Lakeview Health Care & Rehab

    1450 W Ashley Rd, Boonville, MO, 65233
    2.9 · 16 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Caring staff, improvements, safety concerns

    I love the staff - kind, dedicated and caring - and my parent has made friends, activities and dining are back, and the new admin/remodels have improved the atmosphere. However the building is dated and smelled old, and I experienced serious problems in the past (medication/safety lapses, poor management, high turnover and negligence) - it's also pricey at $3,100/month. I'm grateful to the caregivers but remain cautious and would recommend only with reservations.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

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

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    2.94 · 16 reviews

    Overall rating

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

      3.4
    • Staff

      3.2
    • Meals

      3.5
    • Amenities

      3.3
    • Value

      3.0

    Pros

    • Caring, kind, and dedicated direct-care staff
    • Friendly, family-like atmosphere among residents and staff
    • Strong, supportive end-of-life care reported
    • Staff engagement with residents; activities and socialization
    • Recent administrative changes and visible remodeling
    • Residents becoming more active and dining in communal areas again
    • Good or decent food reported by multiple reviewers
    • Reliable external pharmacy delivery (Summer's Pharmacy)
    • Comfortable/cozy resident rooms and large activity space
    • Some reports of a clean facility after recent improvements
    • Staff described as professional, respectful, and helpful by many

    Cons

    • Medication errors and missed or unfilled pain medications
    • Understaffing and high staff turnover
    • Serious safety concerns, near-harm incidents, and delayed responses
    • Inconsistent or poor nursing care reported by several reviewers
    • Management problems including delayed payroll and disrespectful leadership
    • Allegations of negligence, HIPAA violations, and deaths mentioned in reviews
    • Old, dated, and sometimes malodorous facility areas
    • Supply shortages and lack of timely access to physical therapy
    • Construction-related disruptions and intermittent service impacts
    • Inconsistent cleanliness and maintenance issues
    • High self-pay cost (reported $3,100/month) relative to some budgets
    • Polarized experiences—reviews range from highly positive to strongly negative

    Summary review

    Overall sentiment in these reviews is markedly mixed, with strong, recurring praise for direct-care staff and meaningful concerns about clinical safety, facility condition, and management consistency. Many family members and residents emphasize that direct caregivers are compassionate, attentive, and create a family-like environment—examples include reports of excellent end-of-life care, staff who are engaged with residents, and a friendly atmosphere where residents form friendships. Several reviews specifically call out the activities program, large activity room, and renewed social life as important positives once COVID restrictions eased and the dining room reopened. Recent administrative changes and visible remodeling have been credited by multiple reviewers for improving atmosphere, bringing residents out of rooms, and restoring communal dining and activities.

    Despite those positives, a significant cluster of serious concerns appears repeatedly. Medication management problems are among the most alarming: reviewers reported medications not being given correctly, pain medications not being filled, and reliance on external parties or state intervention to address issues like room temperature. Multiple reviews describe understaffing and high staff turnover, leading to delays in care, supply problems, and limited access to physical therapy. Several commenters described poor nursing decisions or slow staff responses that posed safety risks. There are also extreme negative allegations in some reviews—HIPAA violations, negligence, and reports that people became very ill or died—which, while coming from reviewers and not verified here, indicate acute trust and safety issues for some families.

    Facility condition and cleanliness are another divided theme. A number of reviewers characterize the building as old, antiquated, and sometimes smelling "old," with dated rooms and intermittent cleanliness problems. Conversely, after remodeling and exterior redecorating credited to new leadership, other reviewers note improvements in appearance, a cleaner feel, and a more positive atmosphere. Construction-related disruption (for example, kitchen work) was mentioned and may explain intermittent service issues such as meal delivery changes or temporary impacts on food service.

    Management and organizational issues are reported with mixed impressions. Several reviewers praise recent administrative restructuring and a new administrator for positive cultural change, improved activities, and better resident mood. Others report disrespectful management behavior, delayed payroll that affects staff morale, and managerial dishonesty. This inconsistency in leadership experience appears to contribute to the polarized overall impressions—some reviewers see a facility in recovery under new leadership, while others continue to experience serious deficiencies. The presence of both enthusiastic recommendations and calls to close the facility underscores this split.

    Dining and ancillary services present mostly neutral-to-positive comments: food quality is described as good or decent by several families, though there were times (during COVID or construction) when meals were delivered to rooms. Pharmacy service (Summer's Pharmacy) received explicit praise for reliable medication delivery. However, there are reports of supply shortages and gaps in therapy services, notably limited or no access to physical therapy in some cases.

    In summary, Lakeview Health Care & Rehab elicits strongly divergent experiences. The most consistent strengths are the compassion and dedication of many direct-care staff, a revived activities program and communal life under recent administrative changes, and some clear operational improvements tied to remodeling. The most serious and frequent concerns are medication and safety incidents, understaffing and turnover, dated facility areas and intermittent cleanliness, and management inconsistencies that include reports of payroll problems and, in a few reviews, severe allegations of negligence or privacy violations. Prospective residents and families should weigh these polarized reports carefully: it is advisable to tour the facility in person, ask specifically about recent state inspection results, staffing ratios, medication management protocols, turnover rates, and recent corrective actions taken by administration to address the safety and care concerns raised in the reviews.

    Location

    Map showing location of Lakeview Health Care & Rehab

    About Lakeview Health Care & Rehab

    Lakeview Health Care & Rehab sits about two miles outside Boonville, Missouri, in a small-town setting where folks get different kinds of care without needing to travel much. The center has skilled nursing, rehabilitation, and memory care, and offers independent living, assisted living, and home care options as well. There are 59 certified beds, and on average about 38 residents each day. The staff includes nurses, nurse practitioners who stop by weekly, and primary care doctors who visit every month, while specialists like optometrists, podiatrists, and psychiatrists visit regularly, so residents can see medical providers on site. There's a counselor and a beautician who visit at least once a month, and services include physical, occupational, and speech therapy, plus things like palliative care, respite care, medication help, and individual care plans. The team uses physician-directed protocols and custom nutrition plans, but there's been a nutrition and dietary deficiency noted, and the nurse-hour average per resident per day is lower than the state average.

    The community tries to support social and emotional health too, offering counseling and activities in a warm space that values dignity and respect, and the enclosed courtyard's got raised gardens for wheelchair gardening, while the two covered porches have views of the lake and fishing is sometimes allowed. Meals come from a menu and cooks work with residents on their preferences. Lakeview's dedicated team manages medical needs on site, uses transportation when needed and lets family members ride to appointments, so it's often easier for visits. There's a memory care service for those with Alzheimer's or dementia. Amenities are modern, and programs aim to help residents with their physical, social, and emotional well-being, with on-site therapy to regain strength and independence.

    Lakeview Health Care & Rehab Center's owner is Circle B Enterprises Holding Company Inc, and it runs as a for-profit limited liability company. Over the last three years, inspection reports found 32 deficiencies, including infection control issues and six infection-related deficiencies, but with no major harm reported. Nurse turnover sits at 66.7%, above the state average, and nurse hours are below what's typical in Missouri. The Center for Medicare & Medicaid Services gives Lakeview a 3-star rating, which is moderate. The community's average score in its own rating system is 5.1 out of 10, showing there are positives but also room for improvement. The facility offers a range of studio rooms and lets residents get care, therapy, and appointments mostly without leaving, while keeping a simple, neighborly atmosphere. Todd Anderson manages the community.

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