Tri-County Care Center

    601 N Galloway Rd, Vandalia, MO 63382
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Loving respectful spotless trusted care

    I'm very pleased with the care my mom receives here - loving, friendly nurses and aides, respectful administration and social services, and helpful insurance staff. Housekeeping and laundry are spotless and timely, residents are happy and active, therapy and rehab options are excellent, and the small-town, community-focused staff make this a place I trust.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    4.00·(17)

    Overall rating

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

      3.8
    • Staff

      3.8
    • Meals

      4.0
    • Amenities

      4.0
    • Value

      4.0

    Pros

    • Friendly, caring staff
    • Compassionate nurses and aides
    • Skilled therapists and rehab services
    • Tasty food
    • Clean, spacious environment
    • Spotless housekeeping and timely laundry
    • On-site therapy room and salon
    • Recreation/TV and available activities
    • Assisted living apartments and rehab options
    • Helpful social services and insurance staff
    • Convenient location near family
    • Community-based, small-town atmosphere
    • Residents are friendly and families visit daily
    • Valued, locally focused caregiving service

    Cons

    • Staffing shortages and turnover
    • New administration perceived as less caring; employee firings
    • Antiquated or older facility infrastructure
    • Inconsistent reports about activity levels (some say few activities)
    • Allegations of poor staff quality and substance use (meth)
    • Concerns about medication administration and quality of care
    • Emotional decline of some residents noted by families (e.g., reduced verbalizing)
    • Use of nontraditional aides (e.g., prison aides) cited—mixed perceptions

    Summary of reviews

    Overall sentiment across the reviews is cautiously positive about the care and community feel at Tri-County Care Center, combined with clear and recurring concerns about staffing, management changes, and facility age. Many reviewers emphasize that the nurses, aides, therapists, and social services are kind, caring, and skilled. Comments such as "best care," "caring and gentle staff," and "therapists were very good" are common, and several reviews single out specific strengths: effective rehab services, useful therapy rooms, on-site salon, and helpful insurance/social-services staff. Housekeeping and laundry are frequently praised as spotless and timely, and multiple reviewers describe the environment as clean and spacious. The facility's small-town, community-based atmosphere is highlighted as a strength — residents know each other, families visit frequently, and there is pride in the care provided.

    Care quality and clinical services are generally reported as solid. Rehabilitation and therapy options receive positive mentions, and assisted living apartments and rehab programs are noted as available and valuable. Several families explicitly say they were pleased with care and had no complaints about their loved ones' treatment. Social services and administrative staff are described as respectful and helpful by a number of reviewers, which supports smooth interactions around insurance and placement matters.

    However, there are consistent concerns around staffing and management that temper the positive accounts. Multiple reviewers mention staff shortages and turnover; some attribute a decline in the caregiving atmosphere to recent administrative changes, including employee terminations and a perception that the facility has become less familial. These management and staffing issues are among the most frequently cited negatives and appear to be a cause of worry for families considering longer-term placement. In addition, at least one review alleges serious staff-related problems (including a meth use allegation) and raises concerns about medication administration and overall staff quality — these are isolated but serious accusations and warrant direct follow-up with the facility.

    Facilities and amenities present a mixed picture. While many reviewers praise the cleanliness and describe the environment as spacious, others call the facility antiquated or old. The layout includes useful spaces such as a therapy room, recreation area, and salon, and the location is convenient for families who live nearby. Dining receives favorable mention (tasty food), but activity offerings are described inconsistently: some reviews report an active schedule with daily family visits and engaged residents, while others say there are "not a lot of activities." This suggests variability in programming or differing expectations among families and residents.

    Taken together, the reviews paint Tri-County Care Center as a community-oriented facility with many strengths in hands-on care, therapy, cleanliness, and family connection, but also as a center facing challenges tied to staffing levels, management transitions, and aging infrastructure. Positive experiences seem to center on compassionate frontline staff and effective therapy/rehab services; negative experiences cluster around staffing reliability, administrative changes, and a few serious allegations that merit investigation.

    For prospective residents and families: the most relevant actions based on these patterns are to ask specific, current questions about staffing levels and turnover, medication management procedures, background checks and staff training, and the facility's plan for addressing infrastructure needs and activity programming. A tour that includes observing mealtimes, speaking with current residents and families, and meeting therapy and social-services staff would help confirm whether the positive aspects highlighted in reviews are consistent at the present time and whether the staffing and management concerns have been resolved.

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    Medicare Ratings

    1·/ 5
    • 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 Tri-County Care Center

    Tri-County Care Center is located at 601 N Galloway Rd, Vandalia, MO, 63382.

    About Tri-County Care Center

    Tri-County Care Center, founded in 1994 and part of Baptist Homes, serves as a non-profit facility offering a wide range of care for seniors and adults who need extra help day and night, so if you're looking for something that carries a long tradition of care and updated spaces-since they've completely remodeled-you'll find a mix here of assisted living, skilled nursing, a Residential Living neighborhood, and a fully functioning Memory Care Unit for those folks with Alzheimer's or other forms of dementia, and they accept both Medicare and Medicaid right at the campus, which does make some decisions a little easier for people. There's skilled nursing staff available any time of the day or night to help with emergencies and daily needs, whether it's moving from a bed to a wheelchair, keeping track of insulin for diabetes management, or simply needing a little extra help, and they're also set up for people who need rehabilitation services such as physical, occupational, and speech therapy because sometimes those therapies really make a difference in getting back on your feet or managing changes as they come. The center offers meal services, which makes meal times a little easier for folks and gives families some peace of mind knowing dietary needs get met in a regular way, and the activities and programs they run help people stay active, give everyone a chance to socialize, stretch their legs, or just find some company in the common indoor areas, which is something you begin to appreciate more as life slows down and routines change. The facility supports individuals through palliative and respite care, and they're known around the area for focusing on each person's needs, trying to make daily life just a bit more comfortable and meaningful, striving for safety and high standards in ways that people notice, and giving families one less thing to worry about.

    People often ask...

    Tri-County Care Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 601 N Galloway Rd, Vandalia, MO 63382.

    No, Tri-County Care 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.

    Safety & Compliance

    In Missouri, the Department of Health & Senior Services licenses assisted living and long-term care facilities through state licensure surveys, complaint investigations, and fire-safety reviews.

    License numberaudrain-vandalia-baptist-homes-tri-county
    Facility typeResidential Care Facility I
    Capacity90 residents
    LicenseeTHE BAPTIST HOME

    Inspection Reports

    17

    Reports

    269

    Citations

    12

    Complaints

    7

    Years

    24 Jan 2025Complaint
    Identified deficiencies in resident care related to ADLs, quality of care, staffing, and infection control.
    • 19 CSR 20-20.020
    08 Feb 2024Complaint
    Identified multiple deficiencies related to resident funds management, notices for transfers and discharges, care planning, infection control, nutrition, and other facility operations.
    • 19 CSR 20-20.010
    08 Feb 2024Life Safety
    Found deficiencies in emergency preparedness requirements, including failure to maintain an annually reviewed emergency plan, updated policies and procedures, and annual testing.
    • 19 CSR 30-85.012
    19 Jul 2023Complaint
    Found a deficiency related to accidents, noting hazards in the resident environment and inadequate supervision or assistance devices to prevent accidents.
    04 Apr 2023Complaint
    Cited violations related to abuse prevention and reporting requirements, including failure to report allegations promptly and to complete investigations and share results within required timelines.
    15 Mar 2023Complaint
    Identified deficiencies in comprehensive care planning and accident prevention, with one finding posing immediate jeopardy to resident health or safety.
    20 Sept 2022Complaint
    Identified a deficiency in protecting residents from abuse, neglect, and exploitation. The finding concerned prohibiting abuse and involuntary seclusion.
    02 Mar 2022Complaint
    Identified multiple deficiencies related to resident rights, assessments, care planning, staffing, safety, infection control, and financial management.
    • 19 CSR 30-85.012
    02 Mar 2022Life Safety
    Cited deficiencies in emergency preparedness policies and procedures, including subsistence needs and energy provisions, and in arrangements with other facilities to maintain continuity of services during emergencies.
    13 May 2021Complaint
    Identified deficiencies related to resident rights and abuse prevention; violations cited.
    23 Sept 2020Infection Control
    Identified deficiencies in staffing, infection control, COVID-19 reporting, and the resident call system.
    • 19 CSR 20-20.020
    29 May 2020Infection Control
    Concluded no deficiencies were found.
    11 Dec 2019Complaint
    Found no state licensure deficiencies during the second inspection and complaint investigation.
    04 Sept 2019Complaint
    Investigated abuse-related allegations and found deficiencies in thoroughly investigating all alleged violations, preventing further potential harm during investigations, and reporting results within the required timeframe.
    11 Jul 2019Renewal
    Identified numerous deficiencies related to care planning, staffing, medications, infection control, and nutrition during the inspection.
    • 19 CSR 20-20.010
    • 19 CSR 20-20.020
    11 Jul 2019Life Safety
    Found emergency preparedness deficiencies and numerous life-safety code violations related to building construction, fire protection, electrical safety, and related areas.
    • 19 CSR 30-85.012
    • 19 CSR 30-85.012
    30 Jan 2019Complaint
    Cited deficiencies related to accident prevention and required supervision; noted the need for twenty-four-hour protective oversight and a voluntary-leave procedure.

    Disclaimer

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

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