St Andrew's At Francis Place
Cost data not yet available
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Assisted Living, Nursing Homes · Medicare certified
313 Augustine Rd · Eureka, MO 63025 · Lic. #052071 (MO) · 174 certified beds
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CMS Care Compare · Updated Jul 2026
Staffing rating
3.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
39
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
March 28, 2024 · E
Citation F0657Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · E
Citation F0656Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · F
Citation F0881Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0881 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · E
Citation F0728Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0728 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · E
Citation F0761Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · E
Citation F0558Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0558 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · F
Citation F0880Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · D
Citation F0583Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · E
Citation F0700Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · E
Citation F0584Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · F
Citation F0812Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · E
Citation F0679Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 28, 2024 · D
Citation F0677Federal surveyors cited this nursing home on 2024-03-28 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-04-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 18, 2023 · E
Citation F0689Federal surveyors cited this nursing home on 2023-12-18 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-12-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 18, 2023 · J
Citation F0684Federal surveyors cited this nursing home on 2023-12-18 under CMS tag F0684 (CMS scope/severity J: isolated, immediate jeopardy) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-01-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 18, 2023 · G
Citation F0697Federal surveyors cited this nursing home on 2023-12-18 under CMS tag F0697 (CMS scope/severity G: isolated, actual harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2024-01-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 18, 2023 · E
Citation F0725Federal surveyors cited this nursing home on 2023-12-18 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2024-01-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 18, 2023 · G
Citation F0686Federal surveyors cited this nursing home on 2023-12-18 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-01-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 19, 2023 · E
Citation F0677Federal surveyors cited this nursing home on 2023-09-19 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 30, 2022 · E
Citation F0804Federal surveyors cited this nursing home on 2022-09-30 under CMS tag F0804 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2022-11-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $132,696
Latest: 3.74 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Corporation
CMS Care Compare chain: Riley Spence Senior Living
Chain ID 658 · 5 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Thomas H. Spence Residual Trust
parent · PAC 5395785463
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.
Assisted Living
Median · MO$4,116/moAssisted Living
Median · MO$5,400/moNursing Homes
Median · MO$6,076/moNursing Homes
Median · MO$6,741/moOther licensed providers in Eureka, with their own public records.
Cost data not yet available
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