The Estates of Perryville

    430 N West St, Perryville, MO 63775
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    2.6ยท32 reviews

    Spotless rooms, compassionate staff, convenient

    I chose this facility for my son and have been very pleased - bright, spotless rooms with lots of activities, great food, and the convenience of being next to the hospital. The staff are kind, compassionate, and hardworking; Heather went above and beyond keeping me informed about my son's medical care and Brian (with Pam) helped make the transition smooth. I'm grateful to the owner and nursing team for their dedication and teamwork, especially throughout the pandemic.

    Loved one of resident
    Jul 2026

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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

    Reviews

    2.63ยท(32)

    Overall rating

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

      2.3
    • Staff

      2.8
    • Meals

      3.0
    • Amenities

      2.5
    • Value

      2.6

    Pros

    • Compassionate and dedicated direct-care aides
    • Responsive social-work and case-management support
    • Helpful admissions and transition assistance
    • Clean, bright interior with open spaces and natural light
    • Engaging activity programming
    • Convenient location adjacent to hospital
    • Palatable meal options for some residents
    • Teamwork among frontline staff

    Cons

    • Chronic understaffing and staffing instability
    • Inconsistent personal-care schedules (bathing and toileting)
    • Unreliable meal-service continuity and feeding practices
    • Medication-management inconsistencies and concerns about dosing
    • Cleanliness and sanitation issues in some areas
    • Delays in clinical response and escalation of care
    • Inconsistent staff professionalism and communication tone
    • Perceived corporate financial priorities affecting care decisions
    • Visitor-policy and security inconsistencies including property-theft concerns
    • Payroll and employment-practice concerns including alleged unpaid wages
    • Unclear resident-placement policies and rights-protection practices

    Summary of reviews

    Reviewer feedback about The Estates of Perryville Nursing and Rehabilitation Facility is markedly polarized, describing both strong individual staff performance and systemic operational weaknesses. Positive commentary centers on frontline caregivers and case-management staff who are described as compassionate, hardworking, and effective at supporting families during transitions. Several families named specific employees as helpful and communicative. The buildingโ€™s physical environment also receives favorable mention in many accounts: reviewers describe a bright, open facility with ample windows, communal space, and activity programming. Its proximity to a hospital is viewed as a practical advantage by some families.

    At the same time, a recurring theme is chronic understaffing and instability in staffing levels. Reviewers link limited staffing to inconsistent personal care (including bathing and toileting schedules), missed or delayed assistance, and variability in how quickly clinical concerns are escalated. Some accounts describe delays in obtaining timely physician attention and dental follow-up, and there are concerns about medication-management practices and possible overmedication in specific cases. These operational gaps contribute to divergent experiences: while some residents are described as receiving attentive care, others are said to receive untimely or inconsistent care.

    Dining and nutrition impressions are mixed. A portion of reviewers praise the food as enjoyable, whereas others characterize meals as monotonous or lacking appropriate nutrition and note instances where residents were not fed or had meal-service interruptions. Activity offerings are generally seen as a positive component of resident life, but the quality of daily care and mealtime consistency appears to vary with staff availability.

    Facility maintenance and safety are also uneven in reviewer accounts. Many cite a well-kept, home-like environment with engaging communal areas, but other accounts raise cleanliness and sanitation issues in parts of the facility and report broken fixtures or supply shortages that undermine care delivery. Security and visitor-access practices are another area of concern: reports describe inconsistent visitor policies, confrontational interactions at entry points, and allegations of missing personal items. Workforce-management issues extend beyond scheduling to payroll and employment practices; there are claims of unpaid wages and worker-term practices that have led to legal concerns in at least some accounts.

    Management and corporate communication receive criticism for perceived poor responsiveness, favoritism, and prioritization of financial objectives over clinical needs in some reviewersโ€™ views. Conversely, families who had positive experiences highlight proactive communication from specific staff members and effective case-management support. In short, the facility appears to deliver high-quality care when direct-care staffing, communication, and supplies are sufficient, but systemic issuesโ€”particularly inconsistent staffing, care continuity, medication oversight, sanitation in some areas, and management practicesโ€”create variability in resident experience.

    For prospective residents and families: arrange in-person visits during shift changes and mealtimes to observe staffing and meal service, ask for current staffing ratios and turnover data, request copies of medication-management and incident-reporting policies, review visitor and resident-placement policies, and inquire about payroll and human-resources stability. These steps will help assess whether the facilityโ€™s strengths align with your relativeโ€™s needs and whether the operational concerns reflected in some reviews have been addressed.

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    Medicare Ratings

    1ยท/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of The Estates of Perryville

    The Estates of Perryville is located at 430 N West St, Perryville, MO, 63775.

    About The Estates of Perryville

    The Estates of Perryville Nursing and Rehabilitation Facility sits at 430 N West St in Perryville, Missouri, and people know it mainly as a skilled nursing and rehabilitation center, and while the building holds more than 120 beds and has private and semi-private suites, residents often bring their own personal things to make the rooms feel warmer. Folks will find a variety of care here, including skilled nursing, long-term care, independent and assisted living, as well as memory care for Alzheimer's disease, plus respite, home health, and hospice services, so there's different options depending on what a person might need down the line. The place takes both Medicaid and Medicare, and also accepts other insurance or private pay, and the skilled care center has Medicaid certification and a CMS rating that falls well below average in areas like staffing, health inspections, and overall, but the quality measures stand just slightly below average, which is important to know.

    Staff at the Estates of Perryville include nurses, specialized social workers, optometrists, and podiatrists, and they provide around-the-clock nursing care, with a secured Geriatric Behavior Unit for folks who need extra help with behavioral needs. People can get physical, occupational, speech, and recreation therapy, and the list of services is long, so there's wound care, surgical wound and decubitus ulcer care, wound vac and electric stimulation, post-operative orthopedic rehab, stroke rehabilitation, pain management, and help with drains and IV lines, even things like dialysis transportation, cardiac and diabetic diets, and G-tube or J-tube maintenance for feeding. There's teaching offered for diabetes management and colostomy care, too, so it sounds like the staff tries to cover a lot of conditions. The building's got in-house diagnostic services like X-ray, EKG, ultrasound, and Doppler, and pharmacy services are 24 hours, which can help if a new medication's needed in a hurry. Laundry services, support for daily meals tailored to what doctors order, and organized activities keep folks busy, and efforts go into promoting individual wellness and personal growth through therapy and leisure.

    There's a list of programs for staff education, such as Certified Nurse Assistant training and other professional courses, and the Estates of Perryville takes part in the Missouri Health Care Association, so it's plugged in to the state's industry for updates and advocacy. Folks who want or need memory care will find there's a dedicated unit for Alzheimer's treatment, and the Geriatric Behavior Management Program works to help residents with both medical and behavioral needs in a respectful way, carried out by specialized staff. Administration is under Devon Huff, and behind it all, the facility tries to offer a caring, respectful environment with care tailored to each person, even though no place is perfect. The main goal seems to be helping residents reach their own best level of health and comfort, with services designed around what each person needs.

    People often ask...

    The Estates of Perryville offers assisted living, memory care, and skilled nursing.

    The full address for this community is 430 N West St, Perryville, MO 63775.

    No, The Estates of Perryville 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.

    Disclaimer

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

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