Nazareth Living Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 130 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.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (24 vs median 10)
- High staff turnover (71%)
- High RN turnover (80%)
Bottom 25% in MO · Critically understaffed (RN) · Above average staffing · Very high staff turnover · Worst in BENEDICTINE HEALTH SYSTEM chain · $38,780 in fines
What this means for your family
This facility is an excellent choice for physical rehabilitation and the transition into assisted living due to their outstanding therapy and admissions teams. However, if your loved one requires skilled nursing, you must advocate closely for medication accuracy and hygiene, as multiple recent reviews indicate serious lapses in these areas.
Google Reviews
Google Reviews
130 reviews on Google“Nazareth Living Center receives high praise for its exceptional physical therapy department and the warmth of its admissions and administrative staff, particularly Andy. However, families should be extremely cautious regarding the skilled nursing and rehab wings, as multiple reviewers report serious issues with medication errors, neglect, and inadequate response to call lights.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical and occupational therapy
- Friendly and professional admissions/sales team
- Beautiful campus and well-maintained amenities
- Compassionate administrative and billing staff
Concerns
- Medication management errors and delays (mentioned by 4 reviewers)
- Staffing shortages and reliance on agency workers (mentioned by 3 reviewers)
- Slow response to call lights/neglect (mentioned by 3 reviewers)
- Poor cleanliness and unpleasant odors in certain units (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 117 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how those services are integrated into a resident's daily routine?
- 2With the beautiful campus and amenities you have, what kind of daily social activities or outings are available to keep residents engaged?
- 3Could you walk us through your specific protocols for medication administration and how you ensure accuracy and timely delivery for every resident?
- 4How does the nursing team manage call light responses during shift changes or periods when the facility is particularly busy?
- 5What steps are being taken to ensure consistent staffing levels and to maintain a familiar team of caregivers for the residents?
- 6In the event of a medical emergency after hours, what is the immediate process for coordinating care between the facility staff and physicians?
Personalized based on this facility's data
Key Review Excerpts
“The therapy department works well and they help get you stronger. The concierge service is phenomenal and is better than most hotels!”
“My father was placed there for rehab after a knee surgery and the docs, nurses, techs and THERAPISTS were absolutely amazing going above and beyond with actual compassion”
“She’s gone without proper food and water. At one point, she was hallucinating from lack of oxygen because they didn’t refill her oxygen machine.”
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 · 17 measures
8
measures
6
measures
3
measures
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
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 filed complaints that led to deficiencies, including repeated issues with providing appropriate treatment and care, plus recent problems with resident belongings protection. The facility shows persistent challenges in medication management, care planning, and safety supervision across multiple surveys. Most deficiencies have correction dates, but the pattern of recurring issues in core care areas suggests ongoing quality concerns that families should investigate thoroughly during visits.
Feb 5, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 8, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 16, 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.
Nov 17, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 29, 2025Complaint4
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Mar 14, 2025Routine27
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Meet other general requirements that are deficient.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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
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 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.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Federal Penalties
Payment Denial
Mar 14, 2025
4-day denial
Fine
Oct 26, 2023
$11,928
Ownership & Operations
Who Operates This Facility
Nazareth Living Center
nonprofit
Chain Affiliation
Benedictine Health System
23 facilities nationwide
Chain avg rating: 2.9/5 · Rank 19 of 22 (Worst)
Ownership & Management
Owners
Sisters of St Joseph of Carondelet St Louis Province
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
130 reviews from families & visitors
Official Website
Visit nazarethlivingcenter.org
Medicare data downloads
Original nursing home datasets
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