U-City Forest Manor
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 30 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 (13 vs median 10)
- High staff turnover (68%)
- High RN turnover (88%)
Bottom 25% in MO · Critically understaffed (RN) · Worst in PALLADIAN HEALTHCARE chain · $15,949 in fines
What this means for your family
While some families report successful rehabilitation experiences, the facility has persistent, serious allegations regarding hygiene, pest control, and staff professionalism. We strongly advise touring the facility in person, specifically checking the cleanliness of common areas and resident rooms, and asking the administrator directly about their plan to address recurring complaints regarding staff conduct and facility maintenance.
Google Reviews
Google Reviews
30 reviews on Google“U-CITY FOREST MANOR receives highly polarized feedback, with some families praising the staff's warmth and rehab services, while others report severe concerns regarding hygiene and professional conduct. Critical reviews consistently mention issues with facility cleanliness, including reports of pests and odors, as well as allegations of neglect and poor communication from administration. Prospective families should be aware of the stark contrast between reports of a 'homelike' environment and serious claims of understaffing and unprofessional behavior.”
Quality Themes
Tap a score for detailsStrengths
- Warm, compassionate nursing staff
- Effective rehabilitation services
- Homelike atmosphere and courtyard
- Responsive management in select cases
Concerns
- Facility hygiene and pest infestations (mentioned by 3 reviewers)
- Unprofessional or rude staff behavior (mentioned by 5 reviewers)
- Neglect of resident needs and slow response times (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 59 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the facility has a lovely courtyard; what kind of daily activities or social events do you host there to keep residents engaged?
- 2With 120 residents, how does your team ensure that call lights are answered promptly and that personal care needs are met in a timely manner?
- 3Could you walk me through your current protocols for facility maintenance and pest control to ensure a clean and comfortable living environment?
- 4I appreciate that your management team is active in responding to feedback online; how do you handle communication with families when concerns arise regarding a resident's daily care?
- 5Given the importance of medication management, what specific systems do you have in place to ensure accuracy and consistency for residents?
- 6How do you foster a supportive and professional culture among your staff to ensure that every resident feels treated with kindness and respect?
Personalized based on this facility's data
Key Review Excerpts
“My uncle had rehab here and they did a great job with him. My uncle is still doing well and great after discharge.”
“The administrator there talks down to the residents and he also flirts with the staff. If you stick up for yourself or other residents there will be retaliation from administration.”
“This nursing home has a horrible smell! The workers all have attitudes! There is never anyone at the front desk! ... It’s stains on the wall and they have roaches!!!!”
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 · 15 measures
6
measures
7
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing reports leading to 19 complaint-triggered deficiencies, including recent issues with accident prevention, nursing staffing, and nutrition. The most recurring problems involve fire safety compliance, medication management, and resident care standards. While all deficiencies show correction dates, the persistent nature of issues across multiple surveys—particularly nursing supervision requirements and safety hazards appearing repeatedly from 2019 through 2024—suggests ongoing operational challenges that warrant careful evaluation during any visit.
Mar 27, 2026Complaint4
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 enough food/fluids to maintain a resident's health.
Feb 19, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 10, 2024Complaint2
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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Aug 30, 2024Complaint4
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 7, 2024Routine19
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
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
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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.
Federal Penalties
Fine
Dec 10, 2024
$15,949
Ownership & Operations
Who Operates This Facility
U-City Forest Manor
for profit
Chain Affiliation
Palladian Healthcare
6 facilities nationwide
Chain avg rating: 1.7/5 · Rank 3 of 6 (Worst)
Ownership & Management
Owners
Miller, Stephen
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
30 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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