Parkwood Skilled Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 41 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 (30 vs median 10)
- High staff turnover (59%)
- High RN turnover (80%)
Bottom 25% in MO · Critically understaffed (RN) · Worst in RILEY SPENCE SENIOR LIVING chain · $22,778 in fines
What this means for your family
While the facility has received some praise for its physical therapy program, the overwhelming volume of reports regarding unsanitary conditions, medication errors, and staff negligence is deeply concerning. We strongly advise families to look elsewhere or, if considering this facility, to conduct an unannounced visit and speak directly with current residents' families to verify the quality of care.
Google Reviews
Google Reviews
41 reviews on Google“Parkwood Skilled Nursing and Rehabilitation Center faces severe and consistent criticism regarding cleanliness, staff responsiveness, and quality of care. While a few reviewers mention positive experiences with physical therapy, the overwhelming majority of feedback describes a facility plagued by neglect, unsanitary conditions, and poor communication.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Occasional instances of caring staff
Concerns
- Unsanitary conditions and persistent odors (mentioned by 6 reviewers)
- Staff inattentiveness and slow response times (mentioned by 7 reviewers)
- Poor communication and lack of accountability (mentioned by 5 reviewers)
- Medication management errors (mentioned by 3 reviewers)
- Theft of personal belongings (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 47 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard great things about the physical and occupational therapy programs here; could you tell us more about how those therapies are integrated into a resident's daily routine?
- 2What specific protocols do you have in place to ensure medication is administered accurately and on schedule every day?
- 3How does the facility manage cleaning schedules and air quality to ensure all common areas and resident rooms stay fresh and sanitary?
- 4When a resident has a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?
- 5What are some of the favorite daily activities or social events that residents look forward to participating in?
- 6How do you ensure that communication between the nursing staff and family members remains consistent and timely?
Personalized based on this facility's data
Key Review Excerpts
“A nurse at this facility stopped CPR on a full code patient because she ASSUMED he was a hospice patient/DNR she then left the room leaving him in there alone while he was coding and he unfortunately passed away due to this facility’s negligence”
“The smell of urine and poo is so bad in the basement in the wing for long term health care. I questioned it, was told no one smells it.”
“He received the best physical and occupational therapy he ever had. He came here weak and not able to stand or walk by himself. At the end of the 2 weeks he was able to get out of bed, dress himself and walk with the aid of a walker.”
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
10
measures
3
measures
4
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose walking got worse
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
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing 21 complaint-triggered deficiencies across recent surveys. The most recurring problems involve medication management, quality of care standards, and resident rights violations. Issues persist across multiple years, including repeated deficiencies in wound care, nursing quality, and medication errors, suggesting systemic challenges despite correction plans. Families should carefully evaluate whether this facility can consistently meet their loved one's care needs.
Mar 12, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nov 25, 2025Complaint2
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.
Nov 6, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Oct 27, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Sep 10, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 29, 2024Routine24
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
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 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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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 treatment and care according to orders, resident’s preferences and goals.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Ownership & Operations
Who Operates This Facility
Parkwood Skilled Nursing and Rehabilitation Center
for profit
Chain Affiliation
Riley Spence Senior Living
5 facilities nationwide
Chain avg rating: 1.8/5 · Rank 4 of 5 (Worst)
Ownership & Management
Owners
Riley, Charles
Owner
Riley, Charles
Owner
Spence, Gregory
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
41 reviews from families & visitors
Official Website
Visit rileyspence.com
Medicare data downloads
Original nursing home datasets
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