Arbor Hills Nursing and Rehabilitation Center

    800 Chambers Rd, Ferguson, MO, 63135
    3.4 · 14 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Nice setting, inconsistent care, unsafe

    I toured Arbor Hills and came away conflicted. The building is fairly new, single-level and home-like with a courtyard, redesigned dining area, many activities, and staff who greeted residents by name - the skilled-nursing side looked clean and well cared for. But I also saw inconsistent care on the assisted-living side, maintenance issues, and at least one dirty bathroom with feces on the floor. Families have reported unprofessional behavior, alleged staff theft/abuse, medication-chart gaps, poor communication from administration, and little follow-up on complaints - I was told of serious incidents that made me uneasy. Management seemed unresponsive at times, and staffing/safety felt unreliable. If you're considering this place, visit often, inspect care and records yourself, and be very cautious.

    Pricing

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    Amenities

    3.43 · 14 reviews

    Overall rating

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

      2.4
    • Staff

      3.1
    • Meals

      3.0
    • Amenities

      4.4
    • Value

      1.0

    Pros

    • Clean facility / no smell reported by many reviewers
    • Friendly, helpful and consistent staff who learn residents' names
    • Skilled nursing services available
    • Room options (single rooms and shared rooms)
    • Patio, courtyard and garden / outdoor space
    • Single-level layout and convenient parking/location
    • Home-like interior and comfortable surroundings
    • Redesigned dining area and attractive common spaces
    • Activities program with opt-out choice
    • Alexa system set up in rooms
    • Area designated for smokers
    • Staff accommodating and attentive during tours

    Cons

    • Allegations of theft by staff and residents
    • Administration neglect and unresponsiveness to complaints
    • Poor or no follow-up on family concerns and complaints
    • Inadequate communication about hospitalizations and incidents
    • Unsafe supervision of residents with dementia
    • Serious sanitation issues reported (feces on bathroom floor, dirty bathrooms)
    • Maintenance problems (water trickles, general disrepair)
    • Medication administration/documentation errors (MAR not documented) and alleged overdose
    • Staff unprofessionalism, distraction (on phones), and misconduct (spitting)
    • Allegations of staff abusing residents and rehiring potentially dangerous employees
    • Inconsistent quality of care between nursing and assisted living sides
    • Perceived poor management/owner conflict of interest
    • Reports of nutritionally deficient or unappetizing meals
    • Calls from some reviewers for the facility to be closed

    Summary review

    Overall impression: Reviews of Arbor Hills Nursing and Rehabilitation Center are highly polarized. A substantial portion of reviewers describe the facility as clean, modern, and welcoming with friendly staff, good amenities and a comfortable environment. At the same time, other reviewers report serious safety, sanitation, staffing, medication and management problems that they believe warrant major concern or even closure. These conflicting perspectives produce a mixed overall picture: there are legitimate strengths in facility design, social spaces and in some staff members' conduct, juxtaposed with recurring, severe allegations about care quality and resident safety.

    Care quality and clinical concerns: Several reviewers praise the availability of skilled nursing and indicate that residents receive attentive, personalized care from staff who know residents by name. However, multiple serious complaints cite medication errors, failures to document medication administration records (MAR), and at least one allegation that a relative was overdosed by nursing staff and subsequently left unconscious in the ICU. Other reviewers reported being left unsupervised (including dementia patients), family members asserting staff were distracted and on phones rather than watching patients, and poor communication to families about hospitalizations or incidents. These accounts point to inconsistent clinical oversight and possible lapses in medication management and supervision — risks that are especially critical in a nursing setting.

    Staff behavior and professionalism: The staff are described in strongly contrasting ways. Many reviewers call staff wonderful, friendly and accommodating, noting good bedside manner and a home-like approach. Conversely, serious accusations include theft of residents' belongings, staff abusing residents, spitting in common areas, rehiring of allegedly problematic employees, and general unprofessionalism. Several reviews also cite administration being unresponsive to complaints, creating distrust and escalation of family concerns. The pattern is one of variability: some employees appear highly competent and caring while others are accused of behaviors that endanger residents and violate trust.

    Facility, cleanliness and maintenance: Numerous reviewers describe the building as fairly new, single-level, clean, odor-free and pleasantly appointed with a courtyard, patio and garden areas. Positive mentions include comfortable room setups, the option to personalize rooms, redesigned dining areas and helpful amenities such as an Alexa system and accessible parking. Contrasting reports raise red flags: specific instances of feces on bathroom floors, dirty bathrooms, trickling water in sinks and unresolved maintenance issues. The discrepancy between overall cleanliness praised by many and the isolated but serious sanitation incidents reported by others suggests inconsistency in housekeeping and maintenance standards across time or across different units/areas.

    Dining and activities: Several reviewers compliment the food and newly redesigned dining area and note an active schedule of activities with an opt-out model that some residents appreciate. Others, however, describe meals as nutritionally deficient and unappetizing. This echoes the general theme of unevenness — the facility may offer quality dining and social programming at times, but experiences vary among residents and units.

    Management and governance: A recurring theme is dissatisfaction with management and administration. Complaints include poor responsiveness, lack of follow-up on grievances, alleged conflict of interest when an owner also serves as administrator, and calls by some reviewers to shut the facility down. At the same time, some reviewers say they’ve seen improvements and that the nursing side appears well cared for. The pattern suggests leadership and oversight may be inconsistent or in flux, with improvements as well as persistent unresolved issues.

    Patterns and practical implications: The reviews collectively indicate two key patterns: (1) meaningful strengths in physical environment, some staff members, and available services; and (2) recurrent, serious allegations around safety, medication management, sanitation, theft and administrative responsiveness. The combination of positive impressions with reports of severe lapses suggests that experiences can differ widely depending on shifts, units, or individual staff members. Several reviewers explicitly recommend frequent family visits and vigilance, which aligns with the inconsistent reports.

    Recommendation for prospective families: Given the polarized reviews, families should perform careful, targeted due diligence. Visit multiple times, tour both the nursing and assisted-living sides, ask direct questions about staffing ratios, medication administration practices and incident-report follow-up, request recent inspection and complaint records, inquire about staff hiring/rehiring policies, and verify housekeeping/maintenance protocols. Talk to multiple families and, if possible, observe shift changes and mealtimes. If concerns about supervision, medication documentation or theft are especially salient, those issues should be explored in depth with administrators and through state inspection/licensing reports before making a placement decision.

    Location

    Map showing location of Arbor Hills Nursing and Rehabilitation Center

    About Arbor Hills Nursing and Rehabilitation Center

    Arbor Hills Nursing and Rehabilitation Center sits in Ferguson, Missouri, where you'll find 150 beds for skilled nursing and 28 beds for assisted living, so it covers folks who need a lot of help and those who just need a bit. The place provides both long-term and short-term stays, and takes care of people coming straight out of the hospital or those who need somewhere to call home for a while, offering services like memory care for folks with Alzheimer's, respite care when families need a break, and palliative and hospice services for comfort in later stages. Medicare and Medicaid cover those in need, but private-pay is an option too, and those in assisted living might get state help depending on their situation. Staff include Certified Nursing Assistants, Licensed Practical Nurses, and Registered Nurses, with about 2.97 total nurse hours per resident per day, and you'll see about 89 folks living there on an average day, though the nurse turnover rate sits higher than state average, at 76.6%. Residents see about 1 minute of physical therapy a day, 11 minutes from RNs, 45 minutes from LPNs, and 121 minutes from CNAs, so most hands-on care comes from the nursing assistants, and the place does have a licensed therapy team available every day.

    Quality checks and Medicare star ratings track care over time, and the place participates in CMS Quality initiatives, following infection control practices especially with infection complaints and COVID-19 protocols in place. You might want to know about inspection results-there have been 58 total deficiencies, some related to infection control, accident hazard prevention, and treatment follow-through, though recent ones haven't reported actual harm, just potential for more harm than minimal. There've been several complaints recently, including in September 2024 and April 2025, and each had some deficiencies called out, but the staff still keep up scheduled visits following health guidelines, and infection control gets watched closely. Arbor Hills gives meals in the community, plus daily activities to keep folks engaged, and hosts monthly outings, has a gift shop, on-site beauty and barbershop, and a courtyard for residents to use. Wheelchair transport is available, so residents can get around easily, and the center helps with wound care, IV therapy, tube feeding, and general activities of daily living.

    Jobs are open for CNAs, LPNs/LVNs, and RNs, as the large staff covers round-the-clock needs. Arbor Hills has a newer, recently updated building meant to give a home-like feel. The single campus tries to treat everyone like family, with rooms, therapy, and activities all close at hand, and both skilled nursing and assisted living under one roof, so you'll find a wide range of care for seniors at different stages of need.

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