Union Nursing
Union Nursing
Union Nursing is a Medicare and Medicaid certified skilled nursing facility located in Union, Missouri. This facility has been serving the community for 8 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 60 certified beds with a current occupancy rate of 90% (averaging 54 residents per day), which is high. 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 3.16 hours of total nursing care per resident per day (2.17 hours from CNAs, 0.43 hours from LPNs, 0.56 hours from RNs). Physical therapy staffing is 0.01 hours per resident per day.
Medicare Quality Ratings: According to CMS, Union Nursing has an overall quality rating of 4 out of 5 stars, which is above average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 4 stars, staffing: 3 stars, quality measures: 2 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.
Local Comparison Snapshot
How Union Nursing compares to 176 facilities in St. Louis, MO-IL
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 176 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 September 2024
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 176 other nursing homes in St. Louis, MO-IL
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
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
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 September 2024
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
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 September 2024
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)
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)
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
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
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Current Job Openings
Reviews
Be very careful about choosing this place. They will promise the world about constant checkups and care but after you leave they will put your loved one in a wheelchair for hours without proper care in the hallway. They will then claim they are short staffed as reason for the inhumane treatment of the elderly. Would not recommend these con artists. Protect your loved ones and stay away.
My husband left Mercy Hospital after hip replacement. He was transported to Union Care Center for Rehab. It is by far the best nursing home I have ever been associated with. The entire staff is fabulous. They are loving, caring and like a family. Somehow they received a 1 rating which was totally underserved. They should have a 4 or 5 rating and we give them a 5. I can’t give enough praise to this facility.
What a great place. This place, their nurses, and the entire staff was wonderful. The first impression ... I walked through their doors ... and it smelled NORMAL. It did not smell like urine (like a lot of homes) and it did not smell like pine-sol (to cover the smell up). It is a well-maintained nursing home. When we were visiting, the nurses made a point to come in and introduce themselves.
Staff is very kind and treats residents like family. For a short stay or long term care there is no better place. Management is compassionate and caring towards the residents and the staff. Warm greetings from the front desk through therapy and nursing care. Truly no other like community in the area.
My mother in-law has been in this facility since the beginning of 2020. Before the pandemic hit her care was questionable but once the lockdown happened, there was no way for us to visit or even speak to her. We have depended solely on her hospitalist to communicate any concerns to the family. Unfortunately, the questionable care was continuing and this facility was reported to the state twice by my mother in-law’s hospitalist. Our intention is to remove my mother in-law as soon as possible but now there are 18 cases of COVID-19. My advice to other families, stay away from this care center. This is not a place to send your loved ones.
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