Fountain Care at Sunset Hills

Nursing home in Saint Louis, MO

Medicare & Medicaid certified1★ overall (CMS)

Call (314) 843-4242 Send a message Map ↗

Public-record details

Address: 10954 Kennerly Road, Saint Louis, MO 63128
Phone: (314) 843-4242
Listed under: For-profit
Medicare CCN: 265331
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 2 of 5
Certified beds: 166
Average residents per day: 85
Ownership: For-profit, limited Liability company
Legal business name: Chestnut Rehab and Nursing LLC
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Aug 22, 1988
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 265331. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 24, 2025. CMS lists 78 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 28, 2020 to Jan 27, 2026): 32 from complaint inspections, 6 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

Inspection	Citation	Severity
Jan 27, 2026	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Jan 27, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Jan 27, 2026	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2025	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights	C Potential for minimal harm, widespread
Apr 24, 2025	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights	D Potential for more than minimal harm, isolated
Apr 24, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2025	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2025	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	D Potential for more than minimal harm, isolated
Apr 24, 2025	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Apr 24, 2025	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be… Nutrition and Dietary	D Potential for more than minimal harm, isolated
Apr 24, 2025	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental	D Potential for more than minimal harm, isolated
Apr 24, 2025	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. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 78. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $105,665 and 1 denial of Medicare payment for new admissions in the last three years.

Oct 21, 2024	Fine: $57,899
Oct 21, 2024	Payment denial for 50 days from Jan 7, 2025
Jul 23, 2024	Fine: $33,248
Dec 22, 2023	Fine: $14,518

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.54 hours
Registered nurse (RN) time per resident per day: 0.13 hours
Nurse aide time per resident per day: 2.35 hours
Total nurse staffing on weekends: 3.33 hours
Nursing staff turnover (yearly): 80%
RN turnover (yearly): 67%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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