Avalon Garden
Avalon Garden
2.7 (22 reviews)
Skilled Nursing Facility • 77 Licensed Beds
4359 Taft Avenue, Saint Louis, MO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Avalon Garden

Skilled Nursing Facility • 77 Licensed Beds
4359 Taft Avenue,
Saint Louis, MO
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Avalon Garden – Medicare Certified Since 2009

Avalon Garden is a Medicare and Medicaid certified skilled nursing facility located in Saint Louis, Missouri. This facility has been serving the community for 17 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 77 certified beds with a current occupancy rate of 67% (averaging 51 residents per day), which is below average. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 2.37 hours of total nursing care per resident per day (1.85 hours from CNAs, 0.27 hours from LPNs, 0.25 hours from RNs). Physical therapy staffing is 0.01 hours per resident per day. Higher staffing levels are generally associated with better quality outcomes.

Medicare Quality Ratings: According to CMS, Avalon Garden has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 1 stars, quality measures: 3 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Avalon Garden compares to 177 facilities in St. Louis, MO-IL

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
1
2.1
Quality Measures
Clinical outcomes & safety
3
2.6
Health Inspections
State survey results
2
2.4
Staffing
Nurse-to-resident ratio
1
2
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.25 hrs
0.42 hrs
LPN/LVN Hours
Licensed practical nurses
0.27 hrs
0.79 hrs
CNA Hours
Certified nursing assistants
1.85 hrs
2.27 hrs
Total Nursing Hours
CNA + LPN + RN combined
2.36 hrs
3.47 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
3.9 %
6.5 %
LPN/LVN Agency Use
% of LPN hours from contractors
10.8 %
10.2 %
CNA Agency Use
% of CNA hours from contractors
9.1 %
7.1 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
49 %
54 %
Occupancy Rate
Percentage of beds filled
67 %
71 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$290
$300
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 177 facilities in St. Louis, MO-IL.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
1/5
Quality Measures
3/5
Health Inspections
2/5
Staffing
1/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 177 other nursing homes in St. Louis, MO-IL

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Avalon Garden
St. Louis, MO-IL Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Avalon Garden
St. Louis, MO-IL Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Avalon Garden
St. Louis, MO-IL Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Avalon Garden
St. Louis, MO-IL Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
111
minutes/day
CNAs
Certified Nursing Assistants
16
minutes/day
LPNs
Licensed Practical Nurses
15
minutes/day
RNs
Registered Nurses
1
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Avalon Garden
St. Louis, MO-IL Average (71.2%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of June 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$290
per resident per day
Compared to 176 facilities in your area
Below local median ($300)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-17% -9% Below
Net Income
Annual profit or loss
$-679,913 $-380,757.5 Below
Staff Cost per Resident
Daily salary expense per resident
$101/day $130/day Lower
Occupancy Rate
Bed utilization percentage
67% 67% Lower
Est. Daily Rate
Average revenue per patient day
$290/day $300/day Lower
Total Beds
Licensed bed capacity
77 120 Smaller

Local comparisons based on 176 skilled nursing facilities in the St. Louis, MO-IL metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$4,110,098
Operating Expenses
Total operating costs
$4,796,677
Total Salaries
Staff compensation
$2,434,156
Contract Labor
Agency & temp staff
$269,192

Payer Mix

Medicare
0%
Medicaid
98%
Private Pay & Other
2%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
24,063
Medicare
Short-term skilled nursing
0%
Medicaid
Long-term care residents
98%
Private Pay / Other
Self-pay, insurance, VA
2%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
261.60
days
Medicare Stays
17.50
days
Medicaid Stays
278.92
days
Total Admissions
67
Total Discharges
85
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in SAINT LOUIS

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Reviews

2.7 (22 reviews)
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Pamela's profile photo
Pamela 6 months ago

When you first put your loved ones there they are sweet as pie and the only reason of that is because they want your loved ones there not for love for the money when I always call there in the beginning I get answers after that no answers they wouldn’t even answer the phone. They wouldn’t return calls And then when I go to a higher person, they pretend like they care just to keep me happy but as the time went by when my loved one was there, I will call to access to speak to him and they will say he’s eating call back in 15 minutes. Call back oh he’s sleeping so I get upset and then I tell them you told me to call back. Have you eaten 15 minutes later you sleep so that mean that you didn’t bathe him You didn’t brush his teeth before he went to bed you didn’t wash his face or anything like that so he went to bed with clothes on that he ate in so they would not answer the phone. He failed two times there they will send him back-and-forth to the hospital not to be bothered with him. They will say he had a seizure to send him to the hospital and never had a seizure. it was so many things to avoid taking care of the patient. It was all about the money. I knew something was going on when they convinced me to bring my loved one there and always said that was the best home because the other nursing homes around there Wasn’t any good now I do my research. I should’ve looked at the reviews before I put my loved one there I just want to say thank you guys for nothing for mistreating my dad. I don’t know about the other clients there. I have no say so but I do pray to God that they don’t get the same treatment that my loved one did🥲 yes, please pray for this place and Pray for the remaining residence are there. Keep the prayers up God bless if I can give this place a zero I would.🙏🙏🙏

Nina Kunst's profile photo
Nina Kunst 11 months ago

I wouldn't even give this place a one star but at least homeless people can move in there. My father received horrible care while he was in there, as soon as he got his Healthcare and we were able to find another place sadly my dad got a mysterious illness and passed away in a hospital. Nobody at the nursing home believed he was throwing up all of the time, his vitals were never taken, and of course they weren't taking his temperature. Other than my dad's care though, the place smells like poop and trash and the floors were sticky and dirty. Why continue when everything was a issue.

Nicole Bach's profile photo
Nicole Bach a year ago

I recently discovered concerning issues regarding the treatment of elderly citizens at this facility. A conversation with my uncle revealed that a significant portion of the items we, as a family, had purchased for him are now missing, including clothing items with personal monograms. Despite our efforts to inquire about his Christmas wishes, he advised against sending any gifts as he would likely be unable to keep them. My uncle was relocated almost 11 months ago due to room issues, but the staff has not transferred his personal items, including an easy chair and other not so cheap items he purchased himself. Their claim of not knowing the location of these belongings is unacceptable. Of particular concern is my uncle's explicit request not to raise concerns due to fear of potential abuse or harm from the staff if they discover his complaints. This situation is beyond unacceptable, involving not only the misplacement of personal items but also the threat of mistreatment towards residents. I intend to escalate this matter up the chain of command first thing Monday morning, as such behavior is both egregious and reprehensible. Keep your family members out of this facility and away from the staff members actively employed by this facility. This is far from a safe or good environment for your loved ones.

Gloria Carlos's profile photo
Gloria Carlos 2 years ago

My sister stayed at Avalon for 9 months after a serious stroke. She was paralyzed on the left side of her body. During her 9 month stay , my sister was able to walk initially with some assistance and later on pretty much on her own. The PT team did an outstanding job helping my sister physically and helped her through cognitive therapy. Marilyn McCormick, the Social Services Director, was very helpful in addressing issues. She is responsive , empathetic and goes beyond the job description. Like other similar facilities, they are sometimes short staffed but they try their best to help the residents. The nursing staff try to get to know the residents personally and are very empathetic. Special thanks to Robin and Michelle.

Ty Thomas's profile photo
Ty Thomas 2 years ago

Worked here agency today & I must say this facility is not the one to be at. They don’t give you much information on the residents & the floor is really sticky. Residents rooms are pretty dirty & the staff is pretty rude. I picked up a 12-8 shift & was given rounds about 10 minutes into my shift. The lady told me about everybody & told me about a resident who was supposed to get a shower today but had one Friday so he didn’t want one. I’m through agency so I go off the first piece of advice they tell me. 7 & a half hours into my shift they try to tell me about a resident who wants a shower when I’m scheduled to leave at 8. I already did my rounds, toileted, & laid down but apparently that wasn’t enough. The lady told me at the start of my shift he doesn’t want one anymore so I went with that but apparently it was a problem when I was bout to get off. They can DNR me if they want but that’s not fair to make anybody do something before they have to get off especially being how rude they are

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