Republic Nursing and Rehab

    901 State Hwy 174, Republic, MO, 65738
    3.1 · 42 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Outstanding staff unsafe management neglect

    I appreciated the loving, attentive caregivers, very clean quiet rooms with natural light, decent food at times, and excellent rehab/therapy that improved mobility - many frontline staff went above and beyond. But I encountered toxic, unsupportive management, chronic short-staffing, slow call-bell responses, poor medication disclosure and several serious safety/medication incidents that left families shaken. I also saw neglect, withheld records, rude admins and at least one violent staff issue, so accountability is needed. In short: outstanding direct care and rehab, but I would only consider this place if I (or an advocate) could closely monitor care and medications.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.12 · 42 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.4
    • Meals

      4.0
    • Amenities

      4.5
    • Value

      1.0

    Pros

    • Caring and dedicated CNAs/caregivers
    • Excellent rehabilitation/therapy services
    • Clean facility and well-kept rooms
    • Large rooms with natural light and quiet environment
    • Staff who go above and beyond and form family-like relationships
    • Hospice kindness and compassionate end-of-life care
    • Timely, well-paced therapy with improvements in mobility
    • Variety of activities and delivered entertainment during lockdown
    • Accepts Medicaid
    • Convenient location
    • Helpful case management and individual advocates (e.g., Susan, Josh)
    • Attentive housekeeping and overall cleanliness
    • Some very good or excellent food options
    • Strong social services and supportive staff in many cases
    • Safe COVID practices reported by some reviewers

    Cons

    • Toxic and bullying management (DON/ADON)
    • Short-staffing and overworked aides
    • Residents neglected or left soiled for long periods
    • Long response times to call lights (30–45 minutes reported)
    • Rough handling and physical mistreatment leading to injuries
    • Medication errors and improper administration (alleged deaths)
    • Delays in notifying family about incidents or changes
    • Favoritism, corruption, and alleged cover-ups during inspections
    • Police involvement, restraining orders, and escorted staff removals
    • Violent or impaired staff on duty (including nurses drunk in parking lot)
    • Excessively long shifts (reports of 16-hour shifts) and unpaid lunch disruptions
    • Withholding of binders/personal records and missing personal items (dentures, glasses)
    • Financial abuse and money-focused practices alleged
    • Poor medication disclosure and doctors rarely visiting
    • Emotional trauma and lack of respect toward residents and workers
    • Infections, dehydration, bedsores, abrasions reported
    • Variable staff quality—wide inconsistency between excellent and negligent caregivers
    • Administration denial and lack of accountability when problems are raised
    • Unsafe or dysfunctional workplace atmosphere cited by multiple reviewers
    • High-risk safety incidents (stitches, violent episodes) without clear legal outcomes
    • Unprofessional or rude administrative staff

    Summary review

    Overall impression: The reviews for Republic Nursing and Rehab are highly polarized, producing a mixed but serious picture. A substantial number of reviewers praise individual caregivers, therapy staff, hospice personnel, and certain administrators for compassionate, effective care and rehabilitation outcomes. Conversely, many reviews describe systemic problems tied to management, staffing, safety, and accountability. These competing themes suggest the facility may deliver excellent hands-on care in many instances while simultaneously suffering from organizational, staffing, and leadership failures that create significant risk for residents.

    Care quality and clinical safety: Several reviewers report strong clinical results—especially in rehabilitation and therapy—citing improved mobility, timely therapy sessions, and staff who ‘‘get residents on their feet.’' Hospice and some nursing staff receive explicit praise for kindness and support. However, there are multiple and serious negative clinical allegations: medication errors (including at least one allegation of death due to improper medication administration), dehydration, infections, bedsores, abrasions, and injuries requiring stitches. Some reviews claim delays in notifying families about incidents and questionable medication disclosure practices. These safety concerns are among the most serious themes and contrast sharply with accounts of excellent clinical care from other families.

    Staff and day-to-day caregiving: Many reviewers single out CNAs and direct caregivers as compassionate, patient, and attentive—describing them as the facility’s strongest asset. Several individuals (including named staff such as a Case Manager Susan and an advocate named Josh) are praised for going above and beyond, arranging accommodations for families, and advocating for residents. At the same time, a repeated and prominent complaint is short staffing and overworked aides. Reports of long shifts (up to 16 hours), unpaid lunch interruptions, and long response times to call bells (30–45 minutes) suggest chronic workforce strain. Multiple accounts describe inconsistent staff performance: while some caregivers are ‘‘wonderful,’' others are described as rough, unresponsive, or negligent. These inconsistencies point to staffing levels, training, or morale issues affecting quality and consistency of care.

    Management, culture, and accountability: Management and leadership receive the most negative commentary. Common themes include toxic workplace culture, bullying by DON/ADON, favoritism, denial of problems by administration, and allegations of corruption or cover-ups during inspections. Some reviews describe extreme responses—police involvement, restraining orders, and staff escorted out—indicating episodes of significant conflict or safety risk. Families recount withheld binders or personal records, missing personal items, and administration being unsupportive when concerns are raised. The combination of these reports suggests weak grievance handling and limited transparency, which exacerbates distress for families and staff.

    Safety incidents and legal/ethical concerns: Several reviews make alarming claims about safety: violent or impaired staff (reports of nurses drunk in the parking lot, a violent nurse escorted out), rough handling causing injuries, and allegations of financial abuse or being ‘‘money-focused.’' There are mentions of investigations and calls for shutdowns by reviewers. While these are serious and vary in specificity, the repetition of such incidents across multiple reviews signals a pattern of severe risk factors that families should weigh carefully.

    Facilities, dining, and activities: Physical facility aspects are generally described positively. Many reviewers report clean rooms, no bad odors, comfortable accommodations, and natural light. Activities and entertainment, including programming delivered during lockdowns, are noted as strengths that help keep residents engaged. Food receives mixed comments—some say food is good to excellent, while others think it could be better. The facility’s acceptance of Medicaid and convenient location are practical positives frequently mentioned.

    Communication and responsiveness: Communication is inconsistent in the reviews. Positive accounts highlight effective social services, supportive case managers, and staff who listen and solve problems. Negative accounts emphasize poor communication from administration, delays in family notification about incidents, difficulty retrieving personal items, and doctors rarely visiting. Long call-response times and the need for family advocacy are recurring themes.

    Patterns and overall assessment: The most consistent pattern is high variability—many families experienced deeply caring, competent staff and good rehabilitation outcomes, while others report neglect, abuse, medical errors, and managerial obstruction. The presence of both highly positive and highly alarming reports suggests that residents’ experiences may depend strongly on which staff and supervisors are on duty, staffing levels at the time, and the specific unit or team involved. The frequency and severity of negative safety and management allegations (medication mistakes, neglect, cover-ups, violent staff) are notable and warrant careful attention.

    Implications for families: Based on review content, families considering this facility should weigh the potential for excellent hands-on care and rehabilitation against repeated reports of systemic managerial and safety failures. When evaluating the facility, families may want to ask about current staffing ratios, incident and inspection histories, medication administration protocols, staff training and background checks, and how complaints are handled and investigated. Visiting during different shifts, speaking directly with therapy staff and case managers, and requesting documentation of investigations or corrective actions could help clarify whether the facility’s positive practices are consistent and whether the serious negative issues have been addressed.

    In summary, Republic Nursing and Rehab receives both strong praise for direct care, therapy, cleanliness, and select staff members, and serious criticism for management, staffing, safety, and accountability. The mixed nature of the reviews means potential residents and families should perform careful, targeted inquiries to distinguish between the facility’s strengths and the systemic risks highlighted by multiple reviewers.

    Location

    Map showing location of Republic Nursing and Rehab

    About Republic Nursing and Rehab

    Republic Nursing and Rehab sits at 901 East Hwy 174 in Republic, Missouri, and it's got a capacity of 127 beds, and you see an average of 109 residents per day, which tells you the place stays pretty full most of the time, right now about eighty percent or so, and it's a for-profit nursing home, run by Ltc Management Services LLC since 2014. There's no CCRC setup here, and there's no formal resident or family council either, but people come for different needs, from short-term rehab to long-term care and hospice services, all under physician supervision. The staff provide 24-hour skilled nursing care and handle things like wound care, post-operative care, and medication, and they work to personalize care plans for each resident, but nurse turnover's a bit high at around seventy-one percent, which is higher than the Missouri average, and the nurse hours per resident, at three hours a day, sits a little lower than the state average too.

    You'll see services for speech, occupational, and physical therapy, alongside dentistry, podiatry, mental health support, and inpatient rehab programs, all aiming to help folks get back to their best ability, and they've got transportation and lots of events or activities planned out to keep things going for the residents. They accept Medicare and Medicaid, and the place stays open all day and night. The building offers both private and semi-private living spaces, complete with their own bathrooms and showers, and it's got some modern touches that try to keep things both practical and cozy at the same time. Republic Nursing and Rehab has consistently earned high marks on inspection reports, usually scoring an A+ for the facility itself and showing strong infection control in most cases, though, you should know there have been deficiencies noted, including infection control and resident rights issues, for which state inspectors cited them twenty-three times in total, so it's important to keep that in mind when considering options. The community's known as Christian Health Care in Republic, MO, and it's connected in name to James & Judy Lincoln, and you'll find that there's a real focus on compassionate, hands-on care, even as they work through their challenges, and you'll see a lot of seniors living here for both short and long periods, and whether it's therapy, nursing care, or needing a safe place to recover, people do seem to stay for many reasons.

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