St Elizabeth's Place
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 81 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.
- High staff turnover (60%)
- High RN turnover (70%)
Below average in AR · Critically understaffed (RN) · Above recommended total nurse staffing · Below chain average · $92,923 in fines · Very few deficiencies
What this means for your family
While many families report a clean and welcoming environment, the recurring reports of slow response times to call lights and serious medical oversight issues are concerning. If you choose this facility, we strongly recommend visiting frequently at irregular hours to ensure your loved one's needs are being met and to maintain direct communication with the nursing staff.
Google Reviews
Google Reviews
81 reviews on Google“St. Elizabeth's Place receives highly polarized feedback, with many families praising the facility for its cleanliness, friendly atmosphere, and dedicated staff members like Sylvia. However, significant concerns persist regarding chronic understaffing, slow response times to call lights, and serious lapses in medical oversight and wound care. Families should be aware that experiences appear inconsistent, with some reporting exceptional care while others describe neglect and poor communication.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Friendly and welcoming staff
- Effective physical therapy programs
- Compassionate individual caregivers
Concerns
- Slow or non-existent response to call lights (mentioned by 5 reviewers)
- Chronic understaffing, particularly with CNAs (mentioned by 4 reviewers)
- Poor communication regarding medical changes or injuries (mentioned by 3 reviewers)
- Inadequate wound care or hygiene management (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 75 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed that communication is a top priority for families; could you walk me through the specific process for how you notify us if there is a change in a resident's health or a minor injury?
- 2With a capacity of 110 residents, how do you ensure that call lights are answered promptly and that residents receive timely assistance throughout the day and night?
- 3I see that your team is active in responding to feedback online; how do you use that family input to improve the daily experience for residents?
- 4Given the importance of consistent care, how does your management team support the nursing staff to ensure they have the resources needed to provide high-quality hygiene and wound care?
- 5What are some of the most popular daily activities or social programs here that help residents stay connected and engaged with one another?
- 6Since medication management is a critical part of care, could you explain the oversight process you have in place to ensure accuracy and safety for all residents?
Personalized based on this facility's data
Key Review Excerpts
“Her room is always tidy and the smell (really important) is always pleasant. The food served is very good so kudos to the kitchen staff!”
“They let him lay in his bed on his back for two whole months until the heels of his feet were rotting off. They hid it from me so well and when they sent him home they didn’t even tell me had had huge open ulcers on his feet.”
“I just called the business to send someone to help him in the bathroom now. He had pulled the help cord 15 minutes ago and still no one has come to help.”
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
7
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
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 vaccinated for pneumonia
Residents whose bladder or bowel control got worse
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
St. Elizabeth's Place has concerning patterns with 32 deficiencies across five surveys, including four complaint-triggered incidents where families reported problems. The facility repeatedly struggles with fire safety systems, daily care assistance, and infection control across multiple years, indicating persistent issues rather than isolated problems. While the facility corrects violations when cited, the recurring nature of deficiencies in core care areas suggests ongoing operational challenges that warrant careful consideration during your visit.
Apr 2, 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.
May 23, 2025Routine3
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 7, 2024Routine14
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Construction Deficiencies
Use approved construction type or materials.
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
Install a fire alarm system that can be heard throughout the facility.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Mar 7, 2024Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 22, 2023Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jul 21, 2023Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Federal Penalties
Fine
Apr 2, 2026
$14,385
Fine
Jul 21, 2023
$7,443
Ownership & Operations
Who Operates This Facility
St Elizabeth's Place
for profit
Chain Affiliation
Anthony & Bryan Adams
38 facilities nationwide
Chain avg rating: 3.8/5 · Rank 26 of 37
Ownership & Management
Owners
Caraway Nursing Center, INC
Owner · Organization
Extendi-Care, INC.
Owner (parent company) · Organization
Rhc Operations INC
Owner (parent company) · 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
81 reviews from families & visitors
Official Website
Visit stelizabethsplacear.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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