Warsaw Health and Rehabilitation Center

    1609 Sunchase Dr, Warsaw, MO, 65355
    3.3 · 40 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Caring staff but unsafe management

    I loved the warm, family-like staff and excellent therapists - Cassandra (the administrator) communicated well and many employees went above and beyond. But the place is severely understaffed and mismanaged: I witnessed long waits, missed showers, poor bathroom cleanliness, soiled dressings/bedsores, lost urine tests, medication overrides that worsened cognition, delayed doctor care and even hospital transfers. Weekends felt like a ghost town, there were outages and broken furniture, and personal care was often neglected. In short: incredible staff, unsafe leadership/staffing problems - I can praise the people but can't recommend the facility until management fixes these issues.

    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
    • 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

    3.33 · 40 reviews

    Overall rating

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

      2.9
    • Staff

      3.5
    • Meals

      2.5
    • Amenities

      1.7
    • Value

      1.0

    Pros

    • Skilled and effective physical/occupational therapists
    • Medication nurse and some nursing staff who show care and compassion
    • Personable, warm and friendly frontline staff
    • Clean or well-maintained facility according to multiple reviewers
    • Strong sense of community and town integration
    • Engaging activities (examples: family-inclusive Halloween event)
    • Administrators/staff who communicate well (specific positive mention of Cassandra)
    • Staff who go above and beyond and provide individualized attention
    • Families report residents enjoying visits and social interactions
    • Pain management and therapy-related improvements reported
    • Convenient location (close to home) and welcoming environment
    • Responsive staff in some cases who answer questions and reassure families
    • Some reviewers highly recommend the facility based on positive experiences

    Cons

    • Chronic understaffing and frequent staff shortages (especially nights/weekends)
    • Inconsistent care quality across staff and shifts
    • Reports of neglect: infrequent showers and poor personal hygiene assistance
    • Incidents of pressure ulcers/bed sores and delayed wound care
    • Dehydration and inadequate monitoring of intake
    • Delayed or missed medical/doctor visits and lab testing (lost urine samples)
    • Unreported falls and delayed hospital transfers for head injuries
    • Medication administration errors or overrides linked to cognitive decline
    • Management denial, cover-ups, and poor incident transparency
    • High staff turnover and reports of unhappy/overworked staff
    • Poor communication during admissions and afterward
    • Dirty or poorly maintained bathrooms and occasional sticky/soiled floors
    • Broken room furniture and missing essential items (tray tables, dressers)
    • Soiled dressings, improper wound dressing practice, and dirty clothing over wounds
    • Incontinence care failures (patients left in feces, urinals left on trays)
    • Food quality concerns and instances of food placed near unsanitary items
    • Perceived gender discrimination and problematic HR/management actions
    • Expensive fees relative to reported care quality
    • Safety and storage issues for personal belongings
    • Weekend and night staffing described as a 'ghost town' leading to long wait times
    • Reports of nurses going multiple days without bathing residents
    • Allegations of manipulation by administration to minimize complaints
    • Variable cleanliness reports — some areas very clean, others filthy
    • Stopped or inconsistent therapy services despite initial good therapy
    • Polarized experiences from 'first-class' to 'hell hole'—highly inconsistent

    Summary review

    Overall sentiment in these reviews is highly polarized: a substantial number of reviewers describe Warsaw Health and Rehabilitation Center as having caring, skilled, and personable frontline staff and therapists who produce clear therapy and comfort outcomes, while an equally significant set of reviewers report serious lapses in basic nursing care, safety, and management practices. Positive reviews emphasize effective physical therapy, compassionate individual caregivers, a clean facility, active community involvement, and memorable family events. Negative reviews repeatedly highlight systemic issues — primarily chronic understaffing and poor supervision — that lead to neglectful care, medical oversights, and safety incidents.

    Care quality and clinical outcomes are a central area of contradiction. On the positive side, multiple reviewers singled out physical therapists and some nurses for delivering strong therapeutic progress, effective pain management, and compassionate hands-on care. Several families report marked functional improvements and express gratitude for attentive staff who make residents feel welcome and cared for. However, numerous negative accounts detail severe care failures: residents left in soiled clothing, infrequent showers, untreated or delayed wound care resulting in bed sores, dehydration, lost or delayed urine tests, delayed doctor visits, and even unreported falls and head injuries requiring hospitalization. These clinically serious concerns suggest lapses in daily monitoring and timely medical escalation in many instances.

    Staffing, management, and culture emerge as recurring root causes in the negative reviews. Understaffing is mentioned repeatedly — nights and weekends described as particularly thin — and is tied directly to long response times, missed hygiene care, and rushed or skipped tasks. Reviewers report staff turnover, burnout, and morale problems; some describe management as defensive, manipulative, or dismissive when incidents are raised. There are also allegations concerning personnel practices (including reported gender discrimination) and a perception that administration at times minimizes or covers up problems. A few reviewers do praise specific administrators for good communication, but such praise coexists with broader criticisms about inconsistent leadership and poor communication during admissions and when incidents occur.

    Facility condition and cleanliness are reported inconsistently. Several reviewers call the campus attractive and among the cleanest they've seen, and others note there is a visible community feel with engaging activities. Conversely, other reviews cite leaking toilets, sticky floors with old food residue, poor bathroom sanitation, and unsafe storage of resident belongings. Room maintenance issues are also mentioned (broken beds and dressers, missing tray tables), which affect comfort and dignity. These mixed reports imply variability by area, unit, or shift — some parts of the facility are well-kept while others reflect lapses in routine environmental services.

    Dining and daily living services receive mixed feedback as well. A number of family members praise food and social meal experiences, while others label the food 'disgusting' and recount unacceptable hygiene breaches such as food placed near urinals or trays with both meals and incontinence supplies. Incontinence care specifically is a serious and recurring problem in negative reviews: residents left in feces, urinals left on trays, soiled dressings and improper wound coverage, all of which indicate both staffing and training gaps.

    A clear pattern across the reviews is high variability — experiences range from 'first-class' and 'highly recommended' to 'hell hole' and 'do not put loved ones here.' Many positive comments focus on individual caregivers and therapists who go above and beyond; many negative comments tie back to systemic issues (staffing, supervision, management response) that result in neglect, safety incidents, and poor communication. Several reviewers specifically note that the facility may once have been top-notch but appears to have declined, while others say staffing shortages due to the pandemic have stressed an otherwise dedicated team.

    In short, potential residents and families should be aware that Warsaw Health and Rehabilitation Center elicits strongly mixed reviews: it can offer excellent, compassionate therapy and a community-oriented atmosphere, yet there are repeated and serious reports of understaffing, care neglect, wound and incontinence mismanagement, safety incidents, and problematic management responses. These themes suggest the need for caution: when considering placement, verify current staffing ratios and turnover, ask detailed questions about wound care and hygiene schedules, inquire about incident reporting and communication practices, and, if possible, tour specific units and speak with multiple families to assess consistency of care over time.

    Location

    Map showing location of Warsaw Health and Rehabilitation Center

    About Warsaw Health and Rehabilitation Center

    Warsaw Health and Rehabilitation Center sits on Sunchase Drive in Warsaw, Missouri, and provides care with 90 beds for people who need long-term assistance or help getting back on their feet after illness or injury, and while it's managed by Northport Health Services of Missouri, LLC and affiliated with NHS Management, the place also has a group of physicians who direct protocols and focus on individualized care. Residents get access to professional nurses, certified nurses' aides, and trained therapists, and there's a range of daily activities both indoors and outside in the courtyards, where people can relax or join social events, plus common areas decorated in a warm, home-like style that make it feel welcoming. The rooms come with cable television, and there's complimentary Wi-Fi, laundry and beautician services, and a restaurant-style dining area where residents eat from a weekly menu. Warsaw Health and Rehabilitation Center also offers specialized therapy, COVID-19 testing, and supports rehabilitation with equipment and staff, but inspection reports do show forty cited deficiencies, including five that were infection-related, and issues with infection control and keeping the environment safe, as well as nurse turnover at about 69.4%, which is higher than average, and staff nurse hours per resident per day at 3.05, which is a bit below the state norm. The facility's for-profit and operated as a limited liability company, most of the ownership held by Northport Health Services Inc., and while they display a commitment to care with services, activities, and courtyards, and the administrator, Casandra Gould, and the team make sure people can visit to tour or see photos before deciding, the history of citations about resident safety and supervision is something families should know before making choices about care.

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