Chestnut Rehab and Nursing Ratings and Violations
The healthcare sector in the United States includes facilities called nursing homes. A nursing home is typically a residential facility that provides 24/7 medical services to residents, along with comfortable amenities and daily living assistance. However, many nursing homes nationwide, including Chestnut Rehab and Nursing in Saint Louis, MO, struggle to provide care that meets the currently accepted professional principles. When these deficiencies occur, residents may be exposed to abuse or neglect that causes significant harm.
At the Nursing Home Law Center, our attorneys will stand by your side during the claims process if you plan to file a lawsuit against a nursing home like Chestnut Rehab and Nursing. As a caring nursing home abuse law firm, we know what it takes to build a strong case and establish liability to fight for fair compensation.
In this guide, we will examine some of the issues that have plagued this Saint Louis nursing home in recent years, resulting in very poor quality ratings. Then, we will discuss your legal options if you have been a victim of abuse, neglect, or another form of misconduct.
Chestnut Rehab and Nursing: Facility Profile
The Centers for Medicare & Medicaid Services (CMS) is a federal agency that regulates nursing homes in the United States. One of CMS’s responsibilities is to convey specific information about nursing homes to help consumers choose the best care options for themselves. On the CMS website, you can find logistical data, past inspection reports, violations, and ratings for each qualified facility in the country.
Here is the latest location data available for Chestnut Rehab and Nursing:
Facility Name: Chestnut Rehab and Nursing LLC
Address: 10954 Kennerly Road, Saint Louis, MO 63128
CMS Overall Rating: 1 star (much below average)
CMS Health Inspection Rating: 1 stars (much below average)
CMS Staffing Rating: 1 star (much below average)
CMS Quality Measures Rating: 3 stars (average)
Federal Fines in the Last 3 Years: 4 fines totaling $119,588
Payment Denials by Medicare in the Last 3 Years: 1
Cited for Abuse: Yes
SFF: No
About Chestnut Rehab and Nursing
Chestnut Rehab and Nursing is a skilled nursing facility located in Saint Louis, Missouri. It specializes in short-term rehabilitation, post-acute services, and long-term care. Chestnut Holdings Group LLC, a for-profit limited liability company, operates the clinic. This nursing home is not part of a continuing care retirement community or a hospital. There are 166 certified beds at Chestnut Rehab and Nursing, which accepts both Medicare and Medicaid.
Caregivers, nurses, physicians, and other employees provide the following services at this nursing home:
- 24-hour licensed nursing staff
- Post-operative care
- Personalized complete care plans
- Rehabilitation therapy
- Medication management
- Respiratory care
- Wound care
- Cardiac care
- Discharge planning
- Stroke recovery
- Specialized meal planning
- Physical therapy
- Speech therapy
- Urinary incontinence management
- Social services
- Hospice care
Chestnut Rehab and Nursing CMS Ratings, Violations, and Safety Inspections
One of the Centers for Medicare & Medicaid Services’ vital functions is rating individual nursing homes in the United States. CMS created a five-star rating system to help consumers evaluate the quality of specific facilities. Each institution receives separate scores for health inspections, staffing, quality measures, and an overall rating, which amounts to:
- One star – Much below average
- Two stars – Below average
- Three stars – Average
- Four stars – Above average
- Five stars – Much above average
In the following sections, we will examine the three categories that contribute to Chestnut Rehab and Nursing’s overall rating, along with the specific deficiencies associated with these scores.
Health Inspections
Chestnut Rehab and Nursing is considered much below average in health inspections and is one of the worst nursing home facilities in Missouri. Inspections are conducted annually for most nursing homes, but they can also be initiated after complaints against the facility. The latest inspection, conducted in April 2025, resulted in 21 health citations, exceeding the state average of 11.7 and the national average of 9.5.
Since July 2024, five inspections have been conducted in response to complaints. In the last three years, 47 complaints have resulted in health citations against Chestnut Rehab and Nursing, while 15 citations have come from self-reported issues at the nursing home.
Here are some alleged violations mentioned in these recent inspection reports:
- A failure to timely report suspected abuse, neglect, or theft and inform the proper authorities
- A failure to provide appropriate treatment according to each resident’s preferences and care plan
- A failure to provide appropriate care to treat and prevent pressure ulcers, indicating a concern about nursing home bedsore cases
- A failure to protect each resident from the wrongful use of the resident’s belongings or money
- A failure to develop a complete care plan within seven days of the comprehensive assessment
- A failure to safeguard resident-identifiable information and maintain records in accordance with accepted professional standards
- A failure to respond appropriately to all alleged violations
- A failure to honor the resident’s right to a dignified existence and to exercise his or her rights
- A failure to procure food from approved sources and serve food according to professional standards
- A failure to dispose of garbage and refuse properly
- A failure to ensure each resident receives an accurate assessment
- A failure to develop and implement an infection prevention and control program
Staffing
A lack of qualified health professionals can also be a contributing factor in nursing home abuse and neglect. The more residents a clinic has, the higher the need is for professional nursing. Chestnut Rehab has a one-star rating in this category due to some of the following deficiencies:
- 3 hours and 18 minutes of total nurse staff hours per resident per day, compared to the national average of 3 hours and 51 minutes
- 12 minutes of registered nurse hours per resident per day, compared to 27 minutes statewide and 41 minutes nationally
- 0 minutes of physical therapist staff hours per resident per day, compared to the state average of 2 minutes and the national average of 4 minutes
- 10 minutes of registered nurse hours per resident per day on the weekend, compared to 20 minutes statewide and 28 minutes nationally
- A total nursing staff turnover rate of 80%, compared to the state average of 57.4% and the national average of 46.9%
- A registered nurse turnover rate of 90%, compared to the Missouri average of 50.9% and the national average of 43.8%
- 2 administrators have left the nursing home within a given year, compared to the state average of .6 and the national average of .5
Rehab Therapy Quality Measures
For quality measures, Chestnut Rehab and Nursing has received three stars (average) from CMS. This includes a two-star rating for short-stay measures and a four-star rating for long-stay measures. First, let’s examine the deficiencies in the short-stay resident programs:
- 24% of short-stay residents were re-hospitalized after their stays at the nursing home, compared to the national average of 23.4%
- 15.5% of short-stay residents needed and received a flu shot for the current flu season, compared to the state average of 65.6% and the national average of 79%
- 51.3% of short-stay residents were at or above an expected ability to care for themselves at discharge, compared to the national rate of 52.7%
- 36.4% of short-stay residents experienced a successful return to their homes or communities, compared to the national rate of 49.9%
Although the rating for long-term care is higher than all the other scores at Chestnut Rehab and Nursing (four stars is above average), there are still some areas of concern:
- 3.97 hospitalizations per 1,000 long-stay resident days, compared to the state rate of 2.04 and the national rate of 1.83
- 1.99 outpatient emergency department visits per 1,000 long-stay resident days, compared to the national rate of 1.78, indicating a problem with nursing home injury prevention
- 10.2% of long-stay residents experienced pressure ulcers, compared to the state average of 5.2% and the national average of 5.4%
- 14.7% of long-stay residents received antipsychotic medication, compared to the national average of 14.5%, indicating an issue with antipsychotic drug use in long-term care
- 21.1% of long-stay residents lost too much weight, compared to 5.6% statewide and 5.5% nationally, illustrating a nursing home failure to provide adequate nutrition
- 31.5% of long-stay residents experienced symptoms of depression, compared to the state rate of 11% and the national rate of 10.3%, pointing to issues of emotional trauma in nursing homes
- 75.8% of long-stay residents needed and received a vaccine to prevent pneumonia, compared to the state average of 85.6% and the national average of 93.4%
Residents’ Legal Rights Following Abuse or Neglect at Chestnut Rehab and Nursing in Saint Louis
Whether you live at Chestnut Rehab and Nursing or another Saint Louis nursing home, you have several rights protected by state and federal laws. First, you have the right to receive quality care and appropriate treatment for your needs. You also have the right to maintain a dignified existence. Lastly, you have the right to file complaints against the nursing home.
If any of these rights, or others, are violated, you may qualify for financial compensation via a civil claim. Legal damages in a personal injury lawsuit can include the following losses:
- Lost income – If your injuries force you to miss work and lose out on some wages, both in the past and future
- Medical expenses – Covers past and future medical costs associated with your treatment, such as emergency room visits, surgical procedures, medication, rehabilitation, or therapy
- Emotional distress – This non-economic damage can increase your settlement if you are facing Post-Traumatic Stress Disorder, anxiety, depression, or other mental challenges
- Pain and suffering – Can increase a payout if your abuse or neglect causes painful injuries
- Loss of enjoyment of life – Your ability to enjoy normal life activities may diminish because of your trauma
Whether you endured a major injury from a fall, physical punishment, sexual abuse, or the misuse of controlled drugs, an experienced Missouri nursing home abuse lawyer can increase your chances of securing compensation.
How Nursing Home Law Center Can Help
If you or a family member has endured mistreatment at a nursing home like Chestnut Rehab and Nursing, the Nursing Home Law Center will believe in your case. Our attorneys ensure you won’t stand alone in your fight for justice against the at-fault parties.
Our legal services include:
- Investigating Chestnut Rehab and Nursing for negligence
- Gathering evidence of wrongdoing, such as witness statements, surveillance footage, and medical records
- Protecting your rights under state and federal laws
- Assessing all legal damages to maximize compensation
- Negotiating with insurance companies for full compensation
- Litigating in civil court if necessary
When you work with a Saint Louis nursing home abuse lawyer, you can take advantage of our contingency fee agreement, which means you pay nothing unless we win. Additionally, you can ask any questions you have about the legal process during a free, no-obligation consultation.
If you believe you have been the victim of nursing home abuse or neglect at Chestnut Rehab and Nursing, contact us today at 800-925-7565 or complete the online form to schedule your free case evaluation.