Pricing ranges from
    $4,600 – 7,200/month

    The Meadowlands

    135 Meadowland Estates Ln, O'Fallon, MO, 63366
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Warm staff, caution for acuity

    I found the staff uniformly warm, caring and professional, the building clean with well-kept grounds, lots of activities, and a very flexible, restaurant-style dining program (kitchen open roughly 7-7). Rooms vary - some bright and updated, many basic or a bit dated and sometimes small - and you may need to bring your own fridge/microwave. Memory care can be organized and family-like, but I also heard troubling reports of understaffing, medication/cleaning lapses and management turnover that concern me for higher-acuity needs. Location and pricing were hit-or-miss depending on your priorities. Overall I liked the community vibe and staff, but I would tour carefully and get clear answers about staffing and care before committing.

    Pricing

    $4,600+/moStudioAssisted Living
    $5,600+/mo1 BedroomAssisted Living
    $7,000+/moSemi-privateMemory Care
    $7,200+/moSuiteMemory Care

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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
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

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

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Pet friendly
    • 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

    4.07 · 145 reviews

    Overall rating

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

      3.8
    • Staff

      4.0
    • Meals

      4.1
    • Amenities

      3.8
    • Value

      3.1

    Pros

    • Attentive, caring and personable staff
    • Personalized, one-on-one attention
    • Knowledgeable nurses and med techs (in many reports)
    • Memory care unit described as secure and well-managed
    • Facility generally clean and well-maintained
    • Spacious, wheelchair-accessible rooms
    • Zero-entry showers and accessible bathrooms
    • Flexible room options (private or shared)
    • Flexible dining hours (commonly 7am–7pm)
    • Restaurant-style dining and accommodating chefs
    • Ability for residents to dine with family/guests
    • Varied, frequent activities and social programming (BINGO, outings, happy hour, crafts)
    • On-site entertainment (theater room, live music, movies and ball games)
    • Chapel and regular spiritual services (weekly Catholic Mass, rosaries)
    • On-site amenities (salon/barber, physical therapy room, beauty shop)
    • One-level floor plan and logical layout
    • Smooth move-in process and move-in assistance
    • Small, intimate/community feel — family-like atmosphere
    • Reasonably priced and good value relative to peers
    • Secure outdoor areas, courtyards and walking paths
    • Responsive directors/managers (in many positive reports)
    • Meal tracking for residents and attentive dining staff
    • Good airflow, bright rooms and modern/updated decor in many areas
    • Transportation options (wheelchair-accessible van) and outing programs

    Cons

    • Chronic understaffing and high staff turnover reported
    • Inconsistent quality of care across shifts and staff
    • Medication errors and poor family notification about med changes
    • Poor cross-shift communication and charting lapses
    • Housekeeping lapses and inconsistent room cleaning
    • Reports of belongings missing or theft
    • Occasional urine or pet odors, especially in some memory care areas
    • Rooms that are small and offer limited privacy (especially shared rooms)
    • Extra charges, monthly increases and lack of pricing transparency
    • Pushy or aggressive sales/marketing reported
    • Management changes reportedly led to declines in care quality
    • Safety incidents cited (falls, bedsores, residents left unattended)
    • Insufficient nursing presence for higher-acuity residents
    • Faulty or unreliable call light / phone system issues
    • Some reports of declining or bland food quality after staff changes
    • Older building areas in need of remodeling or updates
    • Dark or depressing hallways and lighting concerns in places
    • Not suitable for residents requiring intensive medical oversight
    • Inadequate monitoring of medication side effects in some cases
    • Uneven participation or availability of activities at times
    • Mixed reports on responsiveness and administrative follow-up
    • Does not accept Medicare (reported)
    • Inconsistent dining experience between memory care and assisted living
    • Some families feel advocacy is required for good care

    Summary review

    Overall sentiment across the collected reviews is mixed but leans positive about the Meadowlands’ social environment, staff warmth, and amenities, while displaying recurring operational and clinical concerns that families should probe further. Repeated strengths include a caring, personable staff in many shifts who know residents by name and provide personalized attention. Many reviewers praise the memory care unit as secure and well-run, describe the building as clean and bright, and note roomy, wheelchair-accessible apartments with features like zero-entry showers. The community offers robust social programming (BINGO, crafts, outings, happy hours, live music), a theater room, salon/barber services, a chapel with regular Catholic services, and flexible, restaurant-style dining typically available 7am–7pm with accommodating chefs. The small, intimate size and one-level layout contribute to a family-like atmosphere and ease of movement for residents. Cost is frequently described as competitive or a good value compared to other local options.

    Care quality and staffing are the most polarized themes. On the positive side, many families highlight accessible nurses, proactive medication handling, direct lines to staff, attentive dining staff who track missed meals, and directors who coordinate hospice or individualized services. These reviews emphasize that staff often go above and beyond during move-in and everyday care. Conversely, a substantial portion of reviews raise serious concerns: chronic understaffing, high turnover, and poor cross-shift communication are recurring. Specific adverse incidents are described, including medication administration errors with inadequate family notification, residents left in bed or soaked, unreliable call light systems, falls, and reports of bedsores or hospitalizations. These accounts suggest variability in clinical oversight and that the community may not be suitable for residents with complex medical needs unless families verify current staffing ratios and clinical oversight.

    Facility condition and environment receive mostly positive notes but with important caveats. Many reviews call the campus attractive, well-kept, and modern in decor; they praise bright rooms, updated flooring in dining areas, and functional common spaces like courtyards and a fenced walking path. At the same time, reviewers repeatedly mention older portions that need remodeling, occasional dark or depressing hallways, and spot cleanliness problems (notably in some memory care halls) including urine or animal odors. Housekeeping service is described as inconsistent: when families advocate, issues often get resolved, but several reviews describe rooms not being cleaned regularly, toilets not cleaned, or laundry/showers missed. There are also multiple mentions of items disappearing and at least one claim of replacement furnishings being lower-quality.

    Dining and activities are generally strong selling points. The flexible dining hours (7am–7pm), the ability to order off-menu and to eat with guests, and a restaurant-like dining room receive frequent praise. Activity calendars are robust: bingo, movie nights, themed events, arts and crafts, intergenerational programs, and outings are regularly noted. The memory care dining setup (reported as diner-like) and tracked meal routines are positives. However, several reviews indicate food quality is uneven—some loved the chef and fresh meals while others say food declined after staff changes or lacked seasoning. Activity participation varies by day and by reviewer; some residents are highly engaged while other reviews note low participation or Covid-related reductions in programming in the past.

    Management, transparency and operational practices are a notable contrast point. Many reviewers commend specific directors or staff members for smooth transitions and responsive leadership. Yet there are numerous complaints about administrative issues: pushy sales tactics, opaque extra fees and monthly increases (some citing up to $2,000 in potential charges), billing opacity, and poor follow-through after move-in. Several reviewers warned that quality worsened after management changes and urged caution — particularly recommending that families should actively advocate for their loved ones and ask direct questions about staffing levels, clinical coverage, incident reporting, and billing policies before committing. A few reviewers also noted the community does not accept Medicare, which could affect financial planning.

    Bottom-line guidance from the aggregated reviews: Meadowlands offers a warm, activity-rich, and amenity-centered environment that many residents and families appreciate — especially for those seeking an intimate, affordable community with flexible dining and vibrant social options. However, there are clear and recurring red flags around staffing consistency, medication management, communication, and housekeeping. These concerns have led to avoidable adverse outcomes in some reports. Prospective families should visit in person, seek recent references, ask for documented staffing ratios and turnover data, verify clinical oversight and medication policies, inspect memory care halls for cleanliness and odors, clarify all fees and charge policies, and evaluate whether the facility’s current operational state matches the level of medical and supervision needs of their loved one. If those items check out and specific staff members/directors are praised and available, Meadowlands can be a strong fit; if not, the variability in experiences suggests caution for residents who need higher-acuity medical care or who cannot rely on active family advocacy.

    Location

    Map showing location of The Meadowlands

    About The Meadowlands

    The Meadowlands has caregivers who go through special training, and the staff here are friendly, well-trained, and always on hand to help, which makes a big difference day to day, and residents get help with things like housekeeping, laundry, and dry-cleaning, so nobody has to worry about those chores, and there's a beautician and devotional services, both onsite and offsite, with plenty of help available for little things to help people feel at home. The place has pleasant outdoor and indoor spaces, like outside walking paths, a safe courtyard, and lots of places to sit and visit, and people can join social or recreational activities if they want to make friends or keep up with hobbies, and there are games, movie nights, and spaces to gather. The dining is restaurant-style, with a professional chef, private dining rooms, guest meals, and anytime dining, plus a buffet area, so residents don't have to stick to a strict schedule and still get quality food.

    The community is single-story and designed for seniors who value independence but might need regular support, with spaces for residents to get together, like a sunroom filled with natural light, a cozy fireplace, a TV lounge, a game room, and an atrium, and the building's layout makes getting around easier, especially if someone's in a wheelchair. There are private bedrooms with warm, homey furniture-beds are made, wooden chairs and closets are in the rooms, and some apartments offer kitchenettes if someone feels like making a snack, with several floor plans, including studios, suites, one- and two-bedroom options. Residents can keep pets because the place is pet-friendly. The grounds are well kept, with a safe courtyard and outdoor patio furniture for relaxing during the day, so residents can stroll outside or sit with a friend in a sunny spot.

    Assisted living services provide regular help with daily tasks, and residents with memory loss can live in secure areas with special features like exit alerts and staff trained for Alzheimer's and dementia care, so people don't have to worry as much about wandering, and there are daily activities designed to help people with memory challenges stay engaged. The staff is available 24 hours, offering medication management and physical therapy if needed, and the community also has adult day care, home health care, short-term stays, respite care, hospice services, and the option to age in place, meaning someone can stay even as their needs change. Residents can use the provided transportation and resident parking, which makes trips for errands or appointments easier.

    Entertainment and hobbies are part of life here, with a movie room, piano or organ for music, a library, a bistro café, a beauty salon, a computer room, a fitness center, raised gardening beds for people who enjoy plants, and a sun porch with comfy wicker furniture and big windows. Units come with emergency call systems, cable TV, and can be furnished if someone prefers it that way. Support services like laundry, cleaning, and meals mean that everyday chores are taken care of, so residents have more time to enjoy the activities and amenities. The staff aims to be welcoming and supportive, and there's a focus on making sure both privacy and safety are in place, in a setting that's as lively or peaceful as someone likes. Tours are available for anyone who wants to see what daily life is like at The Meadowlands.

    About Meridian Senior Living

    The Meadowlands is managed by Meridian Senior Living.

    Founded in 2010, Meridian Senior Living has established itself as a prominent operator in the senior housing industry, headquartered in Bethesda, Maryland. The privately-owned company has rapidly grown to become one of the nation's top 20 senior housing operators, currently managing 45 communities across 21 states throughout the United States. With approximately 4,100 employees serving over 7,000 residents, Meridian has built a substantial presence in the senior living sector, demonstrating consistent growth and expansion since its inception just over a decade ago.

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