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Nursing HomeMedicaid Investigative

Amberwood Estates Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

5303 Bermuda Drive, Saint Louis, MO 63121115 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 27 Google reviews

5
4
3
2
1
Amberwood Estates Nursing and Rehabilitation Nursing Home in Saint Louis, MO — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (20 vs median 10)
  • High staff turnover (84%)
  • High RN turnover (100%)

Bottom 25% in MO · Critically understaffed (RN) · Very high staff turnover · Worst in VERTICAL HEALTH SERVICES chain · $22,934 in fines

Source: Medicare data

What this means for your family

While some families report a smooth admissions process and helpful therapy staff, the reports of neglect and missing property are serious red flags. We strongly advise you to conduct an unannounced visit during a weekend or evening shift to observe the actual level of care and cleanliness firsthand.

Google Reviews

Google Reviews

27 reviews on Google
Amberwood Estates Nursing and Rehabilitation receives highly polarized feedback, with some residents and families praising the friendly staff and smooth admissions process, while others report severe neglect and unprofessional behavior. Critical concerns include reports of residents left in unsanitary conditions, missing personal property, and a lack of responsiveness from nursing staff. Families considering this facility should be aware of the significant disparity between positive testimonials and reports of poor care standards.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean2.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Friendly and welcoming admissions staff
  • Helpful therapy and social services team
  • Responsive to feedback when issues are raised

Concerns

  • Poor hygiene and neglect of residents (mentioned by 3 reviewers)
  • Missing or stolen personal property (mentioned by 2 reviewers)
  • Unprofessional or dismissive staff attitude (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2344.42024(8)3.22025(15)3.82026(4)

Distribution · 27 analyzed

5
15
4
3
3
1
2
0
1
8

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With a capacity of 115 residents, what specific protocols do you have in place to ensure consistent daily hygiene and personal care for each individual?
  • 2I noticed some feedback regarding personal belongings; what systems or security measures do you have in place to help residents keep track of their personal property?
  • 3Given the current staffing ratings, how do you manage shift handovers to ensure that communication remains consistent and that residents' needs are addressed promptly?
  • 4I appreciate that your team is known for being responsive to feedback; could you walk me through the formal process for a family member to raise a concern and how quickly we can expect a resolution?
  • 5What does a typical daily activity schedule look like to ensure residents stay engaged and social throughout the week?
  • 6In the event of a medical emergency, what is your facility's protocol for notifying family members and coordinating care with local hospitals?

Personalized based on this facility's data


Key Review Excerpts

Walked in to my uncle sitting in urine and feces. I went to the nurse station and two nurses told me it wasn’t there jobs and they would call someone.

Long-term resident's family · 2025☆☆☆☆

The move-in process was really smooth, and the admissions coordinator was so friendly and helpful. We've had a great experience so far!

Memory care family member · 2025★★★★★

Sloppy place lost all my grandmothers property that includes her teeth!

Long-term resident's family · 2025☆☆☆☆
Source: 27 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
27%
Registered nurses for medical care
Total Nursing
2.59hrs
63%
All nurses + aides combined
Staff Turnover
81%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility77.8%
Worse than Avg
Here
77.8%
US
95.5%
MO
90.9%
St. louis
91.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
12.1%
MO
16.7%
St. louis
19.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.5%
Worse than Avg
Here
31.5%
US
15.3%
MO
18.9%
St. louis
16.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
19.5%
MO
25.4%
St. louis
16.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
14.4%
MO
19.1%
St. louis
15.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility90.8%
Mixed vs Avgs
Here
90.8%
US
93.4%
MO
84.4%
St. louis
83.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility45.0%
Worse than Avg
Here
45.0%
US
79.7%
MO
63.5%
St. louis
65.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility70.9%
Mixed vs Avgs
Here
70.9%
US
81.8%
MO
65.9%
St. louis
63.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
St. louis
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

27deficiencies
4penalties
Well above state avg (12.0)
33 complaint-triggered
$22,934 in fines

This facility shows a concerning pattern with 104 deficiencies across 13 surveys, including 29 complaint-triggered violations where families filed reports about problems. The most recurring issues involve maintaining a safe and clean environment, accident prevention, and medication management. Problems with protecting residents from abuse and neglect have appeared multiple times, including recent complaints. While most deficiencies show correction dates, the high volume and repeated nature of safety and care issues, particularly those prompting family complaints, warrant careful consideration during any visit.

Feb 4, 2026Complaint
7
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0809Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Sep 9, 2025Complaint
1
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Aug 6, 2025Complaint
1
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

May 1, 2025Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Nov 22, 2024Complaint
3
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Sep 19, 2024Complaint
6
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Federal Penalties

Fine

Sep 25, 2023

$3,882

Fine

Sep 5, 2023

$9,527

Fine

Jul 31, 2023

$6,351

Fine

May 30, 2023

$3,174

Ownership & Operations

Who Operates This Facility

Owner / Operator

Amberwood Estates Nursing and Rehabilitation

Organization Type

for profit

Ownership & Management

Key personnel

Gs Capital Funding LLC5% or Greater Security InterestForvis Mazars LlpManagerAleem, GwendolynManagerCrocker, AnitaManagerFarmer, ErikaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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