Estates of Perryville, LLC, the
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 24 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.
- 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
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 detailsStrengths
- 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
Distribution · 25 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
4
measures
2
measures
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 vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Routine12
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Egress Deficiencies
Have exits that are accessible at all times.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nov 6, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Sep 11, 2025Complaint1
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, 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.
Jul 9, 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.
Jun 10, 2025Complaint5
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.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
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.
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
Estates of Perryville, LLC, the
for profit
Ownership & Management
Owners
Rosenberg, Zev
Owner
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
24 reviews from families & visitors
Official Website
Visit theestateshc.com
Medicare data downloads
Original nursing home datasets
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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.