nursing home in Arnold, MO
South County Health Care Center
1101 West Outer 21 Road, Arnold, MO 63010 · (636) 296-5455
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
South County Health Care Center at a glance
South County Health Care Center is a 153-bed for-profit nursing home in Arnold, Missouri (Jefferson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 1.4 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (August 7, 2025) found 24 health citations. The Missouri average is 11.4.
Federal regulators fined it 1 time in the past three years, totaling $93,995.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 153
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Reliant Care Management
- Medicare-certified since
- October 12, 1992
- Resident/family council
- Resident
- County
- Jefferson County
- CMS Certification Number
- 265509
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 2.7 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 1.40 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.17 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.10 hrs | 2.29 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.21 hrs | 3.01 hrs | 3.42 hrs | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 24 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 147.3 | 111.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $93,995 | $37,425 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 153 | 103 | 107 | |
| Average residents per day | 86 | 73 | 86 | |
| Occupancy | 55.9% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.8% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 53% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 21% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 19.3% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.3% | 5.3% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 74.9% | 18.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26.4% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 11.7% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 84.7% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 8.9% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 9.3% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 33 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 16, 2026 Complaint | 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 Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected July 9, 2026 |
| June 16, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 9, 2026 |
| April 16, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 21, 2026 |
| April 16, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 12, 2026 |
| March 27, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected March 26, 2026 |
| August 7, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected September 17, 2025 |
| August 7, 2025 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected September 17, 2025 |
| August 7, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected September 17, 2025 |
| August 7, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected September 17, 2025 |
| August 7, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected September 17, 2025 |
| August 7, 2025 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected September 17, 2025 |
| August 7, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 17, 2025 |
| August 7, 2025 Standard | 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 Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 17, 2025 |
| August 7, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected September 17, 2025 |
| August 7, 2025 Standard | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Tag F0570 | E Potential harm, pattern | Corrected September 17, 2025 |
| August 7, 2025 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Tag F0909 | D Potential harm, isolated | Corrected September 17, 2025 |
| August 7, 2025 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected September 17, 2025 |
| August 7, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected September 17, 2025 |
| May 29, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 16, 2025 |
| August 22, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected August 30, 2024 |
| August 22, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 4, 2024 |
| August 22, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 30, 2024 |
| August 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 30, 2024 |
| March 24, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected April 5, 2023 |
| March 24, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected April 5, 2023 |
| March 24, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 22, 2023 |
| March 24, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 12, 2023 |
| March 24, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 22, 2023 |
| March 24, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 22, 2023 |
| March 24, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 22, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $93,995 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 27, 2026 | Payment Denial | 57 days from May 13, 2026 |
| March 27, 2026 | Fine | $93,995 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ARSHAD, ABDULLAH Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| DESTEFANE, RICHARD Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| MAGNUSSEN, KATINA Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| RELIANT CARE MANAGEMENT COMPANY LLC Organization | adp of the snf | NOT APPLICABLE | 04/21/2025 |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| SOUTH COUNTY ASSOCIATES I, L.L.C. Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| TLG II LLP Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| RELIANT CARE GROUP LLC Organization | direct ownership interest | NOT APPLICABLE | 04/01/2025 |
| DESTEFANE, RICHARD Individual | indirect ownership interest | NOT APPLICABLE | 04/01/2025 |
| RCG INC Organization | indirect ownership interest | NOT APPLICABLE | 04/01/2025 |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST Organization | indirect ownership interest | NOT APPLICABLE | 04/01/2025 |
| ARSHAD, ABDULLAH Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| DESTEFANE, RICHARD Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| MAGNUSSEN, KATINA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| RELIANT CARE MANAGEMENT COMPANY LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
Other nursing homes near South County Health Care Center
Woodland Manor Nursing Center
100 Woodland Court, Arnold, MO 63010 · 2.6 mi
For-profit · 178 beds · Part of Riley Spence Senior Living
★★★★★2Below averageDelmar Gardens South
5300 Butler Hill Road, Saint Louis, MO 63128 · 2.7 mi
For-profit · 184 beds · Part of Delmar Gardens
★★★★★4Above averageMaple Grove Wellness & Rehabilitation
560 Corisande Hill Rd, Fenton, MO 63026 · 3.2 mi
For-profit · 144 beds · Part of Opco Skilled Management
★★★★★1Much below averageDelmar Gardens of Meramec Valley
#1 Arbor Terrace, Fenton, MO 63026 · 3.2 mi
For-profit · 190 beds · Part of Delmar Gardens
★★★★★5Much above average- ★★★★★2Below average
Friendship Village Sunset Hills
12651 Village Circle Drive, Saint Louis, MO 63127 · 4.6 mi
Non-profit · 144 beds
★★★★★3Average
Frequently asked questions
What is South County Health Care Center's rating?
South County Health Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did South County Health Care Center receive?
Its most recent standard health inspection found 24 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does South County Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns South County Health Care Center?
It is for profit - limited liability company and part of Reliant Care Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is South County Health Care Center and how do I contact it?
South County Health Care Center is at 1101 West Outer 21 Road, Arnold, MO 63010. Phone: (636) 296-5455.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.