River Crossing Rehab and Healthcare Center

    11278 Schuetz Rd, Saint Louis, MO, 63146
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Understaffed facility with inconsistent care

    I have mixed feelings. Many front-line caregivers here are kind, compassionate and keep rooms and meals clean - therapy and rehab can be excellent - but the place is chronically understaffed and management is often cold or unresponsive. I've witnessed missed meds, delayed pain relief, withheld oxygen/cane/nebulizer, soaked/soiled beds, and a resident returned unresponsive (there's an ongoing investigation), so safety and basic care are inconsistent. The building is older and needs repairs in places; some areas are spotless, others dingy or smelled of urine. I can't fully recommend - stay vigilant, push for care, and beware.

    Pricing

    Schedule a Tour

    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

    3.66 · 119 reviews

    Overall rating

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

      2.8
    • Staff

      3.7
    • Meals

      2.8
    • Amenities

      3.3
    • Value

      2.0

    Pros

    • Many staff described as caring, kind, and compassionate
    • Therapy team frequently praised as excellent and going above and beyond
    • Generally positive reports of rehabilitation services and recovery outcomes
    • Clean rooms, dining areas, and common spaces in many reviews
    • Immaculate dining area and professional dining service reported by some
    • Engaging activities, outings, and resident events
    • Resident council that addresses concerns in some cases
    • Friendly, professional, and attentive nurses and CNAs noted by multiple reviewers
    • Maintenance staff described as reliable and responsive
    • Some reviewers report a family-like atmosphere and good morale among residents
    • Fresh cooked meals and availability of fresh fruit reported by some
    • Hospice care descriptions meeting expectations
    • Good landscaping and tranquil outdoor spaces in some accounts
    • Some large rooms and generally comfortable accommodations
    • Staff described as proactive and enthusiastic in multiple reviews
    • Positive social environment with residents walking, talking, and participating
    • Several reviewers highly recommend the facility and staff
    • Medicaid-certified beds and typical nursing-home amenities noted
    • Improved facilities/renovations mentioned in some reports
    • Staff who help families with belongings and show cooperation

    Cons

    • Wide variability in care quality between staff, shifts, and units
    • Repeated reports of understaffing and short-handed shifts
    • Frequent complaints about management and upper administration being uncaring or unavailable
    • Serious allegations of neglect, abuse, and safety incidents (falls, wounds, near-miss medication events)
    • Delays or failures in medication administration, including major pain meds and oxygen/respiratory devices
    • Reports of beds or rooms soaked in urine and delayed or inadequate hygiene care
    • Outdated building and furniture, needing updates and repairs
    • Dirty or neglected outdoor/social areas (cigarette butts, litter)
    • Inconsistent or poor infection/COVID outbreak management claimed
    • Incidents of lost or missing personal items and poor handling of belongings
    • Staff unprofessionalism (phones/earbuds, eating at nursing station, rude behavior)
    • Allegations of major adverse outcomes including hospitalization, life support, death, and long-term injury (e.g., lost limb)
    • Food quality inconsistent—some report excellent meals while others report old, nasty food
    • Restricted visitation or closed curtains reported in at least one serious complaint
    • Poor call handling and responsiveness from management
    • Reports of administrative turnover and decline in care after management changes
    • Neglectful wound care and infection control issues
    • Specific safety incident: leg cut requiring stitches
    • Accusations of corruption or extreme misconduct in a few reviews
    • Facility cleanliness described as inconsistent across rooms and shifts

    Summary review

    Overall sentiment about River Crossing Rehab and Healthcare Center is highly mixed, with strong polarization between numerous positive experiences and a number of severe negative incidents. Many reviewers praise individual caregivers, therapy teams, and certain operational aspects, while other reviewers report serious lapses in clinical care, staffing, and management responsiveness. This results in a pattern where quality appears to be highly dependent on specific staff members, shifts, and recent administrative changes.

    Care quality: A dominant theme is variability in clinical care. Several reviews describe excellent rehabilitation outcomes, proactive therapists, gaining appetite, improved mobility, and meaningful recovery after surgery. The therapy team is repeatedly singled out as a major strength — described as caring, enthusiastic, and going above and beyond. Conversely, there are multiple, substantial reports of neglect and inadequate medical attention: missed medications (including major pain medications), failure to provide oxygen or respiratory devices, delayed bathing and bathroom assistance, beds soaked in urine, and wound-care failures. Some incidents are described as causing severe harm (e.g., hospitalization, near-miss medication events, loss of limb, life support, and even death). These conflicting reports indicate that while the facility can deliver high-quality rehab care for many residents, there are critical and recurring lapses for others.

    Staff and management: Reviews consistently praise many front-line staff (nurses, CNAs, therapy staff, maintenance and dining personnel) as kind, compassionate, and professional. Families frequently note staff who are helpful, attentive, and treat residents with dignity. However, a nearly equal number of reviews criticize staff behavior and professionalism — citing rudeness, indifference at nurses' stations, use of phones/earbuds during shifts, eating in patient areas, and poor bedside responsiveness. A prominent concern across reviews is understaffing: short-handed shifts and overloaded employees are linked to delayed care and hygiene shortfalls. Management and administration receive particular criticism in several reviews: recent administrative changes are accused of worsening conditions, upper management is described as uncaring or unavailable, and poor call handling by administration is frequently referenced. A few reviewers describe an administration that responds when pushed or when the resident council intervenes, suggesting responsiveness may depend on escalation.

    Facilities and maintenance: Accounts of the physical environment are mixed. Many reviewers report clean, well-maintained rooms, immaculate dining areas, pleasant landscaping, and reliable maintenance response. Others report an aging facility with outdated furniture, peeling walls, dingy or dull areas, and specific issues like cigarette-butts in outdoor social spaces and an overflowing dumpster near the entrance. These mixed observations suggest that while common areas and certain rooms may be well-kept or recently renovated, other parts of the building show deferred maintenance.

    Dining and activities: Dining and activities are another area of divergence. Numerous reviewers praise fresh-cooked meals, excellent food, and frequent activities and outings that create a positive social atmosphere. Resident events and active social programming are frequently cited as improving quality of life. In contrast, some reviewers report old or unappetizing food and basic limitations (e.g., no TVs provided). Overall, activities and food quality appear satisfactory to excellent for many residents but inconsistent across experiences.

    Safety, incidents, and compliance concerns: Several reviews raise serious safety concerns: a leg cut requiring stitches, poorly managed wounds leading to severe outcomes, missed medications with withdrawal risks, suspected COVID incidents, and restricted visitation or closed curtains in distressing circumstances. A minority of reviews contain extreme allegations (eviction, organ-theft claim, corruption); while these are isolated and severe, they contribute to an overall cautionary tone among some reviewers. Multiple families also reported filing or intending to file formal complaints with the state, highlighting perception of regulatory-level issues.

    Patterns and takeaways: The major pattern is pronounced inconsistency. Many families and residents are very satisfied — praising staff, therapy outcomes, cleanliness, activities, and improvements after renovations. At the same time, other families report neglectful care, understaffing, management indifference, and severe safety incidents. Where problems are reported, they often center around specific shifts or units, and many negative reports tie back to insufficient staffing, poor management response, or recent administrative turnover. The combination of strong therapy/recovery reports with repeated critical safety and medication concerns suggests that prospective families should perform targeted inquiries: check recent state inspection reports, ask about staffing ratios and turnover, speak with the resident council, request information about medication and wound-care protocols, and tour multiple parts of the building at different times of day to assess consistency.

    In summary, River Crossing shows clear strengths in rehabilitation therapy, some compassionate front-line staff, active programming, and areas that are well-maintained and clean. However, there is an appreciable volume of serious negative reports — including neglect, medication errors or delays, hygiene failures, and troubling administrative responses — that cannot be ignored. These mixed signals mean that individual experience is likely to vary widely; due diligence and direct, specific questions to administration and clinical leadership are essential before making placement decisions.

    Location

    Map showing location of River Crossing Rehab and Healthcare Center

    About River Crossing Rehab and Healthcare Center

    River Crossing Rehab and Healthcare Center, also called River Crossing of Creve Coeur, sits in St. Louis and serves people who need nursing home care, memory care, rehab, and home healthcare services, and when folks come here, they find both short-term rehab and long-term care in a 120-bed building, though the daily census runs about 80 residents these days, and there's skilled nursing care around the clock for anyone who needs close attention, especially those in frail health or those coming in for help after a hospital stay but before going back home. The center has dedicated areas for memory care and other needs, and it offers special programs for people recovering from heart, orthopedic, and stroke issues, including wound care, dialysis, IV treatments, pain management, and fall reduction to help with balance, and the therapies they offer run from basic rehabilitation to more focused support, whether you're staying as an inpatient or coming in for outpatient help. There are private suites if someone prefers a quieter space, and common areas feel spacious, with nice courtyards and places to relax, plus amenities that try to keep folks comfortable, and they provide meals planned by a registered dietitian, taking residents' likes into account while making sure dietary needs get met. The staff encourages everyone to join group activities seven days a week, which helps break up the days and brings people together, working off a belief in caring for each person's emotional, spiritual, social, and physical needs.

    The center has a nurse staffing level that's a bit higher than Missouri's average, at 3.64 nurse hours per resident each day, but management has changed recently, and the building's faced some challenges, like a high nurse turnover rate and deficiencies in state and federal inspections, including not always having a registered nurse on duty eight hours a day or a full-time director of nurses, and also some issues with how food gets stored, prepared, or served, with a total of 38 deficiencies listed and a couple tied to infection control. Ownership falls to River Crossing Holdco LLC, with several groups and people like Asher Marx and Jacques Wolf involved in running things now. The center believes in following personalized care plans for everyone, but their history of inspection reports shows there's room for improvement, mainly on consistent staffing and following standard safety rules, especially when it comes to nutrition and infection. Overall, River Crossing Rehab and Healthcare Center offers many services for different care needs, ranging from rehab after surgery to hospice, memory care, and respite stays, while aiming to make the place feel as inviting and supportive as possible for those living here.

    People often ask...

    Nearby Communities

    • Front exterior view of the American House Town and Country senior living facility with a circular driveway, landscaped greenery, and an American flag on a flagpole under a wooden entrance canopy.
      $5,000+3.9 (61)
      suite
      assisted living, memory care

      American House Town and Country

      1020 Woods Mill Rd, Town and Country, MO, 63017
    • Exterior view of Belmont Village Senior Living Glenview building at dusk, showing a large covered entrance with white columns, well-maintained landscaping with bushes and trees, and a multi-story brick and siding facade with lit windows.
      $3,965+4.6 (121)
      Semi-private
      independent, assisted living, memory care

      Belmont Village Senior Living Glenview

      2200 Golf Rd, Glenview, IL, 60025
    • Evening view of the entrance area of Belmont Village Senior Living Lincoln Park, featuring brick walls, decorative lighting fixtures, a circular chandelier on the ceiling, and a sign with the facility's name visible near the street.
      $5,506 – $7,157+4.5 (131)
      Semi-private • 1 Bedroom • Studio
      independent, assisted living, memory care

      Belmont Village Senior Living Lincoln Park

      700 W Fullerton Ave, Chicago, IL, 60614
    • Exterior view of a large, modern three-story senior living facility building with a covered entrance driveway, surrounded by green lawns and trees under a partly cloudy blue sky.
      $5,633 – $7,322+3.9 (69)
      Semi-private • 1 Bedroom • Studio
      assisted living, memory care

      Alto Grayslake

      1865 E Belvidere Rd, Grayslake, IL, 60030
    • Exterior view of a senior living facility named The Ashton on Dorsey, featuring a large covered entrance with stone pillars, multiple windows, and three flagpoles with flags in front of the building under a clear blue sky.
      $4,100 – $6,900+4.7 (76)
      Studio • 1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      The Ashton on Dorsey

      1105 Dorsey Ln, Louisville, KY, 40223
    • Aerial view of a senior living facility named Montage Mason surrounded by green lawns, trees, parking lots, and nearby buildings under a clear sky.
      $4,395 – $5,274+4.5 (75)
      Semi-private
      assisted living, memory care

      Montage Mason

      5373 Merten Dr, Mason, OH, 45040

    Assisted Living in Nearby Cities

    131 facilities$4,972/mo
    139 facilities$4,929/mo
    147 facilities$5,043/mo
    131 facilities$4,879/mo
    110 facilities$5,025/mo
    132 facilities$4,902/mo
    173 facilities$5,001/mo
    86 facilities$5,190/mo
    111 facilities$5,046/mo
    124 facilities$4,951/mo
    112 facilities$5,050/mo
    163 facilities$5,015/mo
    © 2025 Mirador Living