Pricing ranges from
    $4,241 – 5,513/month

    The Meadows at Escalante

    950 S 400 E, St. George, UT, 84770
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    1.0

    Caring staff amid management failures

    I loved the bright, clean building, roomy apartments, varied meals and activities, and many CNAs/med-techs were truly kind and attentive - those staff kept my mom engaged and comfortable at first. After Frontier took over everything changed: management broke promises (cable, services), communication was poor, phones went unanswered and refund requests dragged on for months. Care deteriorated in 2024 with chronic understaffing, no visible RN/ED, missed meds, stolen pain meds, an unlocked side door, a lost Life Alert, and even a freezer-related death incident that destroyed my trust. Housekeeping and kitchen were mostly fine but services we paid for weren't reliably provided and internet/TV were spotty. Some individual staff were exceptional and compassionate, but leadership failures, safety lapses, and dishonesty make me terribly disappointed - I cannot recommend this place now.

    Pricing

    $4,241+/moSemi-privateAssisted Living
    $5,089+/mo1 BedroomAssisted Living
    $5,513+/moStudioAssisted Living

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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
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 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

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Family private dining rooms
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Pet friendly
    • 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

    3.99 · 103 reviews

    Overall rating

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

      3.9
    • Staff

      4.1
    • Meals

      3.6
    • Amenities

      4.1
    • Value

      2.9

    Pros

    • Many staff described as caring, compassionate and attentive
    • Strong, activity-rich program with varied daily events and outings
    • Several reviewers praised specific staff (Activity Directors, CNAs, med techs)
    • Clean and well-maintained common areas and some immaculate rooms
    • Good amenities (gym, salon, movie theatre, large common spaces)
    • Positive move-in experience and helpful admissions staff reported by some
    • Chef and culinary team praised by multiple reviewers (tasty meals, cooking classes)
    • Weekly housekeeping and laundry services noted
    • Pet-friendly environment mentioned
    • Opportunities for socialization and resident engagement
    • Value-for-money/affordable option reported by some families
    • Accessible location and convenient layout for many reviewers
    • Memory-care units praised by some earlier reviewers
    • Staff that go above and beyond and create a family-like atmosphere
    • Guest meals and flexible meal options available

    Cons

    • Chronic understaffing, especially nights and in Memory Care
    • Frequent management turnover and poor administrative leadership
    • Ownership/Frontier takeover cited as cause of service declines
    • Serious safety incidents reported (freezer death, thefts, unlocked doors)
    • Medication and personal-item theft or missing items alleged
    • Delayed or missing response from nursing/RN and after-hours staff
    • Poor communication with families; unresponsive phone/office
    • Refund disputes and billing problems, including charging without notice
    • Promises in contracts not kept (cable, internet, services)
    • Food quality inconsistent: some report bland, cold, institutional meals
    • Maintenance problems (water outages, slow repairs, facility disrepair)
    • Allegations of elder abuse, disrespectful treatment, and negligence
    • Life-alert and fall-notification failures and delayed family notification
    • Inadequate security (side doors unlocked, no cameras) and unsafe conditions
    • High staff turnover and loss of institutional knowledge

    Summary review

    Overall sentiment about The Meadows at Escalante is highly polarized: many reviews describe a warm, activity-filled, clean and caring community, while a substantial number of reviews point to systemic operational failures, safety incidents, and management problems. Positive reviewers emphasize compassionate front-line staff, robust activities and social opportunities, comfortable apartments, and amenities such as a gym, salon, movie theater and frequent outings. Negative reviewers, however, report severe lapses in safety, communication, and leadership that in some cases have led to alleged neglect, theft, and a dramatic deterioration in care quality.

    Care quality and staff behavior emerge as the most frequently discussed themes. A large subset of reviewers praise CNAs, med techs, housekeeping, and activity staff as kind, attentive, and willing to go above and beyond. Multiple families singled out individual employees (Activity Directors, nurses, and aides) who provided personalized attention and helped residents thrive socially and emotionally. At the same time, a distinct and recurrent complaint is chronic understaffing — particularly at night and in Memory Care. Several reviews report that RN presence is minimal or absent, calls and medication questions are not returned, and families are forced to be proactive advocates for basic needs. This results in a mixed picture where direct caregivers are often praised but the broader clinical support and supervision are perceived as inconsistent or insufficient.

    Memory Care and resident safety are major areas of concern in the negative reviews. Specific, alarming incidents were reported: a freezer-related resident death, unlocked side doors, missing life-alert functionality, delayed notifications after falls, and alleged theft of medications and personal items. These safety failures are coupled with statements about insufficient nursing oversight, lack of an executive director, and leadership failures that families attribute to corporate policy changes after an ownership/management transition (referred to repeatedly as a "Frontier takeover"). Where families reported strong safety and care, it tended to be earlier timeframes or before reported management changes — reviewers explicitly contrasted a stronger pre-takeover era with declines afterward.

    Management, operations, and transparency receive consistent criticism from the dissatisfied reviewers. Common complaints include high administrative turnover, unfulfilled contractual promises (internet, cable, and other services), billing disputes and delayed refunds, poor responsiveness to phone calls and family concerns, and ad hoc or slow maintenance responses (water outages, cabinet repairs). Several reviewers stated they were charged for full months despite service problems or were still awaiting refunds for months. These operational grievances often color families’ overall impressions more than isolated staff interactions, because they affect trust, safety, and financial expectations.

    Dining and activities produce mixed but detailed comments. Many reviewers praise the culinary staff and chef — noting tasty meals, cooking classes, and the flexibility of having alternate entrees and a salad bar. Other reviewers, however, characterize meals as bland, institutional, served cold, or unrecognizable during lockdowns. Activities are a commonly cited strength: frequent programs, guest performers, outings (ice cream trips, movies), and an active social calendar are consistently mentioned by satisfied families. A few reviewers felt activities did not match their loved one’s functional level or that there were insufficient peers for certain physical activities.

    Facilities and physical environment also show variance across reviews. Multiple reviewers describe the community as bright, beautiful, immaculate, and well-maintained with generous common spaces and attractive apartments. Conversely, other reviewers call the facility poorly maintained, report water outages, slow repairs, and overall deterioration. Security concerns (unlocked doors, lack of cameras) and infrastructure problems are specifically tied to negative safety assessments.

    Pattern and timeline considerations are notable: several reviews describe a clear shift in quality and responsiveness following a corporate/ownership change (often referenced as Frontier). Families report promised services not delivered after the change, rising prices, and a perceived corporate mandate leading to stricter rules or staffing changes. Other negative reports are tied to peak pandemic restrictions, with lockdowns producing isolation, food delivery problems, and cold or inadequate meals during that period. Positive reviews frequently come from long-term residents or from time periods described as before the reported operational decline.

    In summary, The Meadows at Escalante has many strengths that make it a good fit for some residents: caring front-line staff, vibrant activities, strong amenities, and periods of high cleanliness and good food are commonly cited. However, there is a substantial body of reviews that raise serious red flags regarding leadership, safety, staffing levels, security, communication, and financial/contractual transparency. Prospective families should verify current staffing ratios (especially RNs for Memory Care), review incident and inspection histories, ask about security measures and cameras, get contractual promises in writing (and clarify refund/billing policies), and speak directly with families of current residents about recent operational changes and turnover. The mixed experience means that outcomes appear to vary considerably depending on timing, unit, and management at the time — so careful, documented due diligence is strongly advised.

    Location

    Map showing location of The Meadows at Escalante

    About The Meadows at Escalante

    The Meadows at Escalante sits in a quiet valley in St. George, Utah, with beautiful mountain views all around and a nice cozy feel, and there's always a bit of activity going on, whether it's music from the resident musical groups, arts and crafts in the big recreation room, or neighbors meeting in the garden or watching TV together in the common areas. The two-story building offers studio, one-bedroom, and two-bedroom apartments, and rooms have kitchenettes, WiFi, cable TV, and some can even fit pets if that's something folks want. Residents get help with daily needs like dressing, grooming, walking, medication, and there's in-house nursing, memory care for those with Alzheimer's or other needs, and respite care for short stays, which can really help caregivers who need a break. Meals are prepared by chefs and served in a big dining room, but room service is available too, and there's always a choice for guest meals if family comes to visit. There's free transportation for appointments, shopping at The Shoppes, and outings to nearby parks like Zion or Snow Canyon, plus you'll see onsite parking for residents and guests. The staff helps with both physical and emotional needs and includes part-time nurses, aids for VA benefits, and folks giving medication reminders and support. Residents stay active in the gym, do exercise classes like chair yoga, join book clubs or storytime, try out tabletop games, go gardening, or enjoy music and painting as part of the regular activities schedule. There's an on-site salon and barber, religious services, Spanish-speaking staff if that's needed, and the atmosphere tries to feel safe and homelike, focusing on everyone feeling welcome. The Meadows at Escalante accepts Medicaid and check payments, offers home sale assistance, and keeps pricing all-inclusive, so people know what to expect. The facility's licensed by the state, has a dedicated business manager named Mr. Customer Service looking after things, but it's not BBB accredited. Housekeeping, laundry, maintenance, and security are all part of the program, and the building's designed for seniors' safety, with sprinkler systems and handicap features. There's always a steady effort to support each resident's well-being-physical, emotional, and spiritual-and staff tailor care so it fits individual needs, aiming to keep life a bit easier and a touch brighter for each person who lives there.

    About Integral Senior Living

    The Meadows at Escalante is managed by Integral Senior Living.

    Integral Senior Living (ISL), founded in 2002 and headquartered in Carlsbad, California, has emerged as a leading third-party management company specializing in senior independent living, assisted living, memory care, and new development properties. Managing 58 communities across 15 states including California, Oregon, Washington, Arizona, Utah, Idaho, Colorado, Texas, Oklahoma, Illinois, Tennessee, Alabama, Michigan, Missouri, and Florida, ISL ranks as the 20th largest senior living provider in the United States with annual revenues reaching $750 million.

    In 2023, ISL entered a transformative partnership with Discovery Senior Living through an investment by Lee Equity Partners and Coastwood Senior Housing Partners, creating the nation's fifth-largest senior housing operator. This strategic alliance positioned ISL as Discovery's largest vertically integrated senior living operator, managing over 113 communities within the Discovery family of companies. Together, Discovery Senior Living has become the largest privately held operator in the U.S., with a portfolio of nearly 35,000 units across 350 communities in almost 40 states, supported by more than 17,000 employees.

    ISL's care philosophy centers on fostering dignity and respect for residents while promoting their independence and individuality. Their person-centric approach is exemplified in programs like Generations Memory Care, where individuals are viewed as whole persons first rather than being defined by their conditions. The company delivers meaningful and vibrant life experiences through exceptional amenities, award-winning programs, chef-prepared meals, and expert care. This commitment extends to creating fulfilling work environments for associates, recognizing that employee satisfaction directly impacts resident care quality.

    The company's excellence has earned significant recognition, including 19 communities being named among the Best Senior Living Communities for 2024. Under the leadership of President and CEO Collette Gray, who received the 2025 McKnight's Senior Living Women of Distinction Lifetime Achievement Award and was inducted into the McKnight's Women of Distinction Hall of Honor in 2023, ISL has maintained its position as an industry leader. The partnership with Discovery has proven transformative for operations, enhancing support services, improving employee retention through enhanced benefits, and allowing both companies to leverage best practices while maintaining their unique cultures and programs.

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