St. Peters Rehab and Healthcare Center

    230 Spencer Rd, Saint Peters, MO 63376
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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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

    Reviews

    3.51·(86)

    Overall rating

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

      3.1
    • Staff

      3.3
    • Meals

      2.2
    • Amenities

      3.2
    • Value

      1.0

    Pros

    • Compassionate and attentive nursing and caregiving staff
    • Strong rehabilitation and therapy program
    • Clean and home-like interior areas
    • On-site ancillary services (salon, podiatry, optometry)
    • Regular medical provider rounds (weekly doctor/NP visits)
    • Engaging activities and occasional outings
    • 24-hour laundry and housekeeping services
    • Accommodating meal options and family communication
    • Private rooms available for some residents
    • Successful short-term rehab-to-home discharges

    Cons

    • Inconsistent staffing levels and high turnover
    • Reliance on agency nursing personnel
    • Delayed responsiveness to call lights and resident assistance
    • Gaps in medication-administration controls and communication
    • Inconsistent clinical-transfer and hospital-authorization practices
    • Inadequate supervision for residents with cognitive impairment
    • Variable cleanliness and sanitation practices
    • Inconsistent meal quality and limited menu variety
    • Weak property-security and personal-belonging safeguards
    • Limited and uneven management presence and transparency
    • Billing- and administration-focused communication patterns
    • Unclear visitation and POA policy implementation

    Summary of reviews

    Reviewer feedback for St. Peters Rehab and Healthcare Center is strongly mixed, with substantive positive experiences alongside recurring operational concerns. Positive comments center on individual caregivers and clinical teams: many families describe compassionate, hardworking aides and nurses, an effective rehabilitation/therapy program that achieves successful short-term discharges, regular medical-provider rounds, and useful on-site services such as a salon, podiatry, and optometry. Several reviewers also noted that parts of the building are clean and home-like, that laundry and housekeeping operate continuously, and that activities and occasional outings are offered.

    Care quality appears to vary by unit and by staff assignment. Strengths include engaged nursing and therapy staff who can produce measurable rehab outcomes and attentive direct-care aides who form close relationships with residents. However, recurring operational issues undermine consistency of care: reviewers described inconsistent staffing levels, frequent turnover, and reliance on agency nurses, which many families connected to variability in skill, routines, and knowledge of resident needs. There are multiple accounts of delayed responses to call lights and long waits for assistance, along with concerns about medication administration and communication to families about changes in condition or treatment.

    Clinical-transfer and emergency processes emerged as a significant pattern. Several families reported delays or confusion when hospital transfer was needed, and some described poor family notification and documentation during transitions. These accounts suggest gaps in transfer-safety practices and in coordination with outside facilities. In addition, supervision of residents with cognitive impairment was described as uneven, indicating a potential need for stronger protocols and dedicated staffing for residents with higher acuity.

    Dining and daily life are similarly mixed. Some families praised accommodating meal choices and good family communication about dietary needs, while others found menu variety limited and food quality inconsistent. Activities programming was frequently cited as a positive, with daily activities, occasional field trips, and therapy-led engagement noted; yet reviewers also flagged unstructured routines in some areas and a need for more consistent, individualized activity plans for active residents.

    Facility and safety observations vary by reviewer. Positive descriptions include well-kept grounds and clean common areas, but other accounts raise sanitation concerns, odor issues in some areas, and maintenance needs consistent with an older building. Security and personal-property safeguards were raised as a concern where families reported missing items or inadequate inventory practices. Privacy and visitation policies were described as restrictive or inconsistently applied in a few accounts, and there were mentions of disputes over POA implementation.

    Management and administration present a split picture: some reviewers praise new leadership, improved transparency, and a more supportive culture; others criticize limited managerial presence, communication focused on billing rather than clinical issues, and slow corporate responsiveness. Several reviewers advised prospective families to visit the facility, speak directly with management about staffing and clinical protocols, and confirm how the facility handles transfers, medication communication, and visitation before placement.

    Overall, St. Peters demonstrates clear clinical and programmatic strengths—particularly in therapy and in the dedication of many front-line staff—but also shows systematic operational weaknesses that affect reliability: staffing instability, medication and transfer-process gaps, inconsistent housekeeping and meal delivery, and variable management engagement. Prospective residents and family members should balance the facility’s rehabilitation and caregiving strengths against these operational concerns, ask specific questions about staffing and transfer procedures, and verify current management initiatives and staffing patterns during a visit.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    St. Peters Rehab and Healthcare Center is located at 230 Spencer Rd, Saint Peters, MO, 63376.

    About St. Peters Rehab and Healthcare Center

    St. Peters Rehab and Healthcare Center has a large building with 96 certified beds and usually has about 87 people living there each day, and while the care they give covers many needs from skilled nursing and assisted living to independent living and memory care, as well as hospice, adult day services, and both Medicare-certified and non-medical home care, the biggest thing to know is they accept Medicare and Medicaid, which can really help families. They offer short-term rehab if someone needs therapy after a hospital stay and long-term care for people who need a lot of help, and there's a dedicated memory care unit with a secure space for people with dementia or Alzheimer's, where staff work around the clock. St. Peters has a broad set of therapies-physical, occupational, and speech-and provides respite care, laundry, regular cleaning, and meals that try to be nutritious and taste good, including seasonal foods meant to please residents. Each person gets a care plan, and skilled nurses, certified nursing assistants, and rehab specialists try to help people get stronger or feel comfortable. The place has some beautiful dining areas, spa-like amenities, big communal lounges and recreation spaces, and some nice interior courtyards and spots to relax, plus they run a lot of activities and keep people connected with social media and other programs.

    While they do offer a wide range of services, there are serious issues to consider, especially with health and staffing-quality measures are rated average, but both health inspections and staffing are rated much below average, and the overall rating is much below average, so that's something families need to think about. There have been 115 reported deficiencies from inspections, with a recent fine for failing accident prevention and more problems with infection control, including 11 infection-related issues and a few complaint reports in late 2024 and early 2025, which brings up some concerns about how safe the environment really is, as well as how well they follow infection standards. Nurse turnover is very high, at almost 85%, which means many nurses don't stay long-though nurse staff put in 3.56 hours per resident per day, which is actually a bit above the state average, it doesn't always mean things feel settled. Ownership and management changed in March 2024 and now sit with St Peters Holdco LLC, along with Ama Holdings LLC and others involved, and the facility has a relationship with the Missouri Health Care Association, focusing on advocacy, regulatory topics, staff education, and training like CMT, CNA, and insulin management courses, and they emphasize having highly skilled staff with a deep commitment to residents, but it has been marked as a Special Focus Facility Candidate because of a history of serious quality problems.

    St. Peters says they focus on compassionate care, well-being, and improving life for each resident, offering post-acute and long-term care that is patient-centered with personalized care plans, and they provide a safe place to recover with specialized medical and rehab services, but families should know about the recent inspection records, staff turnover, and safety concerns when considering this community.

    People often ask...

    St. Peters Rehab and Healthcare Center offers assisted living, memory care, and skilled nursing.

    There are 14 photos of St. Peters Rehab and Healthcare Center on Mirador.

    The full address for this community is 230 Spencer Rd, Saint Peters, MO 63376.

    No, St. Peters Rehab and Healthcare Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of St. Peters Rehab and Healthcare Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact St. Peters Rehab and Healthcare Center directly. There is no cost for this service. We are compensated by the community you select.

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