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Nursing HomeMedicaid

Union Nursing

Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.

1080 Marie Lane, Union, MO 6308460 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 33 Google reviews

5
4
3
2
1
Union Nursing Nursing Home in Union, MO — Street View
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What this means for your family

While many families report excellent rehabilitation outcomes and a clean environment, there are serious, recurring reports of staffing shortages and neglect. When touring, we strongly recommend asking for specific nurse-to-patient ratios and observing how quickly staff respond to call lights, as these are the primary areas of concern for families.

Google Reviews

Google Reviews

33 reviews on Google
Union Nursing presents a deeply polarized experience for families, with some praising the facility for its cleanliness, kind staff, and effective rehabilitation services. However, other families report serious concerns regarding neglect, poor management, and staffing shortages that lead to residents being left unattended for extended periods. Prospective families should weigh the positive reports of physical therapy and facility maintenance against the recurring allegations of administrative incompetence and inadequate care.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean9.0Activities7.0MedsN/AMemory2.0Comms3.0Value2.0

Strengths

  • Clean, well-maintained facility
  • Effective rehabilitation services
  • Friendly and compassionate nursing staff
  • Welcoming atmosphere

Concerns

  • Understaffing leading to neglect (mentioned by 3 reviewers)
  • Poor management and communication (mentioned by 3 reviewers)
  • Billing and financial disputes (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.5'19(2)1.05.0'21(10)1.03.3'23(7)3.03.0'25(2)5.0'26(4)

Distribution · 35 analyzed

5
23
4
1
3
0
2
0
1
11

How They Respond to Reviews

37%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance with daily needs like hygiene and mobility?
  • 2I noticed some feedback regarding communication challenges; what is your standard process for keeping families updated on their loved one's health and daily status?
  • 3With the rehabilitation services being a noted strength, how do you coordinate those therapy sessions with the daily activity schedule to ensure residents stay engaged?
  • 4Could you walk me through your process for resolving billing or financial questions to ensure there is transparency and clarity for families?
  • 5How does your nursing team manage medical emergencies or sudden changes in a resident's condition, especially during overnight shifts?
  • 6What steps is the management team taking to improve the dining experience and ensure that meal times are both nutritious and enjoyable for residents?

Personalized based on this facility's data


Key Review Excerpts

The entire staff is fabulous. They are loving, caring and like a family.

Rehab patient's spouse · 2023★★★★★

It did not smell like urine (like a lot of homes) and it did not smell like pine-sol (to cover the smell up). It is a well-maintained nursing home.

Visitor · 2024★★★★★

They will promise the world about constant checkups and care but after you leave they will put your loved one in a wheelchair for hours without proper care in the hallway.

Family member · 2024☆☆☆☆
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
67%
Registered nurses for medical care
Total Nursing
3.27hrs
80%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MO
16.7%
Franklin
12.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MO
84.4%
Franklin
95.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
14.4%
MO
19.1%
Franklin
14.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MO
90.9%
Franklin
95.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.2%
Mixed vs Avgs
Here
21.2%
US
15.5%
MO
23.6%
Franklin
17.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.1%
Better than Avg
Here
14.1%
US
19.4%
MO
17.9%
Franklin
19.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.7%
Better than Avg
Here
92.7%
US
81.8%
MO
65.9%
Franklin
85.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.3%
Better than Avg
Here
89.3%
US
79.8%
MO
63.5%
Franklin
78.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Mixed vs Avgs
Here
2.1%
US
1.6%
MO
2.2%
Franklin
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (12.0)
2 complaint-triggered

This facility shows a concerning pattern with families filing complaints that triggered investigations in November 2025, resulting in deficiencies for failing to prevent abuse and neglect and not properly reporting incidents to authorities. The most recurring issues involve fire safety systems, dietary services, and medication management, with problems like sprinkler system maintenance and fire drills appearing across multiple surveys. While all deficiencies have correction dates, the recent complaint-triggered violations regarding resident protection policies raise significant safety concerns that families should thoroughly investigate before considering this facility.

Nov 19, 2025Complaint
2
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Aug 28, 2025Routine
13
0806Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0032Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0500Potential for harm · WidespreadCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0569Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0656Potential for harm · PatternCorrected

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jun 20, 2024Routine
4
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0761Potential for harm · PatternCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Apr 7, 2023Routine
7
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0584Potential for harm · PatternCorrected

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.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Union Nursing

Organization Type

for profit

Chain Affiliation

Chain Name

Community Care Centers

Chain Size

8 facilities nationwide

Chain avg rating: 2.6/5 · Rank 3 of 8

Ownership & Management

Owners

Weiner, Craig

Owner

50%

Weiner, Gina

Owner

50%

Key personnel

First Mid Bank & Trust Na5% or Greater Mortgage InterestGc Asset Management LLCManagerHill, LauraManagerReed, TracyManagerWeiner, CraigManager
Source: Medicare provider data

Contact

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References & Resources

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