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The Pillars of North County

13700 Old Halls Ferry Road

3.3(39 ratings)· Florissant average: 3.8

The Pillars of North County, photo 11 / 2

Quick Facts

Total units
120
Medicare rating
2 of 5

CMS Care Compare

Ownership
For profit, Corporation
Certified beds
120

What Families Think

Reviews of The Pillars of North County are sharply divided: some families describe attentive, compassionate staff and a clean environment, while others report serious concerns about hygiene, staff turnover, and basic care lapses. With a 3.3 out of 5 rating from 39 Google reviews, experiences here appear to vary significantly depending on timing and staff assigned.

The Good

  • Staff described as loving, patient, and kind
  • One reviewer noted facility was always clean, no odors
  • Helped a resident transition after a bad experience elsewhere
  • Maintenance and support staff praised by name

The Bad

  • Multiple reports of strong urine or cat odors
  • Reports of rude, unprofessional, or gossiping staff
  • Heavy reliance on agency staff with high turnover noted
  • One report of broken bed and delayed medication

AI-generated from reviews and community data.

The Pillars of North County is a senior living community in Florissant, Missouri offering Skilled Nursing / Long Term Care. Amenities include Emergency Call System, Wheelchair Accessible and 24-Hour Staff. Families rate it 3.3 out of 5 across 39 reviews.

About The Pillars of North County

The Pillars of North County is a skilled nursing and long-term care facility in Florissant, Missouri, with a licensed capacity of 120 residents.

Family experiences at the facility are sharply divided. Some families report deeply positive interactions, describing staff who show genuine care and patience, a clean environment, and warm relationships with residents. However, other families describe serious concerns: persistent odors in the building, broken equipment, frequent staff turnover due to reliance on contract workers, and a workplace culture marked by negativity and gossip rather than resident-centered care. One family noted that "the smell was sickening" upon arrival, while another reported never detecting odors and finding the facility consistently clean, a striking contrast that suggests inconsistent conditions or maintenance.

The facility carries a 3.3 out of 5 Google rating based on 39 reviews, reflecting the polarized feedback from families. Anyone considering care here should plan visits at different times and speak directly with current residents and their families to form their own assessment.

Types of Care at The Pillars of North County

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Wheelchair Accessible

Community Amenities

  • 24-Hour Staff
  • Medication Management
  • On-Site Nurse (RN)

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Reviews of The Pillars of North County

3.3overall · 39 ratings combined

3.3★ on Google (39)

Gina Cotton

Jul 2025

via Google

My relative has been here for 2 months now. I have never been a fan of nursing homes until I decided on this one. The staff is wonderful even down to the maintenance man. I have never smelled anything and the facility is always clean.

July Aurelia

Oct 2024

via Google

The People here are Rude, & very Unprofessional. When you walk in it smells like a cat and urine. The Nurses Station holds nothing but negativity & gossip. All you hear is other individuals information and business. They work together to downplay other Employees work. It's really bad visiting this place, knowing these folks feel the way they do about their positions there. I see a whole lot of things that could be done, while they sit and eat on and off break. The walls and doors could be wiped down, I'm sure covid rules are still inline there. They should care more about their patients and their health and securing their paperwork. Eating and the club at that desk is pure foolery. A patient shouldn't have to ask more than once or twice even on a busy day. This needs to be looked into.

Shirley Davis

Jul 2024

via Google

I was admitted to the Pillas a few days ago for rehabilitation. I had never been inside before but I had driven by the facility and knew that the location was high-end, with a golf club across the street. But I was disappointed when I was rolled through the doors. The smell was sickening. The staff was rushing around, patients walking the halls. The room I was rolled into had a bed that had broken electrical cords. So it couldn’t be raised or lowered. The patient already there was a screamer mornings, noon and night. The second bed that was brought in still didn’t work properly. There were scratch marks on the wall above my headboard. My medication had to be ordered and two days later I still had to wait for my medication, and I started asking what I was being given because I didn’t trust the staff. The food wasn’t bad but it wasn’t what I could eat. I was ready to go home soon as I got there. After a couple of days I saw that I could do my rehab at home so my family spoke to the proper authorities and it was told that I would get my discharge paperwork when I was leaving but that was another nightmare. We ran into a lot of problems and lies. But my family perseverance didn’t stop. I was released to go home. So happy to leave that place. Advice, don’t go there for any reason.

Brian Pruitt

May 2023

via Google

My mom was at the Pillars for about a year. She came after having a bad experience at another facility out of state. All I can say is the way the staff at the Pillars helped her navigate through that experience is something I will never forget. She received so much love, patience and kindness from the staff. The staff just feel in love with her and she feel in love with them. That's the atmosphere you will find at the Pillars, a place to call hime. Thank you Pillars of North County.

Anime Love

Sep 2021

via Google

This facility needs to be condemned and shut down. Most of the staff are contracted workers from agencies. They come and go often and do not establish any relationship with the residents so there is a strong lack of concern and compassion for the residents. The upper management( admin staff)has changed 3 times in the last 2 yrs and is not much better than the agency staff. Everyone comes into the job claiming to be caring about the residents, but it wanes soon after getting there. I have had to call the state several times about treatment and hygiene practices. One employee that has always been very helpful in every situation with my mother is Shante Rice. She actually is one of a small handful of employees that are good here, maybe a total of 5 staff. Moral of the story, avoid sending your loved one here if at all possible!!!!

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Government Inspection History

7 inspection visits in the last three years, 71 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Sep 11, 2025Health Complaint2 citations
  • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 3, 2025

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 3, 2025

Mar 21, 2025Fire Safety StandardHealth ComplaintHealth Standard19 citations
  • Implement emergency and standby power systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 17, 2025

  • Install corridor and hallway doors that block smoke.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025

  • Have simulated fire drills held at unexpected times.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025

  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 17, 2025

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 17, 2025

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 17, 2025

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025

  • Provide or obtain dental services for each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025

  • Reasonably accommodate the needs and preferences of each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 17, 2025

Jul 2, 2024Health Complaint1 citation
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jul 29, 2024

Mar 28, 2024Health Complaint1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 15, 2024

Dec 19, 2023Health Complaint2 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 10, 2024

  • Reasonably accommodate the needs and preferences of each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 19, 2023

Nov 1, 2023Fire Safety StandardHealth ComplaintHealth Standard20 citations
  • List the names and contact information of those in the facility.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 1, 2023

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 1, 2023

  • Regularly 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 1, 2023

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 1, 2023

  • Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 1, 2023

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 1, 2023

  • Try 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 1, 2023

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 1, 2023

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 1, 2023

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 1, 2023

  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 19, 2023

  • Have properly installed electrical wiring and gas equipment.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 1, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 10, 2024

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 1, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 1, 2023

  • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 1, 2023

  • Ensure medication error rates are not 5 percent or greater.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 1, 2023

  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2023

  • Ensure 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 1, 2023

Oct 6, 2020Fire Safety StandardHealth Standard26 citations
  • Provide enough food/fluids to maintain a resident's health.

    Severity G of L: actual harm, isolatedCorrected Nov 10, 2020

  • Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 10, 2020

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 10, 2020

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 10, 2020

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 10, 2020

  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 10, 2020

  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 10, 2020

  • Have approved installation, maintenance and testing program for fire alarm systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 10, 2020

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 10, 2020

  • Implement a program that monitors antibiotic use.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

  • Assure the security of all personal funds of residents deposited with the facility.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

  • Ensure medication error rates are not 5 percent or greater.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

  • Ensure 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

  • Implement 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

  • Try 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

  • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

  • Notify 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 10, 2020

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 10, 2020

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 10, 2020

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 10, 2020

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 10, 2020

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 10, 2020

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does The Pillars of North County offer?

The Pillars of North County offers Skilled Nursing / Long Term Care.

Where is The Pillars of North County located?

The Pillars of North County is located at 13700 Old Halls Ferry Road in Florissant, Missouri.

What do families say about The Pillars of North County?

Reviews of The Pillars of North County are sharply divided: some families describe attentive, compassionate staff and a clean environment, while others report serious concerns about hygiene, staff turnover, and basic care lapses. With a 3.3 out of 5 rating from 39 Google reviews, experiences here appear to vary significantly depending on timing and staff assigned.

How did The Pillars of North County do on recent health and safety inspections?

The Pillars of North County had 7 government inspection visits in the last three years, with 71 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit The Pillars of North County?

Submit the Request Information form on this page to connect with The Pillars of North County and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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