Oak Park Care Center

    6637 Berthold Ave, Saint Louis, MO, 63139
    2.7 · 37 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Untrustworthy leadership and poor care

    I had a horrible experience. Admissions and administration were unresponsive and misleading, leadership untrustworthy, and communication atrocious. Staffing was inconsistent - some caregivers were kind, but many were distracted or rude, meds were delayed or given incorrectly, call lights unanswered, and a resident fell and was left on the floor. The facility had cleanliness and odor issues, poor dining service, and staff smoked near entrances; I pulled my mother out and moved her to home care with hospice. I would not recommend.

    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

    2.70 · 37 reviews

    Overall rating

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

      2.4
    • Staff

      2.8
    • Meals

      1.7
    • Amenities

      2.3
    • Value

      2.0

    Pros

    • Caring and compassionate direct-care staff (many reviewers)
    • Knowledgeable and helpful nursing staff (some reports, incl. praised night nurse Kelvin)
    • Supportive and effective rehab/therapy team
    • Good activities department
    • Clean facility and no unpleasant odor (reported by some families)
    • Administration receptive to concerns (reported by some)
    • Staff who encourage resident independence and participation
    • Spacious rooms
    • Friendly, polite, and respectful front-line staff (reported by some)
    • Peace of mind and positive experiences for some residents/families
    • Comforting personal interactions (hugs, emotional support)
    • Helpful admissions/rehab staff in some cases

    Cons

    • Allegations of medication errors and unsafe medication practices (including reports of double-dosing)
    • Delayed or missed administration of medications (including delayed pain medications)
    • Frequent staffing shortages and understaffing, especially evenings/night
    • Staff distracted by phones and unprofessional behavior
    • Patient safety incidents: falls, residents left on the floor, insufficient supervision
    • Inadequate personal care: missed showers, residents left in same clothes
    • Poor communication and unresponsiveness from admissions/administration
    • High staff turnover and short tenure of administrators/DON
    • Management problems: wrongful terminations, payout-based firings, scheduling/contract noncompliance
    • Marketing misrepresentation and admissions denials (e.g., denied for dementia)
    • Smoking by employees near entrances and break areas, with secondhand smoke exposure
    • Uncleanliness and odor issues reported by multiple reviewers (fecal smell, dirty residents)
    • Dining concerns: poor/cold food, no posted menus, same meal for all residents, insufficient seating
    • Front desk/phone service problems: long holds, voicemail full, phones unanswered, rude staff
    • Safety and maintenance issues: lighting/receptacle problems, dirty splash guards, general maintenance gaps
    • Inconsistent staff engagement and professionalism (wide variability across shifts)
    • Reports of rude, dismissive, or hostile staff interactions
    • Concerns about off-hours care and lack of trust in leadership
    • Dining room cleanliness problems (tables not wiped, messes)

    Summary review

    Overall sentiment across the review summaries is highly mixed but leans toward serious concerns. Many reviewers praise individual caregivers, certain nursing staff, and the rehab/therapy team, noting moments of compassionate, professional care that provided peace of mind and encouraged resident independence. However, a large portion of reviews document systemic problems that affect safety, quality of care, cleanliness, communication, and management practices. The coexistence of strongly positive and strongly negative experiences suggests inconsistent care quality and variability by shift, unit, or individual staff members.

    Care quality and safety are recurring themes. Numerous reviewers reported delayed or missed medications, including delayed pain medication that required families to repeatedly ask for relief. There are also severe safety allegations: residents falling and being left on the floor, inadequate supervision (especially in evenings), and reports of staff not responding to call lights. Several reviews described inadequate personal care (residents not showered for extended periods, left in soiled clothing, bedpans not rinsed) and general neglect. Additionally, there are alarming claims about medication practices, including allegations of double-dosing residents to fit facility budget constraints; these are serious accusations made by reviewers and indicate perceived clinical governance problems. While some nurses (notably one night nurse mentioned by name) received praise for thorough and compassionate care, these positive reports sit alongside troubling accounts of neglect.

    Staff behavior and professionalism show wide variability. Many reviews emphasize caring, kind, and attentive caregivers who provide comforting interactions and are seen as the facility’s strength. Conversely, a substantial number of reviewers report unprofessional conduct: staff distracted by phones, irate responses when families inquire about care, rude stares, hanging up on callers, and poor front-desk service. Multiple comments cite voicemail systems being full, long hold times, and phones left off the hook, complicating family communication. There are also reports of employees smoking near entrances and break rooms despite no-smoking signage, causing secondhand smoke exposure and concerns about enforcement of policies. This inconsistency in staff performance contributes to starkly different experiences among families.

    Facility, cleanliness, and dining receive conflicting feedback. Several reviewers describe the building as clean, with no unpleasant smell and well-kept floors and walls, while others report dirty conditions, unkept residents, fecal odors, and messy dining rooms where tables are not wiped. Dining quality is another polarized area: a number of family members called the food cold or horrible and referenced uniform meals without posted menus or clear options, insufficient seating in the dining area, and staff uncertainty about meal choices. At the same time, some residents and families reported liking the food. Maintenance issues are also noted—lighting, receptacle repairs, and cleaning of door splash guards—indicating some facility upkeep needs.

    Management, communications, and admissions practices are frequent sources of frustration. Reviewers reported poor responsiveness from administration and admissions, marketing misrepresentation, and inconsistent adherence to contractual staffing/hours. Allegations include wrongful terminations, administrators firing staff for personal reasons, payout-based terminations, and deprivation of hours specified in contracts. Some families reported being denied admission due to dementia or receiving misleading marketing information. Positive notes exist—some families described an attentive administrator and receptive leadership—but these are limited relative to the volume of complaints about transparency, turnover, and trust in leadership.

    Patterns and overall impression: the dominant pattern is high variability. There are genuine strengths—compassionate caregivers, an effective rehab team, and an activities program—but these are undermined by recurring and serious operational problems: medication administration lapses, understaffing (often at night/evenings), poor communication, inconsistent professionalism, hygiene and dining issues, and management concerns including staff terminations and alleged misrepresentation. Several reviews describe situations families considered unsafe enough to move loved ones out of the facility. At the same time, other families strongly recommend Oak Park and describe positive, even excellent, experiences. This bifurcation suggests that individual experiences may depend heavily on timing, unit assignment, specific staff on duty, and leadership responsiveness.

    In sum, reviewers consistently identified both notable positives (compassionate caregivers, certain strong clinical/therapy staff, and a good activities program) and a broad set of operational and clinical weaknesses that raise safety and quality concerns. The most urgent themes are medication safety, adequate staffing and supervision, responsiveness of administration and admissions, enforcement of smoking and hygiene policies, and consistent professional behavior. Prospective families should be prepared to ask specific, targeted questions and seek direct observation or references to verify consistency in medication management, staffing levels (especially nights/evenings), response to call lights, cleanliness protocols, smoking policy enforcement, dining procedures and menus, and leadership stability when evaluating this facility.

    Location

    Map showing location of Oak Park Care Center

    About Oak Park Care Center

    Oak Park Care Center sits in Richmond Heights, Missouri, and has been in business since 1998, though the Better Business Bureau opened its file for the facility in 2005. Oak Park Care Center has a BBB rating of A+ even though it's not a BBB Accredited Business, and falls under the business category of a Nursing Home in the MGM Healthcare network of communities. The facility offers both semi-private and private rooms, as well as studios in different layouts, and the building has shared common areas so residents can spend time together, enjoy meals in the communal dining room, or join in on field trips and organized activities that help people stay engaged. Oak Park Care Center features a nutrition specialist to help with health and well-being, nurses on staff to provide medical support, and a caring staff focused on daily needs, therapy, and personalized care.

    Skilled nursing care, long-term care, short-term rehabilitation, and hospice care services are available, and memory care is provided in a specialized unit for people with dementia or Alzheimer's, focusing on safety and improving daily life. There's on-site therapy, including physical and occupational therapy, and outpatient rehabilitation for those coming in for therapy but not staying overnight. Residents receiving hospice care get help with comfort and end-of-life needs, and the care team handles a range of medical and rehabilitative support. Salon services, organized programs, and outings add to the list of amenities. Oak Park Care Center, administered by Ms. Tracy Unger and Meagan Martorelli, also received a 1-star rating from the Centers for Medicare & Medicaid Services for its nursing home care, which is a fact those looking into the facility may want to consider. The center aims for a safe and comfortable place with services to support both physical and social well-being for its residents.

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