Barnes-Jewish Extended Care

Skilled nursing and rehabilitation affiliated with Barnes-Jewish Hospital/BJC HealthCare, operated in partnership with Bethesda Health Group, near downtown Clayton. Verified via bethesdahealth.org and bjc.org.

Missouri regulatory information

Barnes-Jewish Extended Care is located in the Greater St. Louis area and is licensed by the Missouri Department of Health and Senior Services (DHSS), Section for Long-Term Care Regulation. Skilled Nursing Facility (SNF) or Intermediate Care Facility (ICF) license under Chapter 198 RSMo and CMS certification.

Verify this facility's license, inspection history, and any deficiency citations on the Missouri DHSS Section for Long-Term Care Regulation facility search (health.mo.gov) →

Medicaid: Missouri residents who qualify for facility level of care may be eligible for Missouri's Aged and Disabled Waiver (ADW) and Missouri Care Options (MCO) through MO HealthNet. The Aged and Disabled Waiver, administered through DHSS's Division of Senior and Disability Services, can cover personal care and supports usable in an RCF/ALF setting or at home, but it does not pay for RCF/ALF room and board. Not all facilities accept Medicaid — confirm directly with the provider.

Clayton location & hospital context

Barnes-Jewish Extended Care is located in Clayton, St. Louis County, MO. Nearby hospitals include SSM Health St. Mary's Hospital, Barnes-Jewish Hospital.

Greater St. Louis veterans are served by the VA St. Louis Health Care System (John Cochran Division and Jefferson Barracks Division), along with the Missouri Veterans Commission and Missouri Veterans Homes statewide. Veterans and surviving spouses may be eligible for VA Aid & Attendance toward care costs.

Typical cost of nursing home in Clayton

In 2026, Nursing Home in Greater St. Louis typically runs $6,000–$8,500/mo. Clayton, Ladue-adjacent areas, Chesterfield, and Town & Country-adjacent West County communities tend to run toward the higher end, while North St. Louis City and parts of North St. Louis County run comparatively lower. The exact rate at Barnes-Jewish Extended Care depends on room type and care level — request a written rate schedule before comparing options.

How to evaluate Barnes-Jewish Extended Care

The strongest predictors of care quality at a senior-care community aren't in the brochure. Ask directly for the overnight caregiver-to-resident ratio, since the daytime numbers hide the real picture, and ask alongside it about turnover over the past year and how long the administrator has held the post. Find out which care needs would trigger a move-out, and how often the care plan is reviewed. Walk the halls during both a meal and an activity, watching whether residents actually seem engaged. Verify the Missouri DHSS license and inspection history through the DHSS Section for Long-Term Care Regulation facility search.

Questions to ask on your tour

• What is the overnight caregiver-to-resident ratio?
• How long have the administrator and head caregiver been in their roles?
• What care needs would require a resident to transfer to a higher level of care?
• How are medications managed, and how are errors tracked?
• What Missouri DHSS license do you hold — Residential Care Facility I (RCF I), Residential Care Facility II (RCF II), or Assisted Living Facility (ALF) under Chapter 198 RSMo and 19 CSR 30-86 — and do you have dementia-trained staff on every shift?
• What activities are offered seven days a week?
• How do you handle a resident fall or medical emergency at 2 a.m.?
• Can I visit unannounced after we've signed the residency agreement?
• Do you have any current DHSS citations or enforcement actions on the licensing search?
• Do you accept the Aged and Disabled Waiver, Missouri Care Options, or VA Aid & Attendance?
• If my parent needs dementia care, is your staff training current under Missouri's 19 CSR 30-86 Alzheimer's Special Care Disclosure standards?

Other nursing homes in Greater St. Louis

• Garden View Care Center of Chesterfield — Chesterfield, MO
• Garden View Care Center of University City — University City, MO
• Laclede Groves Health Center — Webster Groves, MO
• Friendship Village Health Center — Chesterfield, MO