Avalon Garden Nursing Home

    4359 Taft Ave, Saint Louis, MO, 63116
    2.7 · 21 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Unsafe, unclean facility; poor communication

    I moved my loved one here and was alarmed by missing personal items, belongings not transferred after a room move, and frequent misplacement of things. The building felt unsafe and neglected - sticky, dirty floors, foul odors, unclean rooms/bathrooms, skipped baths and vitals, delayed care, unanswered calls and chaotic shower/shift scheduling. Staffing shortages left many employees rude or overwhelmed; I was sometimes treated dismissively and feared mistreatment of residents. That said, a few nurses, the PT team and the social services director were compassionate and proactive, and activities/COVID protocols were handled well. Overall I cannot recommend this facility given the safety, cleanliness and communication problems.

    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

    2.71 · 21 reviews

    Overall rating

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

      2.4
    • Staff

      2.2
    • Meals

      2.7
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • Some compassionate and dedicated staff members
    • Active activities program and social dining opportunities
    • Family reports of residents enjoying the facility (residents 'love it')
    • Residents allowed outdoor access and smoking
    • Fall-prevention program
    • Proactive COVID-19 protocols with no resident COVID deaths reported
    • Strong physical therapy (PT) and cognitive therapy team
    • Responsive social services director and some quick problem resolution
    • Holiday events and encouragement of hobbies (e.g., piano playing)
    • Staff who go beyond job descriptions and demonstrate empathy

    Cons

    • Missing or misplaced personal belongings, alleged theft
    • Room moves where belongings were not transferred
    • Allegations and fear of abuse or threats from staff
    • Unsafe environment concerns cited by families
    • Significant staffing shortages and chronic short-staffing
    • Neglectful care: delayed or missed hygiene (not bathing, not brushing teeth)
    • Calls and alarms not answered; poor communication with families
    • Delays in basic care and vital sign monitoring (vitals not taken)
    • Unnecessary hospital transfers and poor clinical decision-making
    • Perception of money-driven motives and potential financial abuse/scams
    • Rude, unprofessional, or disrespectful staff behavior
    • Dirty facility conditions: unclean rooms, bathrooms, floors, and odors
    • Failure to follow state rules and regulatory noncompliance allegations
    • Inconsistent or confusing scheduling (shift timing, shower scheduling)
    • Pressure around DNR status reported by relatives
    • Reports of elder abuse, misconduct, and staff insubordination
    • Outdated facility infrastructure

    Summary review

    Overall sentiment in the reviews is mixed but leans strongly toward serious concerns. Many reviewers report deeply troubling issues including missing and misplaced personal items, allegations of theft, and room relocations where belongings were not transferred. Numerous accounts raise fear of abuse or threats by staff, claims of an unsafe environment, and statements that families plan to escalate complaints to higher management or the chain of command. These safety and trust issues are recurring themes and appear to be among the most serious concerns across multiple summaries.

    Care quality is described inconsistently. Several reviews praise particular elements of clinical care — notably an outstanding PT and cognitive therapy team, a fall-prevention program, and proactive COVID protocols that reportedly prevented resident COVID deaths. A portion of families report that their relatives thrive there, enjoy activities, like the piano playing and social dining, and that some staff are loving, empathetic, and go beyond their job descriptions. At the same time, many other reviews report neglectful care: missed hygiene (residents not being bathed or having teeth brushed), vital signs and temperatures not taken, delayed care, and unnecessary hospital transfers. These contradictory statements suggest variability in the quality of care depending on unit, shift, or individual staff members.

    Staffing and communication problems are prominent. Multiple reviewers explicitly cite short-staffed shifts and chronic staffing shortages as a driver of problems. Linked to staffing are reports of unanswered calls, poor communication with families, staff with poor comprehension or bad attitudes, management that lies or hangs up on callers, and social service or nursing teams that are inconsistent in responsiveness. Some reviewers praise a responsive social services director and compassionate nurses, but others describe rude, unprofessional behavior and staff who treat families disrespectfully. This points to notable inconsistency in staff performance and leadership effectiveness.

    Facility conditions and operations raise further concerns. Several reviews mention dirty resident rooms and bathrooms, sticky floors, foul odors (including feces), and an overall outmoded facility. There are claims the facility does not follow state rules and that employees may be insubordinate or engage in misconduct. Scheduling confusion — particularly around shift timing and shower schedules — and pressure around DNR decisions are additional operational problems families reported. Together, these complaints indicate systemic lapses in housekeeping, regulatory compliance, and facility management.

    Financial and ethical concerns are also present. Reviewers allege money-driven motives, financial abuse, scams, and misconduct. These are serious allegations that further erode trust; combined with reports of elder abuse and staff threats, they suggest that some families perceive both clinical and fiduciary risks. Conversely, the presence of holiday events, social activities, and accounts of dedicated staff show that parts of the organization still deliver meaningful quality of life to some residents.

    Patterns and overall assessment: the reviews reveal a polarized picture. Positive reports tend to center on specific teams (PT, cognitive therapy), individual staff who demonstrate compassion, social activities, and successful COVID management. Negative reports are widespread and cover safety, hygiene, communication, staffing levels, cleanliness, and allegations of abuse and theft. The frequency and severity of the negative reports — including multiple mentions of neglect, unprofessional conduct, regulatory noncompliance, and missing personal belongings — suggest systemic problems that warrant investigation by facility leadership and, where appropriate, regulatory bodies. For prospective residents or families, the reviews recommend careful, specific inquiries before placement: ask about staffing ratios on different shifts, turnover, policies for personal belongings and room moves, examples of clinical oversight (vital monitoring), cleanliness and housekeeping processes, and how complaints are handled and escalated. Current families reporting problems appear justified in escalating issues up the chain of command and involving external oversight if serious harms (abuse, neglect, or theft) are suspected.

    Location

    Map showing location of Avalon Garden Nursing Home

    About Avalon Garden Nursing Home

    Avalon Garden Nursing Home stands at 4359 Taft Ave, about 3.5 miles outside Maplewood, Missouri, and has 24 certified beds available as of June 2025, which seems like enough for a medium-sized place that focuses mostly on nursing care, memory care, skilled nursing, and rehabilitation for older folks who need some extra help-so if someone's looking for a nursing home that's both a place for day-to-day living and specialized care, this community does offer both. The Centers for Medicare & Medicaid Services gave it a 3-star rating, and overall it's rated 5.4 out of 10, which puts it as the 69th highest rated option in Saint Louis out of 76, so it's not the newest or fanciest, but some people find the staff do take care and try to build relationships, offering one-on-one attention and working to tailor care plans for each resident, which is important for people with dementia or those coming back from surgery or dealing with long-term problems like arthritis or disabilities.

    Avalon Garden has studio room layouts where each room may come furnished, with a private bathroom, cable TV, air conditioning, and Wi-Fi. Residents get help with bathing, dressing, transferring, and daily activities, along with 24-hour supervision, medication management, and hands-on support for people who aren't able to get around easily. Housekeeping, laundry, and dry cleaning keep things tidy, and transportation and parking services are in place for residents heading out or getting visitors. The rehabilitation center helps people recover from surgery, childbirth, or injuries, offering therapy in a dedicated space.

    Dining happens restaurant-style all day, and the kitchen pays attention to dietary needs, including allergies and special diets like for diabetes, with meals prepared by a chef. There are plenty of community spaces-a community room, activity room, game room, library, outdoor common spaces, and landscaped walking paths, plus programs like movie nights, music, arts, and resident-led activities, which help pass the time. There's a fitness room, spa and wellness room, and residents can take part in outdoor programs or just walk in the gardens. Avalon Garden also pays some attention to family support, allowing resident and family councils to talk things over, and tries to make sure that both comfort and health are covered, though as a for-profit facility it operates differently than some nonprofit places and it isn't set up as a full retirement campus.

    Medicare and Medicaid insurance are accepted, so families who rely on those can consider it an option. Caregivers are trained in dementia care, support people with age-related illnesses, and focus on building companionship and trust with those they help, whether that means assistance with meals, hygiene, exercise, or just sharing conversation and providing supervision for daily routines. The staff specializes in creating individualized care plans, so whether someone's healing from surgery or coping with memory loss, there's usually an effort to address those needs carefully. While the overall reviews are mixed, at 2.9 out of 10 from 10 reviews, the facility continues to operate as a skilled nursing rehabilitation center for those in need of daily living help, memory care, or therapy, prioritizing a straightforward approach to safety, health, and daily comfort.

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