facebook tracking McClay Senior Care, Saint Peters MO: CMS Ratings
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McClay Senior Care

All states › Missouri › Saint Peters › McClay Senior Care

3801 Mcclay Road Saint Peters, MO 63376 · St. Charles County

(636) 244-3323

All 4 nursing homes in Saint Peters, MO (4 take Medicaid)

Accepts Medicare Accepts Medicaid 60 certified beds For profit

CMS certification number 265875 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is McClay Senior Care 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 McClay Senior Care as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Missouri average of 2.6. Inspectors issued 40 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 4 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.97 hours per resident per day at McClay Senior Care, above the Missouri median of 3.37 (US median: 3.72). About 0.29 of those hours are from registered nurses. On weekends it falls to 3.36 hours, 15% below its all-week average. Ask how weekends are staffed. 54.2% of nursing staff left within a year (Missouri median 56.8%).

Nursing care per resident per day 3.97 hours
Above the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.29 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.36 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 54.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 40% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds60
Residents per day 50 About 83% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 2019
Legal business nameMCCLAY HEALTH AND REHAB LLC

Paying for care at McClay Senior Care: Medicare and Medicaid

McClay Senior Care 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 April 4, 2024 and found 3 deficiencies, plus 1 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 40 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 40 citations at McClay Senior Care across 5 inspection dates, 2 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on April 4, 2025. The most common areas cited were quality of life and care (12) and resident rights (7). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, April 4, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.

July 15, 2026 · 1 citation · includes complaint inspection

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Aug 11, 2026)

April 4, 2025 · 1 citation, includes actual harm · includes complaint inspection

GProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (May 12, 2025)

April 4, 2024 · 3 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 17, 2024)

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (May 17, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 17, 2024)

August 29, 2022 · 14 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 6, 2022)

EReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Oct 6, 2022)

EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (Oct 6, 2022)

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Oct 6, 2022)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 6, 2022)

EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Oct 6, 2022)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 6, 2022)

EMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Oct 6, 2022)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Oct 6, 2022)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Oct 6, 2022)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Oct 6, 2022)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Oct 6, 2022)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Oct 6, 2022)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Oct 6, 2022)

November 26, 2019 · 21 citations, includes actual harm

GProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Jan 5, 2020)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 5, 2020)

FDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jan 5, 2020)

EHonor the resident's right to manage his or her financial affairs.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0567 · Deficient, Provider has date of correction (Jan 5, 2020)

EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0568 · Deficient, Provider has date of correction (Jan 5, 2020)

ENotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Deficient, Provider has date of correction (Jan 5, 2020)

EAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Jan 5, 2020)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jan 5, 2020)

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Jan 5, 2020)

EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Jan 5, 2020)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jan 5, 2020)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Jan 5, 2020)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 5, 2020)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Jan 5, 2020)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Jan 5, 2020)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Jan 5, 2020)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jan 5, 2020)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Jan 5, 2020)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Jan 5, 2020)

CConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Potential for minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Jan 5, 2020)

BGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Jan 5, 2020)

Questions to ask on a tour of McClay Senior Care

  1. Inspectors cited the home at the actual-harm level on April 4, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on November 26, 2019. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  4. 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?
  5. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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 monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 3/5 3/5
August 2026 3/5 3/5 3/5 2/5
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Location

Hospitals near McClay Senior Care

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

St Peter's Rehab and Healthcare Center Saint Peters · 2.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 96 beds · Medicaid
St Peter's Post Acute Saint Peters · 3.0 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 130 beds · Medicaid
Ignite Medical Resort St Peter's Saint Peters · 3.0 mi away Not rated Inspection — · Staffing — 91 beds · Medicaid
NHC Healthcare, St Charles Saint Charles · 3.3 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 120 beds · Medicaid
Aspen Point Health and Rehabilitation Saint Charles · 3.7 mi away ★★☆☆☆ Inspection 1/5 · Staffing 1/5 180 beds · Medicaid

More nursing homes near McClay Senior Care ›   All nursing homes in Saint Peters ›

Compare McClay Senior Care with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

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.

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https://www.nursinghomesineachstate.com/missouri/saint-peters/mcclay-senior-care/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.