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F
Critical

FOUNTAIN CARE AT SUNSET HILLS

10954 KENNERLY ROAD · SAINT LOUIS, MO 63128

3148434242 · For profit - Limited Liability company

166 beds88.2 residents231 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

FOUNTAIN CARE AT SUNSET HILLS receives an overall staffing grade of F (Critical). With 3.3921 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.1375 HPRD, below the recommended 0.75. It is 0.50 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.22% compared to weekdays. The facility relies heavily on temporary agency staff (38.27% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3921 HPRD — needs 0.09 more hours per resident per day.
⚠️RN staffing (0.1375 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️38.27% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.3921hrs/resident/day▼ 0.50
CMS benchmark: 3.48
RN HPRD
0.1375hrs/resident/day▼ 0.55
Recommended: 0.75
Weekend Drop-off
11.22%
3.5031 weekday → 3.1102 weekend
Agency Staff
38.27%
1.8% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7258hrs/resident/day
Direct care aides
LPN HPRD
0.9906hrs/resident/day
Licensed practical nurses
Consistency
0.2676std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. St. Louis County Average-0.42 HPRD
3.82
03.39 HPRD
vs. Missouri State Average-0.09 HPRD
3.48
03.39 HPRD
vs. National Average-0.50 HPRD
3.90
03.39 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
FOUNTAIN CARE AT SUNSET HILLS ★
SAINT LOUIS · This facility
—
F
3.39210.1375★☆☆☆☆
FRIENDSHIP VILLAGE SUNSET HILLS
SAINT LOUIS
0.4 mi
B
4.32160.5909★★★★☆
DELMAR GARDENS SOUTH
SAINT LOUIS
3 mi
C
5.53760.4661★★★★☆
MAPLE GROVE WELLNESS & REHABILITATION
FENTON
3.5 mi
F
2.6610.1298★☆☆☆☆
SHERBROOKE VILLAGE
SAINT LOUIS
5.1 mi
D
5.17910.3966★★★☆☆
MARY, QUEEN AND MOTHER CENTER
SHREWSBURY
5.3 mi
C
4.54510.5072★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
75
Total Deficiencies
$119,588
Fines Assessed
Apr 24, 2025Health
12 deficiencies cited
▼
Jan 17, 2025Health
1 deficiency cited· Includes actual harm
▼
Dec 3, 2024Health
2 deficiencies cited
▼
Oct 21, 2024Health
4 deficiencies cited· Includes actual harm
▼
Jul 23, 2024Health
2 deficiencies cited· Includes actual harm
▼
Feb 20, 2024Health
1 deficiency cited
▼
Jan 4, 2024Health
2 deficiencies cited
▼
Dec 22, 2023Health
1 deficiency cited· Includes actual harm
▼
Nov 27, 2023Health
2 deficiencies cited
▼
Oct 13, 2023Health
17 deficiencies cited
▼
Aug 10, 2023Health
4 deficiencies cited· Includes actual harm
▼
Sep 28, 2020Health
27 deficiencies cited
▼

Penalty History

Oct 21, 2024Fine
$57,899
Oct 21, 2024Payment Denial
Jul 23, 2024Fine
$33,248
Dec 22, 2023Fine
$14,518
Aug 10, 2023Fine
$13,923
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.