Ssm Health Depaul Hospital - Anna House

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

55.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 241 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 40.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 115 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.48 therapist hours per resident per day in 2026Q1 — more than 79% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 105 beds and averages 88.1 residents a day — about 84% occupied, or roughly 17 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.62 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.03 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.19 hrs/resident/day on weekends vs 4.79 on weekdays — 13% thinner on weekends. RN hours go from 0.61 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 11 most serious are shown; the remaining 18 are one tap away and print in full.

• Actual harm · Gcited before2025-10-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure staff provided adequate supervision and assistance to prevent accidents for one of three sampled residents (Resident #1) when Certified Nursing Assistant (CNA) C used a Sara lift (also known as a sit to stand, designed to assist individuals with limited mobility in transitioning from a sitting to a standing position) instead of a Hoyer lift (full body lift, used for residents who are unable to move themselves), alone to transfer the resident. CNA C yelled for help. Registered Nurse (RN) A and CNA B responded to the resident's room. The resident was hanging from the Sara lift with his/her legs twisted underneath his/her body, on the platform. A mobile x-ray was ordered. The x-ray confirmed an acute impacted fracture to the left distal femur (a sudden, traumatic break of the lower part of the left thigh bone just above the knee joint). The resident was sent to the hospital. The census was 90. Review of the facility's Sara lift policy, dated September 2017, showed two nursing personnel must be used for a Sara lift…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-09-26 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the main kitchen floors, appliances and food storage areas were clean and free from debris, and that the ceiling was free from dust accumulation. The facility also failed to ensure the [NAME] 2nd floor (A2) dishwashers were in working order, affecting two residents (Resident #24 and Resident #3). The sample was 16. The census was 62. Review of the facility's cleaning rotation policy, undated, showed: -Guideline: Equipment and utensils will be cleaned and sanitized according to the following guidelines, or manufacturer's instructions; - Items cleaned daily: Stove top, grill, kitchen and dining room floors, and exterior of large appliances; - Items cleaned weekly: Storerooms, shelves, and ovens; -Items cleaned monthly: Refrigerators, freezers, and ingredient bins; -Items cleaned annually: Ceilings. 1. Observation on 9/23/24, of the main kitchen, showed: -At 10:18 A.M., the walk in refrigerator had food debris and food substance build…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-26 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure weekly skin assessments were completed by a nurse for three residents at risk for skin breakdown or with impaired skin integrity (Residents #7, #27, and #32), failed to complete an admission skin assessment and admission note, obtain a admission weight, and obtain skin tear treatment orders (Resident #155), failed to implement the physician order for thromboembolic deterrent (TEDs. a type of compression stocking applied to legs to prevent blood clots) hose when the resident has a history of edema and blood clots, failed to perform skin assessments, failed to obtain monthly weights and address the resident's weight gain (Resident #6), and failed to ensure wound care was being completed (Resident #1). The sample was 16. The census was 62. Review of the facility's Weight Measurement and Recording, reviewed, February, 2019, showed: -Purpose: To identify changes in the resident's weight and nutritional status and provide availability of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-26 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure a medication error rate less than 5%. Out of 28 opportunities observed, ten errors occurred, resulting in a 35.71% error rate. (Resident #161, Resident #163 and Resident #162). The census was 62. Review of the facility's Medication Administration policy, dated July, 2021, showed: -Medications are administered as prescribed in accordance with good nursing principles and practices and only by persons legally authorized to do so; -Medication are administered in accordance with written orders of the prescriber; -The resident is always observed after administration to ensure that the dose was completely ingested. Review of the facilities Electronic First dose Kit policy, dated, July, 2021, showed: -The facility may use electronic first dose kits for first dose and emergency medications, where permitted by regulation or law; -The resident is always observed after administration to ensure that the dose was completely ingested. -Upon receipt of a new medication order, facility staff should remove doses for the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-26 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure residents were provided food that was at a safe and appetizing temperature for three residents (Residents #3, #11 and #13). The sample was 16. The census was 62. Review of the facility's checking food temperatures from the main kitchen policy, dated 3/24/24, showed: -Policy statement: the neighborhood team members will check the temperature of hot and cold foods prepared in and delivered from the main kitchen; -Policy interpretation and implementation: upon arrival of the food from the main kitchen, the neighborhood team member will test the temperature of all foods. Hot foods must maintain a temperature of 140 degrees F (Fahrenheit) or greater. Cold foods must maintain a temperature of less than 40 degrees F. The temperatures will be recorded on the food temperature sheet transported with the cart. Any hot food found to be below 140 degrees F will be sent back to the main kitchen. Any cold food found with a temperature more than 40…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-26 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to implement Enhanced Barrier Precautions (EBP, an infection control intervention designed to reduce the transmission of multidrug-resistant organisms (MDROs) that employs targeted gown and glove use during high contact resident care activities) as recommended by the Centers for Disease Control and Prevention (CDC) and as required by the Centers for Medicare and Medicaid Services (CMS) for residents with central lines to include catheters and wounds requiring treatments (Residents #1, #28, #157 and #155). The facility failed to exhibit appropriate infection control practices when staff left the catheter bag for one resident (Resident #1) on the floor with no protective barrier, and when staff dropped gloves on the floor and placed them back in the box, where they were later removed and used on one resident during personal care (Resident #1). In addition, the facility failed to ensure hand sanitizer dispensers were functional and filled on one unit of the facility. The sample was 16. The census was 82. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-26 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure residents were assessed to self-administer medications and to ensure staff adequately supervised residents during medication administration (Residents #28, #7 and #17). The sample was 16. The census was 62. Review of the facility's Medication Administration-General Guidelines policy, dated July 2021, showed: -Policy: Medications are administered as prescribed in accordance with good nursing principles and practices and only by persons legally authorized to do so; -Administration: -Residents can self-administer medications when specifically authorized by the attending physician and in accordance with procedures for self-administration of medications (see Self-Administration of Medications); -The resident is always observed after administration to ensure that the dose was completely ingested. Review of the facility's Self-Administration of Medications policy, dated July 2021, showed: -Policy: In order to maintain the residents' high level of independence, residents who desire to self-administer…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-26 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a significant change in status assessment was completed within 14 days after a determination was made a significant change occurred for one of two residents sampled for hospice (Resident #27). The facility identified six residents who received hospice services. The census was 62. Review of Resident #27's medical record, showed: -admission date 5/1/23; -Diagnoses included neurocognitive disorder with lewy bodies (degenerative brain disorder characterized by dementia, psychosis and features of parkinsonism (movement symptoms)) and dementia; -A hospice admission form, showed the resident admitted to hospice on 7/19/24 with a diagnosis of failure to thrive. Review of the resident's Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, records, showed: -An annual MDS dated [DATE]; -A quarterly MDS dated [DATE]; -No significant change MDS assessment completed within 14 days after the resident's admission to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-26 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure Activities of Daily Living (ADL) care needs were met for two dependent residents (Resident #13 and Resident #35). The sample was 16. The census was 62. Review of the facility's activities of daily living policy, dated February 2019, showed: -Policy Statement: the facility will provide care to each resident to ensure that a resident's abilities in activities of daily living do not diminish unless decrease in a resident's function may be expected and unavoidable due to the predictable, cyclical patterns of the resident's clinical condition or the resident or his/her representative's refusal of care and treatment to restore or maintain functional abilities. -Activities of daily living include the resident's ability to bathe, dress, groom, transfer, and toilet, eat, and use speech, language or other functions communication systems; -Appropriate treatment and services are provided for all residents to help them maintain and improve their abilities to perform activities of daily living. If a resident is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-26 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure one resident (Resident #32) with limited mobility received appropriate equipment and assistance to maintain mobility when staff failed to ensure the resident had a palm protector as recommended by therapy to address a left hand contracture (fixed tightening of muscle, tendons, ligaments, or skin, preventing normal movement). The sample was 16. The census was 62. Review of Resident #32's medical record, showed diagnoses included stroke, contracture to left elbow, generalized muscle weakness, dementia and cognitive communication deficit. Review of the resident's admission Minimum Data Set (MDS), a federally mandated assessment instrument completed by facility staff, dated 8/26/24, showed: -Severe cognitive impairment; -Upper extremity impairment on one side; -Dependent for upper body dressing. Review of the resident's care plan, in use at the time of survey, showed: -Need: Resident has limited physical mobility; -Goal: Resident will…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-26 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure one resident (Resident #1) received proper urinary catheter (tube that drains the urine from the bladder) care after an incontinence episode, staff failed to remove the resident's catheter bag off of the floor after providing care and failed to follow the facility's policy of changing the resident's urinary catheter tubing and bag every 30 days. The sample was 16. The census was 62. Review of the facility's Catheter Care policy, review dated February, 2019, showed: -Policy: To keep indwelling catheter free of vaginal discharge and/or crusting, which can cause infections; -Observation and reporting include: -Color and amount of urine; -Check tubing and drainage for sediment; -Attach Foley (a tube that drains the urine from the bladder) to bed frame only; -Change drain bag and tubing every 30 days and as needed; -Change indwelling Foley catheter as indicated based on assessment or per physician order; -Secure urinary drainage bag below the level of the bladder and keep off the floor at all times; -Coil…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SSM HEALTH — 2 facilities. Here is how its ratings compare with the chain’s average across all its homes:

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in MO