St Elizabeth Care Center

    649 S Walnut St, Saint Elizabeth, MO, 65075
    4.0 · 17 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Caring staff, serious safety failures

    I have mixed feelings - many staff were kind, caring and created a family-like, God-fearing atmosphere, and a change in administration seemed to improve things. At the same time I witnessed serious failures: chronic understaffing, overworked/incompetent nurses, privacy violations, missed hospital transfers and medication mismanagement that harmed my mother. Belongings were lost or refused, charting looked falsified, and management was often unhelpful - I felt forced to call a hotline. The building is old and run-down; some people go above and beyond, but overall I left very worried about safety and care.

    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

    4.00 · 17 reviews

    Overall rating

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

      2.3
    • Staff

      3.2
    • Meals

      4.0
    • Amenities

      4.0
    • Value

      4.0

    Pros

    • Family-like atmosphere
    • Compassionate and caring staff
    • Friendly staff who go above and beyond
    • Hardworking administration
    • Improved care following administration/team changes
    • High level of personalized care noted by some families
    • Home-like environment
    • Staff described as kind, caring, and faith-oriented

    Cons

    • Allegations of falsified charting and documentation
    • Medication mismanagement (missed finger sticks, forced sleeping pills)
    • Serious clinical-care complaints including failure to hospitalize
    • Claims of resident harm and extreme accusations about experimental drugs
    • Poor facility condition described as dismal/older building
    • Staffing shortages and overworked staff
    • Privacy violations by staff
    • Lost or withheld resident belongings
    • Unprofessional and dishonest staff/management (per some reviewers)
    • Inconsistent quality tied to management changes
    • Reports of intimidation/resident fear and hotline/regulatory complaints
    • Polarized reviews creating uncertainty about reliability of care

    Summary review

    The reviews present a highly mixed and polarized picture of St Elizabeth Care Center, with strong praise from multiple reviewers about the staff and atmosphere contrasted sharply by severe allegations of clinical mismanagement, dishonesty, and poor physical conditions. On the positive side, many reviewers describe a family-like, homey environment where staff are compassionate, friendly, and willing to go above and beyond. Several comments single out management and direct-care staff as hardworking and attentive, and multiple reports say care improved substantially after a change in administration and staffing. For those reviewers, the facility provides a high level of personalized care despite being an older building.

    Conversely, a substantial number of review summaries relay serious, sometimes alarming complaints. These include allegations that nurses did not perform ordered glucose finger sticks, that chart entries were falsified, and that residents were medicated inappropriately (for example, being forced to take multiple sleeping pills). There are reports of failure to send residents to the hospital when needed and of resulting resident harm. A few reviewers make extreme claims — including accusations of experimental drug use and death — and others report what they describe as a cover-up of serious medical conditions. These types of allegations, if accurate, indicate major clinical, ethical, and regulatory problems.

    Management and staff consistency emerge as a core theme. Several reviewers explicitly link improvements to changes in administration and staffing, suggesting the facility's quality may be highly dependent on current leadership and team composition. At the same time, multiple summaries complain about dishonest or unprofessional behavior by staff and management, including privacy violations, failure to return or loss of resident belongings, and dismissive responses to family concerns. Some reviewers reported having to call hotlines or regulators, and others felt the administration did not take appropriate corrective action, indicating a pattern of unresolved grievances for certain families.

    Facility condition and resourcing are also recurring issues. The building is frequently described as older and in some cases dismal, which may contribute to negative impressions even when some staff provide good care. Staffing shortages and overworked personnel are mentioned repeatedly and likely impact both consistency of care and staff morale. These operational constraints could help explain variability in experiences: when staffing and management are adequate, families report compassionate, above-and-beyond care; when they are not, reviewers report neglect, poor clinical decisions, and administrative neglect.

    There is little direct information in these summaries about dining or activities; however, multiple reviewers’ descriptions of a home-like, family atmosphere imply that social and emotional support may be strengths for many residents. Nonetheless, the absence of specific positive mentions about programming or food means these areas remain uncertain based on the provided reviews.

    Overall, the pattern is of a facility with strongly divergent reports: several families praise the staff and recent management for creating a caring, family environment and improving care, while a number of other families allege very serious clinical and administrative failures, including improper medication practices, falsified records, lost belongings, and intimidation. The most consistent takeaway is variability — experiences appear to depend heavily on staffing levels and the current administrative team. Prospective residents and families should treat the positive reports and the severe negative allegations as signals to perform targeted due diligence: ask about recent management changes, staffing ratios, incident/complaint histories, how medication and charting errors are prevented and audited, and insist on written policies about belongings and privacy before making placement decisions.

    Location

    Map showing location of St Elizabeth Care Center

    About St Elizabeth Care Center

    St Elizabeth Care Center is a senior living facility in St. Elizabeth, Missouri, with 63 assisted living units and a 50-plus-bed nursing facility, and folks can choose studio units, one-bedrooms, or shared living spaces, so there's some variety there for different needs or budgets. They do have around-the-clock nursing care and 24/7 emergency response, and the staff includes licensed nurses who are on call and help with skilled nursing services like tube feeding, wound care, insulin injections, and post-surgical care, and they also do medication administration and monthly IM injections if that's something a resident needs. People can get restorative and rehabilitation therapy here, like physical therapy, occupational therapy, speech therapy, cognition-related therapy, and they even have a women's physical rehab unit for more focused treatment. The center also helps residents with more specialized care and has services for Parkinson's disease and manual feeding, and the facility does handle complex medical and mental health needs, including psychiatric care, with visiting specialists for psychiatric treatment, dental, podiatry, and vision needs.

    They plan activities for residents, putting together games, movies, picnics, concerts, arts and crafts, and other events to keep folks engaged, and there's a wellness center, chapel service, and a reading room. They run transportation vans for errands and trips to local attractions or community events, plus escorts are available within the building for those who need a little extra help getting around. There are three meals a day prepared with therapeutic diets available for folks who have health concerns, and their staff can provide manual feeding if required. Laundry and linen service gets taken care of in-house, plus there's an on-site pharmacy for prescriptions and even a barber and beauty shop when someone needs a haircut or a bit of pampering without going far. Small pets are allowed, which can mean a lot to someone who's used to their furry companion. Security is in place around the clock, so families can have some peace of mind about safety.

    People who want to stay only a short time, maybe for rehabilitation or when caregivers are away, can get respite care-they'll do a personalized service assessment to see what support is needed. There are both independent living and assisted living options, and the building is part of a bigger network of senior care in Saint Elizabeth. The staff here also helps with case management and provides social services, so when a resident needs help connecting to outside resources or navigating health insurance, that's something the center can help with too. Residents can also visit an on-site physician's clinic and use online communication tools like Facebook, Instagram, or Messenger if they want to stay in touch with family. Each unit includes amenities like a flat screen TV, access to a community kitchen, and a full activities program, so folks have something to do and ways to stay comfortable. Rayn Evans is the designated administrator for the care center.

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