Ellisville Rehabilitation and Nursing
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 128 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Above-median deficiencies (30 vs median 10)
- High staff turnover (68%)
- High RN turnover (73%)
Bottom 25% in MO · Below recommended RN staffing · Above recommended total nurse staffing · $169,037 in fines · Special Focus Facility (CMS)
What this means for your family
While the facility offers a clean environment and engaging activities, the recurring reports of theft and staffing shortages are serious red flags. If you choose this facility, we strongly recommend maintaining a daily physical presence to oversee your loved one's care and ensure their personal belongings are secured.
Google Reviews
Google Reviews
128 reviews on Google“Ellisville Rehabilitation and Nursing (formerly Bethesda Meadow) receives highly polarized reviews, with many families praising the facility's cleanliness and the kindness of individual staff members, while others report severe neglect and staffing shortages. While some long-term residents and rehab patients have had positive experiences, multiple reports of theft, poor hygiene, and slow response times to call lights raise significant concerns about the consistency of care.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained physical environment
- Engaging activities and social events
- Compassionate and attentive individual staff members
- Helpful administrative and admissions support
Concerns
- Understaffing leading to slow response times and neglect (mentioned by 12 reviewers)
- Theft of personal belongings (phones, clothing, lotions) (mentioned by 4 reviewers)
- Poor hygiene and lack of assistance with basic needs like showering (mentioned by 6 reviewers)
- Poor food quality and dietary management (mentioned by 5 reviewers)
- Regulatory issues and risk of losing accreditation (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 152 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard great things about the social atmosphere here; could you tell us more about the specific types of activities and social events planned for residents each week?
- 2Since we want to ensure our loved one is always well-supported, how do you manage staffing during the night shifts or weekends to ensure response times remain quick?
- 3Can you walk us through your process for medication administration and how you ensure there are no errors in the daily routine?
- 4How does the dietary team manage specific nutritional needs and meal variety to ensure everyone enjoys their dining experience?
- 5What protocols are in place to ensure residents receive consistent assistance with personal hygiene and daily grooming needs?
- 6How do you handle the security of residents' personal belongings, such as jewelry or electronics, to prevent any loss or misplaced items?
Personalized based on this facility's data
Key Review Excerpts
“The fall festival was wonderful! It was nice to see the residents smiling and interacting, and I can see the care in the faces of the staff.”
“The staff are so loving and take great care of my mom as well as the other patients. She has been in Bethesda Meadow for a couple years and we've had nothing but great things to say about the staff and facility.”
“My 90 year old blind grandmother's phone was stolen by an employee and tracked to a residential neighborhood, police will be notified. Don't send your family member here if you don't want their stuff stolen!!”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
9
measures
2
measures
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning complaint patterns with families filing 30 reports across 12 surveys, indicating ongoing care quality issues. The most recurring problems involve treatment and care delivery, pain management, and protection from abuse and neglect. While the facility corrects deficiencies when cited, the persistent nature of similar issues - particularly around basic care standards and resident safety - suggests systemic challenges that families should carefully investigate before placement.
Mar 4, 2026Complaint7
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 16, 2026Complaint9
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 26, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 16, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Apr 21, 2025Complaint6
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 28, 2025Complaint1
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Federal Penalties
Fine
Nov 26, 2024
$169,037
Payment Denial
Nov 26, 2024
91-day denial
Ownership & Operations
Who Operates This Facility
Ellisville Rehabilitation and Nursing
for profit
Ownership & Management
Owners
Ellisville Opco Holdco LLC
Owner · Organization
Fischer, Elazar
Owner (parent company)
Ads Family Trust
Owner (parent company) · Organization
Jj Family Grantor Trust
Owner (parent company) · Organization
Pc8 Capital Group LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
128 reviews from families & visitors
Official Website
Visit ellisvillehc.com
Medicare data downloads
Original nursing home datasets
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