Shirkey Nursing & Rehabilitation Center

    804 Wollard Blvd, Richmond, MO, 64085
    3.3 · 12 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Nice environment; inconsistent medical care

    I put my dad here and the place is clean with nice rooms, holiday decorations, a great Activity Director, lots of social opportunities, and some very knowledgeable, long-time caregivers - he has his own room and patio and is happy. However, nursing and clinical care are deeply inconsistent: understaffed (I've seen only a couple aides for dozens of residents), phones often unanswered, poor hand hygiene, staff smoking together, and alarming neglect - missed meds after surgery, forgotten meals, unemptied urinals, and aides who ignore dignity. Hospice and dementia care can be excellent, but high turnover and nurses who don't honor family wishes make me worry. If you can personally monitor medical care it's workable; otherwise I'd be very cautious.

    Pricing

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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

    3.33 · 12 reviews

    Overall rating

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

      2.9
    • Staff

      2.9
    • Meals

      1.0
    • Amenities

      3.3
    • Value

      3.3

    Pros

    • Helpful and respectful staff (reported by multiple families)
    • Longtime and consistent staff members
    • Attentive to bruises and visible injuries
    • Residents report feeling safe and happy
    • Clean facility
    • Nice rooms
    • Great activity program and strong Activity Director
    • Seasonal/holiday decorations and engagement
    • Family involvement in decision making
    • High-quality care reported by some families
    • Hospice services available and integrated
    • More affordable than some alternatives
    • Private rooms with patios and ability to roam
    • Opportunities for residents to socialize and make friends
    • Good dementia care
    • Knowledgeable caregivers
    • Recommended by some families and considered top in local comparisons
    • Some relatives explicitly love the facility and staff

    Cons

    • Chronic understaffing
    • Extremely high patient-to-aide ratios reported (e.g., 2 aides for 60 patients)
    • High staff turnover
    • Unhelpful or inattentive staff in some shifts
    • Missed meals or failure to feed residents
    • Limited dining/service hours leading to minimal alternatives (e.g., PB&J when kitchen closed)
    • Incontinence/commode care issues (commode kept by bed)
    • Staff behavior that compromises dignity (e.g., staring during toileting)
    • Failure to empty urinals in a timely manner (>24 hours reported)
    • Delayed or missing pain medication after surgery (e.g., no pain meds for 24 hours post-hip surgery)
    • Instances described as neglect or 'worst treatment'
    • Problematic nursing staff behavior reported by families
    • Resident and family wishes sometimes not honored
    • Phones not answered / poor communication responsiveness
    • Staff smoking on premises alongside CNAs
    • Poor hand hygiene observed among staff
    • Facility is outdated in places
    • Staff feel undervalued and low morale affects care quality
    • Care quality appears to vary substantially with staffing levels

    Summary review

    The reviews of Shirkey Nursing & Rehabilitation Center present a polarized but coherent picture: many families and residents praise the staff, cleanliness, activities, and some aspects of care, while a separate set of reviews raises serious concerns about staffing levels, instances of neglect, and inconsistent nursing practices. Taken together, these comments suggest a facility that can provide good, even excellent, care under the right conditions (experienced staff, engaged activity programming, hospice support), but that also suffers from systemic staffing and operational issues that occasionally produce poor outcomes.

    Care quality: Several reviewers explicitly describe high-quality care — knowledgeable caregivers, good dementia care, a trustworthy hospice integration, and residents who are happy, safe, and social. Positive anecdotes include attentive treatment of bruises, families being involved in decision-making, and some relatives choosing to stay at Shirkey rather than move to a more expensive facility. Conversely, there are multiple accounts of neglect and lapses in clinical care: missed feedings, delayed pain medication after surgery, urinals not emptied for more than 24 hours, and other incidents described as the "worst treatment." This contrast suggests that care quality is uneven and likely linked to staffing and shift-to-shift variability.

    Staff and staffing patterns: Staffing is the central and most frequent concern. Reviews explicitly call out chronic understaffing with alarming examples (one review cited 2 aides for 60 patients). High staff turnover is mentioned alongside reports of both longtime, dependable employees and newer, less attentive workers. Positive reviews highlight respectful, helpful, and knowledgeable staff and note staff who create a warm environment; negative reviews describe unhelpful aides, nurses who are a "nightmare," and staff behavior that disrespects resident dignity. Reports of staff smoking on-site with CNAs and poor hand hygiene are problematic from both professionalism and infection-control standpoints. Several comments also say staff feel undervalued, which could explain turnover and morale problems that directly impact resident care.

    Facilities and environment: The physical environment receives mostly positive notes: the building is described as clean, rooms are nice, patios and private rooms are appreciated, and holiday decorations and active programming create a pleasant atmosphere. At the same time, some reviewers call the facility outdated. Overall, cleanliness appears to be a strength, but aging infrastructure in places could need updating.

    Dining and daily living: Dining and basic personal care are an area of mixed feedback. Positive reviews don’t emphasize dining, but negative reports highlight missed feedings and limited fallback options when kitchen services are unavailable (an example given was residents being served peanut butter and jelly when the kitchen was closed). Incontinence and toileting care problems were noted, including dignity concerns (staff staring during toileting) and unacceptable delays in emptying urinals. These are concrete, actionable issues that families should monitor.

    Activities, social life, and quality of life: The Activity Director and programming receive consistent praise; holiday decorations and social opportunities help residents make friends and maintain engagement. Several reviewers specifically note that residents enjoy freedom to roam, have made friends, and that some family members "love it here," indicating strong social programming and quality-of-life features when staffing and routines support them.

    Management, communication, and consistency: Several reviews call out problems with nursing staff and management consistency — including phones not being answered and family/resident wishes not being honored. The combination of communication gaps and variability in honoring wishes points to inconsistent administration or insufficient systems to ensure continuity of care. Positive reports of family involvement in decision-making indicate that when staff and management commit to engagement, it can be successful.

    Patterns and overall assessment: The overall sentiment is mixed but clear: Shirkey can be an excellent choice in its region when experienced staff are present and engaged — particularly for dementia care, hospice, and activity programming. However, recurring and specific complaints about understaffing, delayed medications, lapses in hygiene and dignity, and communication failures are serious and frequent enough to be considered systemic risks. The divergence in reviews suggests that resident experience is highly dependent on staffing levels, specific shifts, and which staff members are on duty.

    Recommendations for prospective families (based on review patterns): ask about current staffing ratios and turnover rates; inquire how the facility covers nights and weekends; request recent incident and staffing reports; inquire about medication administration protocols, toileting/incontinence schedules, and contingency dining plans; meet the Activity Director and observe programming; and speak with families of current residents about consistency of care. Ultimately, Shirkey appears capable of excellent, compassionate care in many respects, but prospective families should do focused due diligence and monitor care closely given the documented variability tied to staffing and operational issues.

    Location

    Map showing location of Shirkey Nursing & Rehabilitation Center

    About Shirkey Nursing & Rehabilitation Center

    Shirkey Nursing & Rehabilitation Center sits in Richmond, Missouri, and since 1969 has provided skilled nursing and rehabilitation care, working quietly in a nonprofit tradition that started when Howard M. and Helen F. Shirkey donated the land so many decades ago, and now the place stands out for offering all-private rooms with private bathrooms, cable TV, telephones, kitchenettes, air conditioning, and Wi-Fi, all furnished to make things comfortable while folks get the care they need. The staff here covers a lot, from round-the-clock nursing care and help with bathing, dressing, transferring, managing medicine, and all those basic daily needs, to more specialized help with memory care for those with dementia or Alzheimer's, and even short-term respite care when caregivers elsewhere need a break.

    There's always someone on duty thanks to 24-hour supervision and a call system that brings help quickly, whether someone faces an emergency or just needs some little thing in the middle of the night, and the safety features like the emergency alert systems and secure memory care give extra peace of mind, especially to families. Inside the facility, folks can use the fitness room, wellness and spa space, the arts and crafts area, a library, and a game room; people stroll on the garden paths, join scheduled daily activities, or gather to watch movies in the little on-site theater, and there's a full meal service with several diets covered, including meals for diabetes, allergies, and other special needs, all served restaurant-style so there's a little dignity left at the table too.

    Physical, occupational, and speech therapy happen in the onsite therapy departments with experienced therapists like Alicia, and the center accepts both Medicaid and Medicare for payment, which lightens the load for many families, since 110 out of the full 197 beds will be open in June 2025. The staff at Shirkey, led by administrator Chris Brown, prides themselves on keeping a high staff-to-resident ratio for more attention to each person, and they offer housekeeping, laundry, help with setting up moves, and a Care Finder tool to make things easier. Folks get chances for both social and quiet times, from community and resident-run activities to the use of bright, well-kept rooms and peaceful gardens, and for those wanting help to live as independently as possible, there are modern apartments with assistance close by, as well as comfort care and support for anyone facing hospice needs.

    Shirkey Nursing & Rehabilitation Center falls under Shirkey Health Services and shares resources and standards with Missouri's Health Care Association, works with pharmacy and healthcare partners, and involves itself with training and educational programs for CNAs and staff, which helps keep everything up to date. Facilities like this one rarely stand still, and with an active history, caring staff, and a location at 804 Wollard Boulevard, this center tries to offer a genuine, person-centered approach with an emphasis on both health and comfort, because sometimes that's exactly what's needed when skilled nursing or rehabilitation becomes part of life's next chapter.

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