Troy House Rescare in Troy, MO

Pros

• The care, love, and attention given to Dona at Troy Manor was amazing.
• The food and selections were delicious.
• Every staff member encountered was hardworking and dedicated to residents.
• The facility is clean, with caring, professional, and attentive staff.
• The father was very happy with the care he received during his stay.
• Families were pleased with the decision to move their loved ones to the facility.

Cons

• The facility is unsafe and staff consistently cut corners, jeopardizing patient safety.
• Unlicensed or uncertified aides are caring for too many patients, which is illegal and dangerous.
• Basic care lapses are evident: feces caked on patients' skin, clothes not changed daily, and medications sometimes not administered due to staff error.
• Patient handling and transfers are performed unsafely, with staff sometimes moving patients by themselves.
• Medical decisions appear mismanaged: repeated UTI testing with positive results, overuse of Haldol despite known allergies, and pressure to transfer patients to psychiatric facilities without proper justification.
• Families are not reliably informed about key events, such as a resident leaving or changes to DNR status.
• Sanitation and odor problems are pervasive: the facility smells of urine, with sewer backups and makeshift measures to block sewage.
• Alleged financial misconduct includes shuffling money and taking residents' Social Security checks.
• The reviewer strongly states the facility should be closed and advises others not to bring loved ones there.

Review

Troy House Rescare in Troy, MO is best suited for families who can provide constant, hands-on oversight and who are willing to act quickly if concerns surface. The reviews paint a pattern of serious safety and management gaps, so this community demands vigilant involvement from families, with clear plans to intervene or move to another facility if care quality slips. Those who cannot commit to that level of supervision should steer toward options with more consistent staffing, stronger clinical governance, and transparent family communication.

The dominant concerns center on patient safety, staffing, and medical decision-making. Multiple accounts describe undertrained or unqualified staff handling transfers, with a single caregiver pressed to perform two-person tasks or manage a large number of patients alone. Reports of unresolved hygiene issues, infrequent changing of clothes, and delayed or missed medications point to chronic workflow problems. Grave allegations about improper use of sedatives, inappropriate DNR discussions, and miscommunication around hospital transfers highlight a pattern of decisions that can materially affect a resident’s health and autonomy. The strongest red flags are not isolated incidents but recurring themes across several reviews.

Pros, where they appear, do not reliably counterbalance the substantial drawbacks. Some reviewers note a clean facility, pleasant meals, and staff who are courteous or dedicated on particular shifts. A handful of residents or families credit helpful staff or a competent daily routine, and at least one account describes positive interactions with caregivers. Yet these positives are unevenly distributed and seem eclipsed by the more frequent reports of neglect, safety lapses, and administrative opacity. In practical terms, the limited perceived strengths, cleanliness, occasional kindness, reasonably good food, do not offset the core risks tied to staffing shortages, inconsistent care, and questionable medical handling.

Alternatives deserve serious consideration. At least one reviewer explicitly advises looking at other local facilities such as Elsberry Healthcare Center or Delmar Gardens, implying that more reliable care and governance exist nearby. Families should compare state inspection reports, ask pointed questions about staffing ratios and certification levels, and seek facilities with transparent incident logs, a stable leadership team, and a proven track record of safeguarding resident welfare. If a move is feasible, choosing a community with robust nurse staffing, consistent unit management, and clear, proactive family communication will yield far more predictable outcomes.

For decisive action, schedule in-person tours with administrators, not just sales staff. Request to see recent care plans, incident reports, and medication administration records. Speak with front-line workers about daily workflows and staffing coverage, and ask to review state compliance histories and any corrective action plans. Bring along a trusted family member who can simulate the long-term observer role and assess whether daily routines align with promised standards. Document concerns in writing and request timely follow-up on every issue raised. A proactive, data-driven approach is essential when the track record includes recurring safety and communication failures.

Bottom line: this community should be a last resort, reserved for families with no viable alternatives and a readiness to supervise care with a critical eye. The breadth and consistency of negative experiences outweigh the occasional positive anecdotes, making a thorough due-diligence process essential. If strong, transparent governance and demonstrable improvements are not evident upon closer inspection, redirect to facilities with steadier staffing, clearer accountability, and a reputation for safeguarding residents’ dignity and health.