The Meadowlands

    135 Meadowland Estates Ln, O'Fallon, MO 63366
    • Assisted Living
    • Memory Care

    Warm attentive staff, clean home

    I placed my mom here and I'm very pleased - the staff are warm, attentive and treat residents like family, the facility is clean and homey, and meals (flexible 7am-7pm dining) are fresh. There are plentiful activities, good care and memory-care options, comfortable rooms, and the move-in/transition was smooth - I would recommend this community for peace of mind and good value.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current 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
    • 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

    Reviews

    4.09·(148)

    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

    • Compassionate, personalized staff attention
    • Knowledgeable nursing and medication-technical support
    • Secure, well-managed memory-care unit
    • Flexible restaurant-style dining (open 7am–7pm)
    • Cooked-to-order kitchen and accommodating chefs
    • Engaging activities program (bingo, outings, happy hours)
    • On-site chapel and regular religious services
    • Small, intimate community atmosphere
    • Clean, well-maintained common areas
    • Wheelchair-accessible units with zero-entry showers
    • Single and companion-room apartment options
    • One-level floor plan for easy navigation
    • Theater and assorted social spaces
    • Salon/barber and on-site therapeutic amenities
    • Supportive move-in and transition assistance
    • Competitive pricing and perceived value
    • Outdoor courtyard and secured walking paths
    • Family-friendly dining (ability to dine with residents)
    • 24-hour visitation flexibility
    • Coordination with hospice and external clinicians

    Cons

    • Staffing shortages and high staff turnover
    • Inconsistent direct-care responsiveness across shifts
    • Variable housekeeping and laundry follow-through
    • Medication-management and clinical-oversight gaps
    • Communication and cross-shift handoff failures
    • Opaque ancillary-fee practices and rent increases
    • Aging infrastructure and cosmetic maintenance needs
    • Limited privacy in some shared-room configurations
    • Food-quality variability tied to staffing/chef changes
    • Inconsistent activity participation and resident engagement

    Summary of reviews

    Overview: Meadowlands presents as a small, service-oriented assisted living and memory-care community with a strong emphasis on personalized attention, social programming, and flexible dining. Many families and residents highlight the facility’s welcoming, home-like atmosphere, accessible single-level layout, and an array of on-site amenities (theater, salon, chapel, courtyard) that support daily engagement. The community is frequently described as clean, well-maintained in public areas, and competitively priced relative to other options in the market.

    Care and staff: The dominant positive theme is staff attentiveness and individualized care. Numerous accounts describe staff who know residents by name, provide patient assistance, and support families through move-in and transitions. Nursing and med-tech staff are often praised for competence and accessibility. However, there is a clear countervailing pattern: reviewers also describe staffing shortages, elevated turnover, and inconsistent coverage that can affect day-to-day responsiveness. Several families raised serious concerns about medication management and incontinence-care follow-through; in a few instances those concerns prompted transfers to other facilities. Together these patterns suggest generally strong interpersonal caregiving but uneven consistency in clinical oversight and shift-to-shift continuity.

    Dining and activities: Meadowlands’ dining model is a strong selling point for many families. The kitchen’s flexible hours (commonly 7am–7pm), cooked-to-order options, and accommodating chefs create a restaurant-style experience that residents appreciate. That said, food quality is described as variable: when leadership or culinary staff change, some families report a noticeable decline in seasoning or menu variety. Activities programming is robust and wide-ranging — bingo, crafts, outings, movie nights, live music, and religious services are frequently cited — and the facility’s small size supports frequent, community-oriented events. There are also reports of lower activity participation at times, which appears related to staffing availability and occasional restrictions (e.g., pandemic-era limits).

    Facilities and amenities: The physical plant is generally viewed positively: many reviewers note bright common areas, wheelchair-accessible apartments, updated dining spaces, and useful amenities such as a theater, salon, and secure outdoor paths. Memory care is described as secure and well-organized in most accounts. Areas for improvement include cosmetic updates in parts of the building, occasional odor concerns in limited wings, and room-layout constraints that reduce privacy in some shared configurations. Overall, the community reads as functional and comfortable rather than top-tier luxury.

    Management, communication, and finances: Reviewers express mixed impressions of management. Positive comments cite engaged leadership, helpful marketing and move-in staff, and good hospice coordination. Negative patterns include inconsistent communication (particularly cross-shift handoffs and family notifications), administrative turnover, and a lack of transparency around ancillary fees and rent increases. These operational weaknesses frequently amplify family frustration when paired with the clinical consistency issues described above. Prospective families should clarify fee structures and escalation paths during tour and move-in planning.

    Notable patterns and guidance for families: Meadowlands offers many strengths for families seeking a close-knit, activity-rich, value-oriented community with flexible dining and a secure memory-care option. The most consistent cautions concern staffing consistency, clinical oversight (especially medication practices and nursing coverage), housekeeping continuity, and administrative transparency around fees. For prospective residents, recommended due diligence includes inquiring about current staffing ratios and turnover, asking how medication changes and family notifications are handled, reviewing housekeeping and laundry schedules, and confirming any potential ancillary charges in writing. Visiting at different times of day and speaking with current families can help assess whether the community’s operational consistency aligns with a prospective resident’s clinical and personal needs.

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    Location

    Map showing location of The Meadowlands

    The Meadowlands is located at 135 Meadowland Estates Ln, O'Fallon, MO, 63366.

    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.

    People often ask...

    The Meadowlands offers competitive pricing, with rates starting at a cost of $4,600 per month.

    The Meadowlands offers assisted living and memory care.

    There are 27 photos of The Meadowlands on Mirador.

    The full address for this community is 135 Meadowland Estates Ln, O'Fallon, MO 63366.

    No, The Meadowlands does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Missouri, the Department of Health & Senior Services licenses assisted living and long-term care facilities through state licensure surveys, complaint investigations, and fire-safety reviews.

    License numbersaint-charles-o-fallon-assisted-living-at-the-meadowlands
    Facility typeAssisted Living Facility Option 2
    Capacity86 residents
    LicenseeVOP MEADOWLANDS OPCO, LLC

    Inspection Reports

    17

    Reports

    22

    Citations

    10

    Complaints

    7

    Years

    18 Mar 2026Licensure
    Found no state licensure deficiencies.
    02 Oct 2025Complaint
    Found deficiencies related to resident care under the service plan and sanitation practices. The issues included improper attire/hair restraints, bulk-food storage not identified in containers, and inadequate cleaning of nonfood-contact surfaces.
    26 Mar 2025Licensure
    Found no deficiencies. No state licensure deficiencies were cited.
    01 Aug 2024Licensure
    Found no deficiencies related to fire safety.
    25 Jan 2024Complaint
    Identified deficiencies in medication administration oversight, including staffing and credentialing requirements.
    06 Dec 2023Complaint
    Found no deficiencies.
    12 Apr 2023Licensure
    Found no deficiencies cited regarding fire safety.
    17 Nov 2022Complaint
    Found deficiencies in medication management, resident records, controlled substances handling, and sanitation practices.
    21 Apr 2022Complaint
    Found no licensure deficiencies in the second review.
    13 Apr 2022Licensure
    Found deficiencies related to dryer venting and lint trap maintenance, and to daily room cleanliness.
    17 Mar 2021Licensure
    Found no deficiencies cited in the fire safety review.
    14 Feb 2020Complaint
    Identified deficiencies in medication administration and nurse staffing requirements.
    21 Oct 2019Complaint
    Found no deficiencies.
    06 Sept 2019Complaint
    Found no deficiencies. No state licensure deficiencies were cited in the second inspection and complaint investigation.
    20 Jun 2019Complaint
    Found no deficiencies cited during the review. No state licensure issues were identified.
    07 May 2019Licensure
    Found deficiencies in fire safety planning, heating system safety, and electrical wiring maintenance.
    21 Mar 2019Complaint
    Found deficiencies in evacuation planning, ongoing assessment updates, ISP development, and infection control reporting.
    • 19 CSR 20-20.020

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Meadowlands. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Meadowlands directly. There is no cost for this service. We are compensated by the community you select.

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