All states › Missouri › O Fallon › Garden View Care Center
700 Garden Path O Fallon, MO 63366 · St. Charles County
All 3 nursing homes in O Fallon, MO (3 take Medicaid)
CMS certification number 265321 · See this home on Medicare Care Compare
Is Garden View Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Garden View Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.45 hours per resident per day at Garden View Care Center, above the Missouri median of 3.37 (US median: 3.72). About 0.42 of those hours are from registered nurses. On weekends it falls to 4.02 hours, 10% below its all-week average. 71.6% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Garden View Care Center: Medicare and Medicaid
Garden View Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 16, 2025 and found 11 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 45 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 45 citations at Garden View Care Center across 6 inspection dates, 6 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on July 1, 2026. The most common areas cited were quality of life and care (12) and freedom from abuse, neglect, and exploitation (8). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, July 1, 2026). 8 citations were under CMS's abuse, neglect and exploitation rules.
July 1, 2026 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 5, 2025 · 2 citations · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
March 14, 2025 · 3 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
January 16, 2025 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure 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.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DTry 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.
DRegularly 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.
BProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
BNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
June 23, 2023 · 18 citations, includes actual harm
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
FNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
FDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FImplement a program that monitors antibiotic use.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
FDevelop and implement policies and procedures for flu and pneumonia vaccinations.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EHonor 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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure 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.
EProvide and implement an infection prevention and control program.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CPost nurse staffing information every day.
September 13, 2019 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure 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.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DProvide and implement an infection prevention and control program.
BGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Questions to ask on a tour of Garden View Care Center
- Inspectors cited the home at the actual-harm level on July 1, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 5, 2025. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 71.6% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 2/5 |
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Location
Hospitals near Garden View Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.7 mi
SSM St Joseph Hospital West Lake St LouisEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 35m for patients treated and sent home
- 5.5 mi
-
5.8 mi
Progress West Healthcare Center O'fallonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 23m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Garden View Care Center › All nursing homes in O Fallon ›
Compare Garden View Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Abbey Senior Health · O Fallon · 5 stars · 1.1 mi
- Cottages of Lake St Louis · Lake Saint Louis · 5 stars · 5.0 mi
- NHC Healthcare, St Charles · Saint Charles · 4 stars · 9.3 mi
- Delmar Gardens of O'Fallon · O Fallon · 3 stars · 3.1 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.