St. Peters Rehab and Healthcare Center

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

    Upgraded caring staff, clean facility

    I'm very pleased with the recent changes under new ownership - the upgraded nursing and therapy teams are attentive and caring, staff are friendly and hardworking, and the facility feels clean and home-like. Administration and the office team are approachable and communicative, meals and activities are enjoyable, and on-site services (salon, podiatry, etc.) make things convenient. I'd recommend this community for short-term rehab, rehab-to-home, or long-term care - our experience has been very positive.

    Loved one of resident
    Jul 2026

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    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

    3.46·(83)

    Overall rating

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

      3.0
    • Staff

      3.2
    • Meals

      2.2
    • Amenities

      3.2
    • Value

      1.0

    Pros

    • Compassionate and hardworking direct-care staff
    • Skilled rehabilitation and therapy team
    • Clean, home-like interior in many areas
    • On-site personal-care services (salon) and specialty clinics
    • Weekly physician and nurse practitioner rounds
    • 24-hour laundry service
    • Engaging activities program with occasional outings
    • Accommodating approach to dietary needs
    • Successful short-term rehab-to-home discharges
    • Responsive new management and leadership improvements
    • Friendly and approachable administration and office staff
    • Convenient location and maintained grounds

    Cons

    • Inconsistent staffing levels and high staff turnover
    • Delays in responding to call lights and assistance requests
    • Medication-administration and reconciliation weaknesses
    • Inconsistent personal-care and bathing schedules
    • Sanitation and odor concerns in some areas
    • Variable food quality and limited menu variety
    • Gaps in clinical-incident response and hospital-transfer coordination
    • Inconsistent family communication and discharge planning
    • Inconsistent staff conduct and professional behavior
    • Billing, agency-payments, and financial-communication problems
    • Allegations of theft and unsecured resident belongings
    • Inadequate dementia cohorting and activity planning

    Summary of reviews

    Overall impression: Reviews describe a facility with meaningful strengths alongside systemic operational weaknesses. Many families and residents highlight caring aides, capable therapists, and instances of very effective short-term rehabilitation and attentive nursing. At the same time, recurring operational problems — principally around staffing, communication, and clinical coordination — create variability in everyday resident experience.

    Care quality and clinical oversight: The facility demonstrates strong rehabilitative capability and several accounts of successful therapy-to-home transitions. However, there are repeated accounts suggesting inconsistency in clinical oversight: medication-administration errors, delays in providing pain relief, gaps in medication reconciliation, and uneven attention to personal-care routines. There are also concerns about the facility’s processes for escalations and hospital transfers; several narratives describe delayed transfer coordination and poor family notification when medical situations arise.

    Staff and conduct: Direct-care staff (aides, housekeepers, some nurses) are frequently described as compassionate and hardworking, with a number of long-tenured employees noted positively. Conversely, high use of agency nurses, frequent staff turnover, and reports of inconsistent professionalism contribute to an uneven experience. Specific operational effects include limited caregiver availability during long shifts, delayed responses to call lights, and variability in staff familiarity with resident routines.

    Dining and activities: Meal service receives mixed feedback. Positive comments note accommodating meals and attention to dietary needs; negative comments describe limited menu variety, inconsistent meal quality, and occasional shortages of favored items. Activities programming is generally viewed favorably where implemented — reviewers cite regular activities and occasional field trips — but some families report a lack of structured engagement for more active residents or insufficient dementia-focused programming.

    Facilities, safety, and sanitation: Many reviewers describe clean, home-like areas and maintained grounds; others raise sanitation and odor concerns in particular units or common areas, plus issues with bathroom safety and long waits for assistance. There are also troubling accounts that suggest lapses in securing resident belongings and room privacy. Dementia cohorting appears inconsistent, with cognitive-care residents sometimes placed among the general population, which can affect safety and routine.

    Management, communication, and administrative practices: Opinions about leadership are mixed. Several families praise recent management changes and stronger communication, while others describe poor family communication, billing and agency-payment delays, and weak responsiveness from corporate or administrative channels. There are also a small number of serious allegations involving theft and financial communication problems; such claims indicate a need for clear policies on belongings, billing transparency, and incident reporting.

    Notable patterns and guidance: The pattern across reviews is variability — strong individual caregivers and therapy outcomes coexist with operational gaps that affect reliability and safety. Prospective residents and families should tour the unit, ask about current staffing levels and agency usage, review posted shift coverage and medication-safety protocols, inquire about hospital-transfer procedures and family-notification practices, and clarify dementia cohorting and activity schedules. Verifying on-site services (clinic rounds, salon, specialists) and observing mealtime and call-light response during a visit can help set realistic expectations.

    Summary conclusion: St. Peters Rehab and Healthcare Center offers evident strengths in therapy, personal-care staff, and certain facility services, and recent leadership changes have been viewed positively by some families. However, persistent operational challenges — especially inconsistent staffing, communication gaps, medication- and transfer-related process weaknesses, and sanitation/comfort variability — warrant careful evaluation by families considering placement. Visiting in person, asking targeted operational questions, and monitoring recent management initiatives will provide the clearest picture of current performance.

    Reviews written on Mirador

    We have no reviews to show about St. Peters Rehab and Healthcare Center.

    Help other families by writing a review about your experience with this community.

    Medicare Ratings

    1·/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

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

    Location

    Map showing location of St. Peters Rehab and Healthcare Center

    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.

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 76 facilities$4,600/mo
    2. 71 facilities$4,812/mo
    3. 50 facilities$4,550/mo
    4. 67 facilities$4,582/mo
    5. 58 facilities$4,587/mo
    6. 42 facilities$4,428/mo
    7. 32 facilities$4,521/mo
    8. 109 facilities$5,050/mo
    9. 73 facilities$4,917/mo
    10. 84 facilities$4,377/mo
    11. 58 facilities$4,096/mo
    12. 71 facilities$5,177/mo
    © 2026 Mirador Living