Nazareth Living Center

    2 Nazareth Lane, St. Louis, MO, 63129
    3.4 · 27 reviews
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    3.0

    Compassionate staff, inconsistent care issues

    I had a mixed experience. The nuns, therapists, admissions team and many caregivers were warm, compassionate and professional - rehab, activities, clean/new common areas, and the dining (often excellent) were real strengths. However care was inconsistent: chronic understaffing, long call-light waits (especially nights/weekends), delayed responses to falls/medical needs, poor handling of at least one incident, and maintenance/smell issues in older wings. Community feels a bit isolated and billing/transparency was problematic. I'd recommend only after confirming staffing, night/weekend coverage, and contract/charges.

    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
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • 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

    3.44 · 27 reviews

    Overall rating

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

      3.4
    • Staff

      3.5
    • Meals

      3.8
    • Amenities

      3.5
    • Value

      2.0

    Pros

    • Clean facilities and well-maintained grounds
    • Friendly, caring and compassionate staff (many reports)
    • Washer and dryer in some apartments/units
    • Meal plan with monthly points for lunches/dinners and complimentary breakfast
    • Full-service kitchen and variety of meal choices
    • Snack areas with self-serve drinks and snacks
    • Numerous activity opportunities and weekly programming
    • Exercise room, machines, aerobics and yoga classes
    • Large sit-down exercise/meeting room and community gathering areas
    • Library and computer room
    • Daily Mass, chapel and active spiritual life (Sisters of St. Joseph presence)
    • Theater and other on-site amenities
    • Garage/indoor parking and transportation services
    • Accessible layout: single-level living and wheelchair-accessible bathrooms
    • Newer building sections with impressive layout and style
    • Pleasant, bright and well-lit hallways and common areas
    • Screened-in deck and attractive outdoor spaces
    • Safe, family-oriented neighborhood and overall safe environment
    • Rehab and therapy services praised (PT/OT, strong rehab outcomes)
    • Admissions staff offering financial assistance and empathetic support
    • Social workers and spiritual care available and responsive
    • Residents treated with dignity by many staff members
    • Meals frequently praised as good or fabulous by many reviewers
    • Regular social events (ice cream socials, bingo with schools, community events)
    • Clean dining area and pleasant dining facility
    • Staff continuity and personalized touches noted (nurses calling residents by name, shift goodbyes)
    • Top-notch staff in some units and documented improvements over time
    • Range of room sizes and options available
    • Homey atmosphere described by several families
    • Close to home for many residents

    Cons

    • Inconsistent care quality between shifts (good business hours; poor evenings/weekends)
    • Serious reports of understaffing, especially nights/weekends
    • Long response times to call lights (examples of ~3 hours)
    • Medication not always given or delayed
    • Falls with delayed discovery (residents left on floor for hours)
    • Poor skilled nursing care and incidents of neglect (left in clothes, dehydration, weight loss)
    • Unprofessional handling of issues (bed bugs incident cited)
    • Poor communication from staff and management
    • High charges and lack of transparency about fees and billing
    • No grace period and rushed clearance/admissions complaints
    • Some staff described as rude or unhelpful (housing manager, some nurses/aides)
    • Parts of building outdated: old rooms, beat-up furniture, hospital-style rooms
    • Unpleasant odors reported in some areas (urine, general smell)
    • Not well equipped for memory care in some cases
    • Instances of not following medical orders and missed medical assessments
    • Delayed or unavailable emergency/ambulance response and paperwork issues
    • Residents in common areas observed slumped or asleep in wheelchairs
    • Room maintenance issues (holes in wall, missing TV remotes, no internet)
    • Infections and other health complications reported after stay
    • Perceived businesslike / rushed atmosphere rather than home-like
    • Isolation from community reported by some residents/families
    • Variable staff skill—some excellent aides/therapists but also reports of awful caregivers
    • Parking difficulties in some reviews
    • Serious adverse outcomes reported in a few reviews (death alleged)
    • Rapid occupancy and possible pressure to fill beds

    Summary review

    Overall impression: The reviews for Nazareth Living Center are strongly mixed, with many family members and residents praising staff, amenities, spiritual life and activities but a number of serious, recurring complaints about clinical care, staffing consistency, communication, and building maintenance. Positive reports often focus on the facility’s social, spiritual and rehab strengths — bright common spaces, active programming, daily Mass, helpful admissions staff and strong therapy teams — while the negative reports emphasize episodic but significant lapses in nursing care and responsiveness, particularly evenings and weekends.

    Staff and care quality: Staff performance is a recurring and polarized theme. Many reviewers describe staff as friendly, caring, compassionate and professional, with specific praise for nurses and therapists who supported rehab progress and individualized care. Several families noted staff who go "above and beyond," social workers who are empathetic, and Sisters of St. Joseph contributing positively to the community atmosphere. Conversely, multiple reviews document serious failures: long call-light waits (one account of ~3 hours), missed medications, falls where residents lay undiscovered for hours, alleged neglect (residents left in soiled clothes, weight loss, dehydration), reluctance or failure to assess medical needs, and in a few reports, poor handling of urgent events (delayed ambulance response, incomplete EMS paperwork). These negative incidents were frequently tied to evenings, weekends, or perceived understaffing, indicating inconsistency across shifts.

    Clinical and nursing issues: While rehabilitation and therapy services receive strong praise (effective PT/OT and good rehab outcomes), skilled nursing and long-term clinical oversight appear uneven. There are specific reports that wound care nurses, nurse practitioners, or attending physicians were not available or did not arrive in critical moments. A number of reviews describe not following medical orders, infections requiring antibiotics after stays, and at least one allegation of a resident’s death linked to care problems. Memory care capability is questioned by some reviewers who felt the facility was not adequately equipped for residents with cognitive impairment. These patterns suggest that while short-term rehab and therapy programs may be robust, longer-term skilled nursing and memory support are areas of concern for some families.

    Facilities and amenities: The campus and many facilities are repeatedly praised. Positive points include clean, well-lit, wide halls, attractive landscaping, screened-in deck areas, a theater, chapel, library, computer room, exercise equipment, and a new-building section with an impressive layout. Apartment features such as in-unit washers and dryers, indoor parking/garage access, and snack stations are highlighted. However, several reviewers noted older parts of the buildings where rooms seem outdated — hospital-style rooms, beat-up furniture, holes in walls, missing TV remotes, lack of internet in some rooms, and intermittent unpleasant odors (urine). Parking is called adequate by some but "not very good" by others. Overall, the physical plant appears mixed: well-maintained common areas and grounds, with older or under-updated resident rooms in places.

    Dining and activities: Dining and activities are clear strengths in many reviews. Multiple people praised the food (some called it "fabulous"), the variety of meal choices, a points-based meal plan offering lunches/dinners with complimentary breakfast, and social dining experiences. Activities such as bingo (including intergenerational activities with local schools), ice cream socials, aerobics, yoga, and daily Mass are frequently mentioned and appear to contribute significantly to resident satisfaction. Some reviews, however, stated food was only "halfway acceptable" and noted meals left uneaten due to staff not assisting residents who needed help with feeding, again tying back to understaffing concerns.

    Management, admissions and billing: Experiences with admissions and management are split. Several reviewers praised admissions staff for helpfulness, financial assistance, and compassionate social workers. Others raised concerns about billing transparency, high charges, no grace period, hurried occupancy processes, and at least one report of rude interactions with housing management. Communication problems from management and inconsistent follow-through on promises were also cited, contributing to a perception by some that the facility can be "business-like" rather than home-like.

    Safety, responsiveness and staffing patterns: One of the most important patterns across reviews is inconsistent staffing and responsiveness, often tied to the time of day. Many positive reports reference helpful staff during normal business hours, while many negative reports focus on evenings and weekends when response times, nurse availability, and clinical decision-making appear to deteriorate. Repeated themes include long waits for assistance or bathroom help, short-staffed nurse’s aide shifts, missed medications, and slow or inadequate emergency response. These issues have led to tangible harms in some accounts (falls, untreated pain, infections, dehydration), making this an area of significant concern for prospective residents and families.

    Community, spiritual life and social environment: The Catholic identity of the community and the presence of the Sisters of St. Joseph are prominent in many reviews and are a strong draw for some residents who appreciate daily Mass, spiritual support, and the warm, family-oriented culture. For others, that same religious character or the institutional feel of some areas contributed to feelings of isolation or a negative impression. Overall, for families seeking a faith-based environment with active spiritual programming, Nazareth appears attractive to many.

    Summary assessment and considerations for families: In summary, Nazareth Living Center offers many strong features — attractive grounds, varied amenities, active spiritual life, robust therapy/rehab services, and numerous social activities — and many reviewers report excellent, compassionate staff and successful care transitions. However, there are repeated, serious complaints about staffing shortages, inconsistent nursing care (particularly off-shift), communication failures, billing transparency, and outdated resident rooms in parts of the campus. These negative reports include concrete safety issues (falls left undiscovered, missed medications, infection) that merit careful attention.

    If considering Nazareth, families should tour both the newer and older sections of the campus, speak directly to clinical leadership about night and weekend staffing ratios and response-time policies, ask for recent quality indicators (falls, hospital readmissions, staffing levels), inquire about memory care capabilities and protocols for urgent medical assessments, get a clear, written explanation of all fees and any grace/transition periods, and request references from current families. Balance the strong reports about therapy, spiritual life, activities and caring staff against the documented inconsistencies in skilled nursing and after-hours responsiveness when making a placement decision.

    Location

    Map showing location of Nazareth Living Center

    About Nazareth Living Center

    Nazareth Living Center sits in a quiet neighborhood in South County near shopping, hospitals, and places of worship, and it offers a full range of senior living services. The facility has up-to-date spaces, and the grounds are peaceful and well-kept, making it easy for residents to enjoy both the indoors and the view outside. People can choose from independent living apartments at The Village at Nazareth, assisted living, memory care, long-term nursing care, short-term nursing, and outpatient rehabilitation. Residents often find the staff attentive and highly trained, with people who know how to provide care for those needing help with bathing, dressing, taking medicine, or those living with Alzheimer's or dementia. Music and spiritual support are woven into the care approach, which gives the place a warm, faith-based community feeling, especially during hard times like end-of-life care. The facility provides services to help people "age in place," meaning residents can move between care levels, like from independent to assisted to skilled nursing, without having to leave the center as care needs change, and this comes with priority access to extra help when needed. The staff helps with daily needs, cleaning, meals, medication, and there are dedicated areas for activities and socializing so residents can make friends and stay active. The facility supports mobility, so even those with wheelchairs or walkers can get around. Amenities and services such as maintenance and flexible dining help make life easy. They offer specialized care for memory impairment, like therapies to reduce confusion and prevent wandering, while skilled nurses care for people with chronic or serious health issues or who are recovering from illness or surgery. Outpatient rehabilitation programs are also available so people can get therapy after injury or surgery while still living at home. Nazareth Living Center is an award-winning senior living resource for St. Louis families and has built a reputation with its caring staff, modern buildings, and focus on making life comfortable, safe, and meaningful for seniors.

    About Benedictine

    Nazareth Living Center is managed by Benedictine.

    Benedictine, established in 1985 by the Benedictine Sisters of St. Scholastica Monastery in Duluth, Minnesota, has grown into one of the largest Catholic senior living organizations in the United States, operating over 35 communities across Minnesota, North Dakota, Wisconsin, Illinois, and Missouri. With annual revenues reaching billion, approximately 5,000 employees, and over million of senior living assets under management, this faith-based nonprofit organization has experienced significant expansion from a single skilled nursing facility to a multi-state healthcare network through strategic acquisitions, partnerships, sponsorship transitions, and joint ventures.

    Under the leadership of President and CEO Jerry Carley, who joined in 2018 bringing over 35 years of senior care experience, Benedictine has maintained its position as an industry leader while preserving its Catholic heritage and mission-driven focus. Carley's leadership has earned significant recognition, including being named to The Minnesota 500 as one of the state's most powerful executives (2018-2020) and designation as one of Minnesota's Most Influential Health Care Leaders by Minnesota Physician Magazine in 2020. His extensive background includes previous roles as president and CEO of CSJ Initiatives and service on LeadingAge Minnesota's board of directors, where he serves as Chair.

    Benedictine's innovative memory care program exemplifies their commitment to specialized care through two distinct neighborhoods: Tabitha, named after Sister Tabitha who was the first woman to head a hospital setting, which serves residents with mild to moderate memory loss, and Pauline, honoring Sister Pauline who devoted her life to dementia care, providing specialized support for those with moderate to advanced dementia. These research-based programs employ best practices in dementia care, offering engaging activities, personalized care plans, and family integration support. The organization's comprehensive service continuum extends to Adult Day Programs in Duluth and Winona, providing daytime respite care with trained memory care staff, while facilities like Benedictine Minneapolis specialize in complex medical care including tracheostomy and ventilator support.

    The organization's care philosophy centers on nurturing mind, body, and spirit, rooted in Benedictine values of Hospitality, Stewardship, Respect, and Justice. This holistic approach emphasizes listening with the "ear of the heart," creating welcoming environments where unique needs are respected and each person's spirituality is honored. Through comprehensive rehabilitation services, spiritual care programs led by Director of Spiritual Care Rev. J. Scott Cartwright, and purposeful recreation incorporating art, music therapy, and movement, Benedictine continues the healthcare ministry begun by the Benedictine Sisters over a century ago. Recent strategic decisions, including the 2024 transition of Benedictine Living Community-Wausau to The Ensign Group, demonstrate the organization's commitment to ensuring sustainable, high-quality care while adapting to evolving market dynamics and maintaining their mission of empowering older adults to live to their highest potential.

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