St. Charles County

Aspen Point Health and Rehabilitation

Medicare rating
1 out of 5
7
findings of immediate jeopardy, the most serious kind
37%
less nursing care than its residents are expected to need, against a research benchmark
$340,683
in federal fines recorded since 2023

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Missouri homes, so a star here does not mean what it means in another state.

2840 West Clay St, Saint Charles, MO 63301 · (636) 946-6100
180 beds · about 54 residents on a typical day · for-profit limited liability company

Staffing

All nursing staff, per resident, per day
3 hours 25 minutes

Residents here are expected to need about 5 hours 24 minutes, given how sick they are. This home reports 37% less. The average Missouri home reports 3 hours 26 minutes.

Registered nurses only
50 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 24 minutes of their time. This home reports 40% less.

Nursing staff who left in the past year
52%

About half of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average Missouri home reports 56%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 74 findings on record going back to 2023, 62 of them after someone filed a complaint.

The 20 serious findings here

Actual harm February 27, 2025

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home fixed this on March 25, 2025.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Actual harm February 27, 2025

Privacy not respected

The home did not protect a resident’s privacy during care, in their mail, and with visitors.

The home fixed this on March 25, 2025.

Medicare’s wording

Federal tag F583Keep residents' personal and medical records private and confidential.

Actual harm December 9, 2024 From a complaint

Rights not honored

The home did not honor a resident’s rights, such as making their own choices or contacting people outside the home.

The home fixed this on December 12, 2024.

Medicare’s wording

Federal tag F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Actual harm December 9, 2024 From a complaint

Resident not protected from abuse or neglect

The home did not protect a resident from abuse or neglect by anyone.

The home fixed this on December 12, 2024.

Medicare’s wording

Federal tag F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy August 29, 2024 From a complaint

Not enough staff

The home did not have enough nursing staff to care for its residents.

The home fixed this on October 12, 2024.

Medicare’s wording

Federal tag F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Immediate jeopardy August 29, 2024 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on October 12, 2024.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm May 2, 2024 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on May 14, 2024.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm January 18, 2024 From a complaint

Pain

A resident’s pain was not properly treated.

The home fixed this on February 1, 2024.

Medicare’s wording

Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.

Actual harm December 14, 2023 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on January 10, 2024.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy November 9, 2023 From a complaint

Infection control

The home did not follow proper practices to stop infections from spreading.

The home fixed this on December 8, 2023.

Medicare’s wording

Federal tag F880Provide and implement an infection prevention and control program.

Actual harm November 9, 2023 From a complaint

Rights not honored

The home did not honor a resident’s rights, such as making their own choices or contacting people outside the home.

The home fixed this on December 8, 2023.

Medicare’s wording

Federal tag F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Actual harm November 9, 2023 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on December 8, 2023.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy October 12, 2023 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on December 8, 2023.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy October 12, 2023 From a complaint

CPR rules not met

The home did not provide basic life support, including CPR, before emergency responders arrived, where the resident’s own doctor’s orders and advance directives called for it.

The home fixed this on October 30, 2023.

Medicare’s wording

Federal tag F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel, subject to physician orders and the resident’s advance directives.

Immediate jeopardy October 12, 2023 From a complaint

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on October 30, 2023.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm August 15, 2023 From a complaint

Pain

A resident’s pain was not properly treated.

The home fixed this on February 1, 2024.

Medicare’s wording

Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.

Actual harm August 15, 2023 From a complaint

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home fixed this on September 19, 2023.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Actual harm August 15, 2023 From a complaint

Rights not honored

The home did not honor a resident’s rights, such as making their own choices or contacting people outside the home.

The home fixed this on December 8, 2023.

Medicare’s wording

Federal tag F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Immediate jeopardy August 15, 2023 From a complaint

Infection control

The home did not follow proper practices to stop infections from spreading.

The home fixed this on December 8, 2023.

Medicare’s wording

Federal tag F880Provide and implement an infection prevention and control program.

Actual harm August 15, 2023 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on December 8, 2023.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Everything on record

Immediate jeopardy 7 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 13 A resident was hurt
Potential for harm 54 Could have caused harm. No one was hurt. The most common kind.

484 of the 487 nursing homes in Missouri have fewer findings of harm or immediate jeopardy on record than this one.

Medicare also blocked payment for new admissions at this home for 73 days, starting May 18, 2024.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

This home has 3 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 265118.

What these numbers do not say

Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.