See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Estates of Perryville, LLC, the

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

430 North West Street, Perryville, MO 63775156 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 24 Google reviews

5
4
3
2
1
Estates of Perryville, LLC, the Nursing Home in Perryville, MO — Street View
Street View

Watch Estates of Perryville, LLC, the

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

8/ 10
critical Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (24 vs median 10)
  • High staff turnover (54%)
  • High RN turnover (80%)

Bottom 25% in MO · Critically understaffed (RN) · $326,522 in fines · Abuse citation

Source: Medicare data

What this means for your family

The Estates of Perryville has a divided reputation; while some families report excellent experiences with social workers and facility cleanliness, others have raised serious concerns about hygiene and staff professionalism. We recommend scheduling an unannounced visit to observe the environment firsthand and specifically asking how the facility handles personal care routines and resident communication.

Google Reviews

Google Reviews

24 reviews on Google
The Estates of Perryville receives highly polarized feedback, with some families praising the facility's cleanliness, compassionate social workers, and responsiveness, while others report severe neglect and poor communication. Critical concerns include inadequate hygiene, poor meal quality, and allegations of rude staff behavior, creating a stark divide between positive and negative experiences.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean7.0ActivitiesN/AMeds2.0Memory6.0Comms5.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Responsive and compassionate social work staff
  • Helpful administrative support
  • Effective communication from specific nursing staff

Concerns

  • Rude or unprofessional staff behavior (mentioned by 4 reviewers)
  • Inadequate personal hygiene and care for residents (mentioned by 3 reviewers)
  • Poor quality or insufficient meals (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.2'17(5)3.03.5'21(4)3.05.0'23(1)1.83.2'25(6)1.0'26(1)

Distribution · 25 analyzed

5
8
4
4
3
2
2
0
1
11

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your social work and administrative teams; how do they work together to keep families updated on a loved one's well-being?
  • 2What specific steps are being taken to ensure that medication management and administration are handled with the highest level of accuracy?
  • 3How does the nursing team ensure that personal hygiene and daily grooming needs are consistently met for every resident?
  • 4Could you tell us more about the dining experience, specifically regarding how much variety and nutritional quality is provided in the daily meal plans?
  • 5What is the protocol for handling medical emergencies or urgent changes in a resident's condition during the overnight hours?
  • 6What kind of daily activities or social outings are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The facility was clean, the staff were very kind and she appeared to be well taken care of. The social worker, Nikki was a very kind, caring and responsive person.

Memory care family member · 2025★★★★★

We are grateful to the owner and the nursing staff, especially Heather, who has gone above and beyond in communicating with us about our son's medical health.

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

This place is understaffed and the owners only care about making money - NOT taking care of the basic needs of the residents. They are lucky if they get a shower once a week.

Long-term resident's family · 2021☆☆☆☆
Source: 24 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.13hrs
18%
Registered nurses for medical care
Total Nursing
3.84hrs
94%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
80%
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 · 16 measures

Medicare Rating
1/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility57.7%
Worse than Avg
Here
57.7%
US
15.5%
MO
23.6%
Perry
19.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility48.4%
Worse than Avg
Here
48.4%
US
19.5%
MO
25.4%
Perry
28.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility32.5%
Worse than Avg
Here
32.5%
US
12.1%
MO
16.7%
Perry
5.7%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MO
84.4%
Perry
94.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
19.4%
MO
17.9%
Perry
21.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
14.4%
MO
19.1%
Perry
12.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.2%
Better than Avg
Here
92.2%
US
81.8%
MO
65.9%
Perry
76.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility64.0%
Mixed vs Avgs
Here
64.0%
US
79.8%
MO
63.5%
Perry
75.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
5penalties
Above state avg (12.0)
15 complaint-triggered
$326,522 in fines

This facility has a concerning pattern with families repeatedly filing complaints about resident abuse and neglect, triggering 18 investigations. The most frequent problems involve protection from abuse, accident prevention, and care planning issues. While the facility has corrected past violations, the recurring nature of family complaints—particularly about resident safety and neglect—suggests ongoing challenges that warrant careful consideration before placement.

Mar 11, 2026Routine
12
0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Nov 6, 2025Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Sep 11, 2025Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Sep 4, 2025Complaint
1
0600Immediate jeopardy · IsolatedCorrected

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.

Jul 9, 2025Complaint
1
0600Actual harm · IsolatedCorrected

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.

Jun 10, 2025Complaint
5
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0741Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Federal Penalties

Fine

Jun 10, 2025

$17,627

Fine

Jun 10, 2025

$152,319

Payment Denial

Jun 10, 2025

57-day denial

Fine

Mar 11, 2025

$133,195

Payment Denial

Mar 11, 2025

6-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Estates of Perryville, LLC, the

Organization Type

for profit

Ownership & Management

Owners

Rosenberg, Zev

Owner

60%

Key personnel

Fnr Perryville LLC5% or Greater Security InterestBoyd, TenaW-2 Managing EmployeeLeuckel, RobinW-2 Managing EmployeeRosenberg, ZevManagerSpector, TuviyahManager
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 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call