nurse staffing hours per resident per day, above the Missouri average of 3.43. CMS lists 1 fine totaling $172,400 in the past three years.
- Certified beds
- 117
- Residents per day (average)
- 101.0
- Certified since
- 2010 (16 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Blue Sky Basin, LLC (5 homes)CMS Special Focus: SFF Candidate
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.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
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 Kirkwood Wellness & Rehabilitation
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 1 fine totaling $172,400 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 54 health deficiencies in the latest inspection cycle (the standard inspection on Jan 29, 2026 plus complaint and infection-control inspections); the Missouri average is 11.4. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Missouri average 2.5
- Health inspections 1 of 5 Missouri average 2.8
- Staffing 1 of 5 Missouri average 2.2
- Quality measures 2 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 3.86 h Missouri average 3.43
- Nurse aides 2.79 h Missouri average 2.29
- Licensed practical nurses 0.92 h Missouri average 0.68
- Registered nurses 0.16 h Missouri average 0.46
- All staff, weekends 3.50 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 turnoverNot reported
- Missouri average56.0%
- Registered nurse turnoverNot reported
- Missouri average47.8%
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 | 21.3% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 11.8% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 4.4% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 16.2% | 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 | 5.5% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.7% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 21.1% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.8% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 9.8% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.4% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 9.0% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.57 | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.60 | 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 | 73.5% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.9% | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.8% | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% | 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 69 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 7 involved actual harm; the rest were graded as no actual harm. 31 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 2, 2026: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 29, 2026 | 54 | 15 |
| May 7, 2024 | 8 | 5 |
| Nov 17, 2022 | 7 | 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 (69)
-
GActual 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 (Jun 22, 2026)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 22, 2026)
-
GActual harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 22, 2026)
-
EPotential for more than minimal harm, pattern
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 22, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 22, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 22, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 22, 2026)
-
JImmediate jeopardy, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 22, 2026)
-
GActual 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 (Jun 22, 2026)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 22, 2026)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 22, 2026)
-
GActual harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 22, 2026)
-
FPotential for more than minimal harm, widespread
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 27, 2026)
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jun 22, 2026)
-
FPotential for more than minimal harm, widespread
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Complaint investigation · Administration · Deficient, Provider has date of correction (Mar 27, 2026)
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Jun 22, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 22, 2026)
-
FPotential for more than minimal harm, widespread
Implement a program that monitors antibiotic use.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jun 22, 2026)
-
FPotential for more than minimal harm, widespread
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Mar 27, 2026)
-
FPotential for more than minimal harm, widespread
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 22, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 15, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 27, 2026)
-
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 (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 15, 2026)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 27, 2026)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 27, 2026)
Showing the 30 most recent of 69.
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
| Date | Type | Amount |
|---|---|---|
| Jan 29, 2026 | Fine | $172,400 |
| Jan 29, 2026 | Payment Denial | 57 days |
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
- Size179 of 487 by certified beds
- Missouri average residents per day73.0
- ChainBlue Sky Basin, LLC
- Chain average overall rating1.4 of 5
- Resident or family councilNone
- Homes in St. Louis County69
Common questions
What is the CMS star rating for Kirkwood Wellness & Rehabilitation?
Kirkwood Wellness & Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 2.
How many beds does Kirkwood Wellness & Rehabilitation have?
Kirkwood Wellness & Rehabilitation has 117 certified beds. It averages 101.0 residents per day, about 86.3% of its certified beds.
How much nursing care do residents get at Kirkwood Wellness & Rehabilitation?
The home reports 3.86 hours of nurse staffing per resident per day, including 0.16 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Kirkwood Wellness & Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $172,400 in the past three years. It also lists 1 payment denial.
Does Kirkwood Wellness & Rehabilitation 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
- 5 of 5 Aberdeen Heights 38beds 87.1%in use 4.86nurse hours a day
- 3 of 5 Bethesda Dilworth 350beds 36.6%in use 5.00nurse hours a day
- 1 of 5 Fountain Care at Sunset Hills 166beds 51.2%in use 3.54nurse 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 265833. 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.