St Sophia Health & Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 78 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 (34 vs median 10)
- High staff turnover (56%)
Bottom 25% in MO · Critically understaffed (RN) · Worst in MGM HEALTHCARE chain · $87,273 in fines
What this means for your family
While recent reviews show a high volume of positive feedback, the facility has a long-standing history of serious allegations regarding hygiene and medical neglect. If you consider this facility, perform unannounced visits, specifically check the cleanliness of the resident's room, and verify that medication administration protocols are being followed.
Google Reviews
Google Reviews
78 reviews on Google“St. Sophia Health & Rehabilitation Center receives highly polarized feedback, with many families reporting severe neglect, unsanitary conditions, and poor communication, while others praise specific staff members and successful rehabilitation outcomes. Recurring complaints highlight issues with hygiene, medication management, and staff responsiveness, particularly during off-hours. Prospective families should be aware of the significant disparity between positive testimonials and reports of critical lapses in care.”
Quality Themes
Tap a score for detailsStrengths
- Effective rehabilitation therapy programs
- Some staff members noted as professional and caring
- Cleanliness in common areas and lobby
- On-site hemodialysis services
Concerns
- Unsanitary conditions including urine odors and soiled bedding (mentioned by 10 reviewers)
- Neglect of basic patient needs and slow response times (mentioned by 8 reviewers)
- Poor communication with families and difficulty reaching administration (mentioned by 7 reviewers)
- Medication management errors and delays (mentioned by 4 reviewers)
- Frequent falls and lack of adequate supervision (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 81 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given the facility's size of 240 residents, what specific protocols are in place to ensure call lights are answered promptly and that residents receive timely assistance with daily needs?
- 2I noticed the facility offers on-site hemodialysis; could you walk me through how you coordinate that care with daily medication management to ensure there are no errors or delays?
- 3What is your current strategy for maintaining consistent cleanliness and hygiene in private rooms, particularly regarding the concerns some families have raised about odors and bedding?
- 4Since communication is so vital, what is the best way for our family to receive regular updates, and how do you ensure we can easily reach administration if we have a concern?
- 5With the current staffing levels, what measures are taken to provide adequate supervision for residents who are at a high risk for falls?
- 6I see that you engage with feedback online; how do you use input from families to make tangible improvements to the quality of care and daily life here?
Personalized based on this facility's data
Key Review Excerpts
“My grandmother was soiled & had feces sitting in her diaper for who know how long when I came to visit her. Her bed was disgusting with old urine stains, the room was messy and looked like it had not been clean in days.”
“My little brother went there for therapy after been shoot and they did an exceptional job with getting him up and moving again. The staff did a great job from the administrator, business office staff, to the housekeepers.”
“They didn't take good care of my mom didn't want to even do therapy with her and left her to die and I'm not happy for the care that she was given”
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
6
measures
1
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 vaccinated for the flu
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
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
Families have filed numerous complaints triggering 43 of the 107 total deficiencies, with recurring issues in accident prevention, daily living care assistance, and medication management. The facility has persistent problems with maintaining safe environments free from hazards and providing adequate supervision, with these same safety violations appearing across multiple years. While all deficiencies show correction dates, the repeated nature of core safety and care concerns suggests ongoing challenges in sustaining improvements.
Mar 5, 2026Complaint4
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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 safe, appropriate pain management for a resident who requires such services.
Feb 26, 2026Complaint2
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Jan 22, 2026Complaint3
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 31, 2025Complaint3
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 6, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Oct 30, 2025Complaint2
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 enough food/fluids to maintain a resident's health.
Federal Penalties
Fine
Jan 28, 2025
$33,560
Payment Denial
Jan 28, 2025
18-day denial
Fine
Jun 3, 2024
$14,053
Fine
Oct 18, 2023
$21,590
Ownership & Operations
Who Operates This Facility
St Sophia Health & Rehabilitation Center
for profit
Chain Affiliation
Mgm Healthcare
33 facilities nationwide
Chain avg rating: 2.2/5 · Rank 27 of 30 (Worst)
Ownership & Management
Owners
Sofia Sunset Resources LLC
Owner · Organization
Bienstock, Judah
Owner
St Sophia Realty LLC
Owner (parent company) · Organization
10-26 Nationwide Tr
Owner · Organization
3w Acquisitions LLC
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
78 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Oak Knoll Skilled Nursing & Rehabilitation Center
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Crestwood Health Care Center, LLC
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