St. Peters Rehab and Healthcare Center

    230 Spencer Rd, Saint Peters, MO, 63376
    3.3 · 70 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Understaffed facility with safety issues

    I had a mixed but mostly negative experience. The building is generally clean, some elders and a few staff are kind, and therapy can be excellent - but chronic understaffing, high turnover and agency nurses mean missed care, unanswered call lights, medication errors, delayed bathroom/food help, and safety/dignity issues. No private rooms, restricted visitation, set menus, and management that feels money-focused make it worse; transfers and serious incidents were handled poorly with no family callbacks. I would not entrust a loved one here and would report major incidents to state regulators.

    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

    3.31 · 70 reviews

    Overall rating

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

      2.7
    • Staff

      2.9
    • Meals

      1.8
    • Amenities

      3.1
    • Value

      1.0

    Pros

    • Caring and hardworking direct-care staff
    • Successful short-term rehab/therapy program
    • Some superb nursing and rehab therapists reported
    • Improved performance under new management/ownership
    • On-site salon services
    • Visiting podiatrist and eye doctor
    • Weekly doctor and nurse practitioner visits
    • 24-hour laundry service
    • Clean areas and no strong odors reported by many
    • Friendly housekeepers and cooks
    • Daily activities and occasional field trips
    • Family-like atmosphere for some residents
    • Staff transparency efforts (posted shift coverage)
    • Photos of long-tenured staff visible
    • Accommodating meal adjustments reported by some families
    • Convenient location for some reviewers
    • Private rooms reported available by some
    • Low noise level in parts of the facility
    • Supportive and attentive named staff (e.g., Nichole, Paula)
    • Facility making ongoing improvements and upgrades

    Cons

    • Serious and repeated allegations of neglect
    • Medication errors and mishandling (including allergy incidents)
    • Delayed or denied hospital transfers and poor emergency response
    • Inadequate communication with families (no callbacks, not notified)
    • Staffing shortages and heavy reliance on agency nurses
    • High staff turnover and inconsistent caregiver knowledge
    • Long waits for assistance and unanswered call lights
    • Poor hygiene and cleanliness reports in some areas (soiled rooms, odors)
    • No showers or reduced personal care for extended periods
    • Falls and repeat falls with insufficient fall prevention
    • Bruises, pressure sores, dehydration and weight loss reported
    • Belongings mishandled or left unattended
    • Food quality complaints (unappetizing, repetitive, tough meat)
    • Old, outdated facility and smaller rooms
    • Management perceived as uncaring or only present for corporate visits
    • Instances of theft or missing money alleged
    • Staff smoking on premises and other unprofessional behaviors
    • Visitor/phone access problems (no phones, ringer off, poor callbacks)
    • Conflicting accounts about cleanliness and infection control
    • Restricted or limited visitation/private room availability
    • Paperwork and transfer blocking by previous facility notes
    • Unpaid agency staff/payroll problems
    • Safety concerns around dementia patient placement and mixing
    • Inconsistent meal service (not served drinks, menu monotony)
    • Allegations of abusive or rude staff behavior

    Summary review

    Overall impression: Reviews of St. Peters Rehab and Healthcare Center are sharply mixed and polarized. A meaningful number of reviewers praise caring, hardworking direct-care staff, effective rehab therapy, and improvements under new management. However, an equally significant portion of reviews describe systemic problems: staffing shortages, inconsistent care quality, medication errors, communication failures, and serious safety incidents. This results in a high-variance experience where some families report excellent, attentive care and successful short-term rehab outcomes, while others report neglect, near-fatal delays in hospital transfers, and unsafe conditions.

    Care quality and safety: The most serious and recurring theme among negative reviews is safety and neglect. Multiple reviewers described falls, repeat falls, delayed or refused hospital transfers, and at least one near-fatal incident that required ambulance intervention. Medication errors and mishandling were reported repeatedly (including a specific allergy incident), and family members reported weight loss attributed to medication changes, missed medications, and failure to provide needed aids (hearing aids, glasses). There are also several reports of pressure sores, bruising, dehydration, and residents being found unresponsive. These are not isolated complaints and point to gaps in clinical oversight and emergency response protocols when staffing is inconsistent.

    Staffing, turnover, and agency nurses: Staffing instability is a dominant pattern. Many reviewers described chronic understaffing, long shifts, and frequent use of agency nurses; some agency staff reported unpaid wages. High turnover leads to inconsistent caregiver knowledge and routines, which in turn contributes to missed care events (e.g., long waits for bathroom assistance, call lights ignored, personal hygiene lapses such as no showers for weeks). Conversely, several reviews call out specific long-term employees and named caregivers (e.g., Nichole, Paula) as excellent, suggesting that where experienced, consistent staff are present, care quality improves significantly. New management and upgraded nursing teams were explicitly credited in multiple reviews with improving staff morale and clinical performance, indicating the facility may be in transition.

    Communication and family involvement: Poor communication with families is another frequent complaint. Reported problems include no callbacks, phones without ringers, family members not informed of transfers to hospital, and belongings left untouched or not returned. Some families had to check on loved ones daily, bring food or clothing, or advocate aggressively to get medical care. In contrast, other reviewers stated staff were easy to reach, responsive, and provided helpful information. This wide spread suggests variability in unit-level communication practices and that outcomes may depend heavily on individual staff on duty or which administrative team is overseeing the resident.

    Facilities, cleanliness, and infection control: Reviews about facility condition and cleanliness are inconsistent. Several reviewers praise a clean environment with no odor, well-kept grounds, and functioning laundry and salon services. Others describe filthy rooms, lingering smells, slow cleanup after accidents, and soiled linens or rooms. Some reviews specifically noted bathroom safety concerns and smaller, outdated rooms. These conflicting accounts indicate that while some parts of the building and certain shifts maintain high standards, lapses occur often enough to raise concern and merit monitoring.

    Dining and amenities: Dining quality is another mixed area. Multiple reviewers criticized repetitive menus, poor food quality (notably too much pork, tough meat, and unappetizing sandwiches), and occasional missed meal service (residents not served drinks). Yet, other families reported accommodating meals and friendly cooks. Positive amenities that show up repeatedly include an on-site salon, visiting podiatrist and eye doctor, and available daily activities and occasional outings, which contribute positively when implemented reliably.

    Management, improvements, and administration: Reviews point to a management divide. Several reviewers allege owners and corporate administrators are absent or only present during inspections, focused on finances over care, and sometimes block transfers due to paperwork. Conversely, multiple recent reviews applaud new management/ownership and a new director who prioritized staffing, upgraded therapy, and made tangible improvements; these reviewers credit that leadership with better outcomes and more attentive care. This suggests the facility may be undergoing genuine improvement efforts, but they are not yet consistently applied across all units or shifts.

    Notable procedural and ethical concerns: There are a number of alarming allegations that go beyond standard complaints: an unauthorized pharmaceutical representative allowed in the building, staff smoking on premises, theft/missing money reports, residents' DNR decisions and end-of-life communication issues, and agency payroll disputes. These issues implicate policy enforcement, staff supervision, and the need for clearer safeguards to protect residents’ rights, privacy, and property.

    Who may be served well vs who may be at risk: Residents needing short-term rehab and those who have been assigned to stable, long-tenured staff or who benefit from the new management’s improvements report good outcomes and recommendations. Conversely, more medically fragile residents, those with dementia mixed in with general population, or families unable to maintain close oversight reported heightened risk of neglect. The frequent reports of falls, delayed transfers, and medication errors particularly flag medically complex residents as vulnerable.

    Actionable takeaways: The reviews support several clear actions for families considering St. Peters: (1) Visit in person and evaluate unit-level staffing and cleanliness at different times of day; (2) Ask management about use of agency staff, staff turnover rates, and nurse-to-resident ratios; (3) Verify emergency transfer protocols and how the facility communicates with families; (4) Confirm specifics on meal accommodations, laundry, and hygiene schedules; (5) Check recent state inspection reports and any substantiated complaints; and (6) Establish a plan for frequent monitoring early in placement and maintain written communication with staff. The facility shows real strengths in therapy and some dedicated staff, and there are reports of positive change under new leadership — but inconsistent application of policies, staffing instability, and repeated safety allegations mean families should proceed cautiously and monitor care closely.

    Location

    Map showing location of St. Peters Rehab and Healthcare Center

    About St. Peters Rehab and Healthcare Center

    St. Peters Rehab and Healthcare Center has a large building with 96 certified beds and usually has about 87 people living there each day, and while the care they give covers many needs from skilled nursing and assisted living to independent living and memory care, as well as hospice, adult day services, and both Medicare-certified and non-medical home care, the biggest thing to know is they accept Medicare and Medicaid, which can really help families. They offer short-term rehab if someone needs therapy after a hospital stay and long-term care for people who need a lot of help, and there's a dedicated memory care unit with a secure space for people with dementia or Alzheimer's, where staff work around the clock. St. Peters has a broad set of therapies-physical, occupational, and speech-and provides respite care, laundry, regular cleaning, and meals that try to be nutritious and taste good, including seasonal foods meant to please residents. Each person gets a care plan, and skilled nurses, certified nursing assistants, and rehab specialists try to help people get stronger or feel comfortable. The place has some beautiful dining areas, spa-like amenities, big communal lounges and recreation spaces, and some nice interior courtyards and spots to relax, plus they run a lot of activities and keep people connected with social media and other programs.

    While they do offer a wide range of services, there are serious issues to consider, especially with health and staffing-quality measures are rated average, but both health inspections and staffing are rated much below average, and the overall rating is much below average, so that's something families need to think about. There have been 115 reported deficiencies from inspections, with a recent fine for failing accident prevention and more problems with infection control, including 11 infection-related issues and a few complaint reports in late 2024 and early 2025, which brings up some concerns about how safe the environment really is, as well as how well they follow infection standards. Nurse turnover is very high, at almost 85%, which means many nurses don't stay long-though nurse staff put in 3.56 hours per resident per day, which is actually a bit above the state average, it doesn't always mean things feel settled. Ownership and management changed in March 2024 and now sit with St Peters Holdco LLC, along with Ama Holdings LLC and others involved, and the facility has a relationship with the Missouri Health Care Association, focusing on advocacy, regulatory topics, staff education, and training like CMT, CNA, and insulin management courses, and they emphasize having highly skilled staff with a deep commitment to residents, but it has been marked as a Special Focus Facility Candidate because of a history of serious quality problems.

    St. Peters says they focus on compassionate care, well-being, and improving life for each resident, offering post-acute and long-term care that is patient-centered with personalized care plans, and they provide a safe place to recover with specialized medical and rehab services, but families should know about the recent inspection records, staff turnover, and safety concerns when considering this community.

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