Missouri Slope
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 41 Google reviews
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What this means for your family
While the facility offers a high-quality bistro and a well-regarded CNA training program, families should exercise caution regarding nursing care. Please conduct a thorough tour and specifically ask about nurse-to-patient ratios and how the facility tracks and manages medication and personal belongings, as these have been recurring points of failure for other families.
Google Reviews
Google Reviews
41 reviews analyzed“Missouri Slope presents a polarized experience, with significant praise for the facility's bistro and CNA training program contrasted by serious, recurring complaints regarding nursing care. Families frequently report issues with understaffing, poor hygiene in resident rooms, and lost personal belongings. While some visitors find the staff friendly and the food high-quality, others describe a lack of professional oversight and inadequate medical attention for their loved ones.”
Quality Themes
Tap a score for detailsStrengths
- High-quality bistro food and coffee
- Effective CNA training program
- Friendly and dedicated individual staff members
Concerns
- Chronic understaffing leading to neglect (mentioned by 4 reviewers)
- Poor cleanliness and hygiene in resident rooms (mentioned by 3 reviewers)
- Lost or missing personal clothing and belongings (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the high praise for your bistro and coffee service, how are these dining options integrated into the daily social life of residents?
- 2With your strong staffing rating, how do you ensure that staff members have enough time to maintain consistent room cleanliness and hygiene standards?
- 3I noticed there have been some concerns regarding misplaced personal items; what specific tracking or labeling systems do you have in place to ensure residents' clothing and belongings stay secure?
- 4Since medication management is a critical part of care, could you walk me through your process for ensuring accuracy and timely delivery for residents?
- 5In light of the recent health inspection results, what specific steps is the leadership team taking to improve those areas and ensure a higher standard of care moving forward?
- 6I appreciate that you take the time to respond to feedback online; how do you use that family input to make tangible changes to the care experience here?
Personalized based on this facility's data
Key Review Excerpts
“The staff’s tender care and patience that allowed her to rally and make the extraordinary improvements she has made, which now make it possible for her to return home.”
“The communication between doctors, PT staff, nurses left a lot to be desired. Mom's care was in question due to inconsistent knowledge of current orders and mom's injury.”
“They did not properly care for my grandmother. They left her laying on the floor and would not take her to the restroom. They were asked about their charting and they do not have one.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
8
measures
2
measures
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have frequently filed complaints against this facility, triggering 16 of 23 total deficiencies including a recent abuse/neglect violation in October 2024. The most recurring problems involve quality of care, medication management, and resident rights issues. While the facility has corrected past violations, the pattern of ongoing complaints through 2024-2025 suggests persistent care quality concerns that families should carefully consider.
Mar 27, 2025Routine1
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Mar 27, 2025Complaint6
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 15, 2024Complaint1
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 12, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 15, 2024Routine2
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
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.
Feb 15, 2024Complaint8
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Oct 15, 2024
$30,580
Fine
Jun 12, 2024
$8,824
Ownership & Operations
Who Operates This Facility
Missouri Slope
nonprofit
Ownership & Management
Owners
Missouri Slope Lutheran Care Center, INC.
Owner · 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
41 reviews from families & visitors
Official Website
Visit missourislope.com
Medicare data downloads
Original nursing home datasets
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