COVID-19 in Long-Term Care Facilities, Saint Louis County Department of Public Health, February 2021 - STLCorona.com
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COVID-19 in Long-Term Care Facilities, Saint Louis County
Department of Public Health, February 2021
COVID-19 has had a disproportionate impact on residents of Long-Term Care (LTC)
facilities. The data below describe the impact of COVID-19 on residents of the 144 LTCs in Saint
Louis County licensed by the Missouri Department of Health and Senior Services (DHSS), Section
for Long-Term Care Regulation, as well as additional private facilities in Saint Louis County that
have reported data to the Saint Louis County Department of Public Health (DPH). Types of
facilities include: Skilled Nursing Facilities (SNF), Intermediate Care Facilities (ICF), Assisted
Living Facilities (ALF), and Residential Care Facilities (RCF).
DPH works with facilities to ensure aggressive mitigation measures are in place, assist in
stocking personal protective equipment, and ensure testing is readily available. This vital work
is done in coordination with the State Section for Long Term Care Regulations, who license
these facilities, and the Saint Louis County High Risk Task Force. The existence of cases in
facilities should not be interpreted as an indictment of the care residents receive — close
quarters and the age/chronic health conditions of many residents have made long-term care
facilities vulnerable to outbreaks.
A variety of efforts are being made to help alleviate the burden of COVID-19 in LTCs. On
June 15th, 2020 DPH amended the “St. Louis County Department of Public Health 2019 Novel
Coronavirus (“COVID-19”) Amended Residential Living Facilities Order”, and then on June 16th,
2020 released the “Guidelines for Residential Living Facilities and COVID-19 Infected or Exposed
Health Care Workers Order.” On August 26th, CMS released new criteria for facility testing of
employees and residents, while also providing access to rapid antigen testing. The CDC created
an algorithm for LTC staff to use for interpreting rapid test results. CMS also released new
guidance for visitors to nursing homes on September 17th, with the Missouri DHSS updating
their LTC visitor guidance on September 22nd, which DPH has adopted.
LTC residents were also among the first Missouri residents to be eligible for COVID-19
vaccination. DHSS’s vaccine rollout plan lists LTC residents in the tier 1A category, and many
facilities in Saint Louis County have held mass vaccination events for their residents.
Additional efforts to assist LTC Facilities can be found on the Missouri DHSS, Waivers of
Laws and Rules https://health.mo.gov/living/healthcondiseases/communicable/novel-
coronavirus/waivers-laws-rules.php
Data Disclaimers
The following figures and tables were generated from data reported to DPH as of
Sunday, February 28, 2021. Numbers will be adjusted as more information is received. For data
points of counts ≤5 or of percentages ≤1%, the numbers are suppressed (exact numbers not
given) to protect the identity and protected health information of individual cases. Disclaimers
specific to a figure or table will be outlined in the appropriate description.
Total Reported Cases and Facilities with Cases
As of Sunday, February 28, 2021 5,637 residents of 123 LTCs have tested positive for
COVID-19, and 1,091 of those residents have died, for a case-fatality rate of 19.4% among LTC
residents (Table 3). These cases account for 6.4% of St. Louis County’s COVID-19 cases and
55.4% of the County’s COVID-19 deaths (Table 4). Among LTC residents, there were 134 newly
diagnosed cases with diagnosis dates in February and 20 deaths due to COVID-19 with dates of
death in February (Table 5).
Data Figures and Tables
Figure 1. Reported Number of COVID-19 Positive LTC Residents by Day from 03/03/2020 to
02/28/2021
Figure 1 shows the number of positive cases among LTC residents of Saint Louis County from 03/03/2020 to
01/31/2021. The date of diagnosis for LTC residents who were tested for COVID-19 was used to determine the
number of positive cases for each day. The red line is a rolling 7-day average.Figure 2. Reported Number of COVID-19-Related Deaths among LTC Resident-Cases by Week from 03/03/2020 to 02/28/2021 Figure 2 shows the reported number of COVID-19-related deaths among LTC resident-cases from 03/03/2020 to 02/028/2021. Death counts are summarized by week. The date of death was used for determining the number of deaths for each week.
Table 1. Demographic Information for LTC Residents Testing Positive for COVID-191
# of LTC cases % of all LTC # of deaths % of all LTC
(n=5,637*) cases (n=1,091**) deaths
White 3,359 59.6% 835 76.5%
Black 1,137 20.2% 221 20.2%
NA/AN 6 ≤1% ≤5 ≤1%
Race Asian 21 ≤1% 6 ≤1%
NHPI ≤5 ≤1% ≤5 ≤1%
Other or multi-racial 209 3.7% 10 ≤1%
Missing Race 902 16.0% 17 1.6%
NA/AN: Native American or Alaskan Native
NHPI: Native Hawaiian or other Pacific Islander
*902 of the 5,637 total LTC cases did not have a reported race
**17 of the 1,091 total LTC deaths did not have a reported race
# of LTC cases % of all LTC # of deaths % of all LTC
(n=5,637*) cases (n=1,091**) deaths
Hispanic/Latino 91 1.6% 15 1.4%
Ethnicity Non-Hispanic/Latino 4,316 76.6% 1028 94.2%
Not Specified/Other 1,109 19.8% 47 4.6%
Missing Ethnicity 121 2.1% ≤5 ≤1%
*121 of the 5,637 total LTC cases did not have a reported ethnicity
**≤5 of the 1,091 total LTC deaths did not have a reported ethnicity
# of LTC cases % of all LTC # of deaths % of all LTC
(n=5,637*) cases (n=1,091**) deaths
Male 1,986 35.2% 454 41.6%
Sex Female 3,563 63.2% 637 58.4%
Missing Sex 88 1.6%
*88 of the 5,637 total LTC cases did not have a reported sex
Table 1 displays demographic information for COVID-19 cases and deaths among LTC residents, which includes
breakdowns and percentages by sex, race, and ethnicity.
1) Demographic data have been updated and cannot be compared to previous reports.Table 2. Cumulative COVID-19 Case Counts by Facility Long-Term Care Facility Cumulative COVID-19 Case Counts ABERDEEN HEIGHTS 37 ACKERT PARK SKILLED NURSING & REHABILITATION CENTER 33 ALEXIAN BROTHERS SHERBROOKE VILLAGE 124 ALLEGRO ≤5 ANTHOLOGY OF CLAYTON VIEW ≤5 ANTHOLOGY OF TOWN & COUNTRY 12 APERION CARE HIDDEN LAKE 37 APPLEGATE RETIREMENT HOME 21 AUTUMN VIEW GARDENS 31 AUTUMN VIEW GARDENS AT SCHUETZ ROAD 14 AVALON MEMORY CARE ≤5 BALLWIN RIDGE HEALTH & REHABILITATION ≤5 BARNES-JEWISH EXTENDED CARE 37 BELLEFONTAINE GARDENS NURSING & REHAB 78 BENTLEYS EXTENDED CARE 42 BENTWOOD NURSING & REHAB 35 BETHESDA DILWORTH 71 BETHESDA HAWTHORNE PLACE ≤5 BETHESDA MEADOW 100 BETHESDA SOUTHGATE 95 BIG BEND WOODS HEALTHCARE CENTER 67 BRENTMOOR RETIREMENT COMMUNITY 12 BRIDGE AT FLORISSANT, THE (GARDEN PLAZA) 27 BROOKDALE CREVE COEUR 6 BROOKDALE WEST COUNTY 10 BROOKING PARK 50 CAPE ALBEON ≤5 CEDARHURST OF DES PERES 20 CHESTERFIELD VILLAS ≤5 CHRISTIAN EXTENDED CARE & REHABILITATION 46 COMMUNITY CARE CENTER OF LEMAY INC 13 CREST VIEW REHABILITATION AND HEALTHCARE CENTER 81 CRESTWOOD HEALTH CARE CENTER LLC 73 CREVE COEUR ASSISTED LIVING AND MEMORY CARE ≤5 CREVE COEUR MANOR 66 CRYSTAL CREEK HEALTH AND REHABILITATION CENTER 83 DELMAR GARDENS NORTH 160 DELMAR GARDENS OF CHESTERFIELD 108 DELMAR GARDENS OF CREVE COEUR 86
DELMAR GARDENS OF MERAMEC VALLEY 109 DELMAR GARDENS ON THE GREEN 75 DELMAR GARDENS SOUTH 71 DELMAR GARDENS WEST 94 DOLAN MEMORY CARE AT FRONTIER ≤5 DOLAN MEMORY CARE AT SCHUETZ ≤5 DOLAN MEMORY CARE AT WATERFORD CROSSING ≤5 DOUGHERTY FERRY ASSISTED LIVING & MEMORY CARE 10 ELIZABETH HOUSE (SARAH COMMUNITY) 61 ESTATES OF SPANISH LAKE 62 ESTATES OF ST LOUIS, LLC 28 FIESER NURSING CENTER ≤5 FLORISSANT VALLEY HEALTH & REHABILITATION CENTER 61 FOUNTAIN VIEW AT FRIENDSHIP VILLAGE SUNSET HILLS ≤5 FOUNTAINS OF WEST COUNTY 19 FRIENDSHIP VILLAGE CHESTERFIELD 37 FRIENDSHIP VILLAGE SUNSET HILLS 63 GABLES AT BRADY CIRCLE 10 GARDEN VIEW CARE CENTER AT DOUGHERTY FERRY 57 GARDEN VIEW CARE CENTER OF CHESTERFIELD 40 GARDEN VILLAS (DELMAR GARDENS) 9 GARDEN VILLAS NORTH (DELMAR GARDENS) 6 GARDEN VILLAS SOUTH (DELMAR GARDENS) 34 GREEN PARK SENIOR LIVING COMMUNITY 164 HERITAGE CARE CENTER 54 LACLEDE COMMONS 21 LIFE CARE CENTER OF BRIDGETON 48 LIFE CARE CENTER OF FLORISSANT 19 LUTHERAN CONVALESCENT HOME 110 LUTHERAN SENIOR SERVICES AT MERAMEC BLUFFS 113 MANOR GROVE INCORPORATED 41 MARI DE VILLA RETIREMENT CENTER INC 47 MARK TWAIN MANOR 40 MARY CULVER HOME ≤5 MARY, QUEEN AND MOTHER CENTER 82 MARYMOUNT MANOR 49 MASON POINTE CARE CENTER 67 MCKNIGHT PLACE ASSISTED LIVING AND MEMORY CARE 24 MCKNIGHT PLACE EXTENDED CARE ≤5 MOTHER OF GOOD COUNSEL HOME 32 MOTHER OF PERPETUAL HELP RESIDENCE INC 92
NAOMI HOUSE (SARAH COMMUNITY) 9 NAZARETH LIVING CENTER 103 NHC HEALTHCARE MARYLAND HEIGHTS 166 NHC HEALTHCARE TOWN & COUNTRY 110 NORMANDY NURSING CENTER 28 OAK KNOLL SKILLED NURSING & REHABILITATION CENTER 22 OAKWOOD ESTATES NURSING & REHAB 57 PARC PROVENCE 30 PARKWOOD SKILLED NURSING AND REHABILITATION CENTER 72 PEACE HAVEN ASSOCIATION 73 PILLARS OF NORTH COUNTY HEALTH & REHABILITATION CENTER 17 QUARTERS AT DES PERES 130 RANCHO MANOR HEALTHCARE & REHABILITATION CENTER 39 REGINA CLERI 6 RICHMOND TERRACE ASSISTED LIVING 25 SHERIDAN AT CHESTERFIELD 24 SHERIDAN AT CREVE COEUR ≤5 SHERIDAN AT LAUMEIER PARK 25 SOUTH COUNTY HABILITATION CENTER 25 SOUTHVIEW ASSISTED LIVING 32 ST AGNES HOME 15 ST ANDREW'S ASSISTED LIVING OF BRIDGETON 11 ST ANDREW'S AT FRANCIS PLACE 50 ST ANN ASSISTED LIVING CENTER ≤5 ST JOHNS PLACE 19 ST LOUIS PLACE HEALTH & REHABILITATION 21 ST SOPHIA HEALTH & REHABILITATION CENTER 118 STONEBRIDGE MARYLAND HEIGHTS 99 SUNRISE OF CHESTERFIELD 30 SUNRISE OF DES PERES 45 SUNRISE OF WEBSTER GROVES ≤5 SUNRISE ON CLAYTON 12 SUNSET HILLS HEALTH AND REHABILITATION CENTER 14 SUPERIOR MANOR OF DOWNTOWN ≤5 SURREY PLACE ST LUKE'S HOSPITAL SKILLED NURSING 46 TESSON HEIGHTS 15 U-CITY FOREST MANOR 29 VALLEY- A STONEBRIDGE COMMUNITY 11 VERONICA HOUSE (SARAH COMMUNITY) ≤5 WEST COUNTY CARE CENTER 34 WESTCHESTER HOUSE 50
WESTVIEW AT ELLISVILLE ASSISTED LIVING 21 Table 2 shows the cumulative number of LTC residents testing positive for COVID-19 by facility of residence, since the beginning of the outbreak. “Cumulative” in this instance represents both active cases and cases that have recovered.
Appendix
Table 3. Case Counts and Percentages among LTC Residents Testing Positive for COVID-19*
LTC resident cases % of all cases Facilities that have had
COVID-19 cases
5,637 6.4% 123
Table 3 displays the cumulative COVID-19 case counts for LTC residents in Saint Louis County since the beginning of
the outbreak, as well as the number of LTC facilities that have had at least 1 COVID-19 case among their residents.
It also displays the percentage of all Saint Louis County cases that are LTC residents.
*This does not include facilities that have only had members of their staff who have tested positive or been
probable COVID-19 cases.
Table 4. Death Counts and Percentages among LTC Residents Testing Positive for COVID-19
Deaths % of all COVID-19 deaths LTC resident COVID-19 case-
fatality rate
1,091 55.4% 19.4%
Table 4 shows the number of deaths among LTC residents testing positive for COVID-19, the percentage of COVID-
19 deaths who were LTC residents, and the LTC resident COVID-19 case-fatality rate.
Table 5. Number of COVID-19 Cases and COVID-19 Deaths in LTC Facilities by Month of
Specimen Collection Date and Date of Death
Month # Cases # Deaths
March 2020 23 ≤5
April 2020 718 146
May 2020 741 215
June 2020 183 67
July 2020 264 35
August 2020 392 57
September 2020 250 29
October 2020 317 26
November 2020 1120 126
December 2020 1011 246
January 2021 484 123
February 2021 134 20
Table 5 shows the number of newly diagnosed cases and deaths due to COVID-19 among LTC residents per monthYou can also read
