NHC HealthCare Town and Country

Pros

• Jennifer, the business office manager, was superb to work with and helped secure Medicaid within a month, always with a smile.
• The staff are friendly and responsive, and the new floors are nice.
• The administration demonstrates strong leadership and a positive culture that starts at the top.
• The facility has provided exceptional care and rehab therapy, with attentive staff and strong teamwork.
• The nursing staff is amazing.
• The aides are sweet, helpful, and consistently take good care of residents; the med techs are excellent at managing medications.
• The facility hosts engaging events and activities that residents and visitors enjoy.
• The environment is clean and well-maintained, with welcoming, professional staff.
• The staff consistently go out of their way to meet residents’ needs and ensure their well-being.

Cons

• The facility is horrible and shows no care for its patients.
• A staff member cursed at a reviewer’s sister for asking for ice.
• There are large scratches and holes in the walls, as if someone was trying to scratch their way out.
• Visitors are greeted by a strong odor of urine, and rooms look unclean with floors not mopped for days.
• Bed linens are stained with blood and not changed for several days; trash cans are overflowing.
• Sanitation is severely lacking, with roaches visible in multiple areas.
• The staff are rude, unprofessional, and some nurses don’t seem to care about residents.
• The memory care unit is described as a hell hole; the facility is called a dump and is going downhill.
• There are serious care lapses and communication failures, including delayed or absent calls to families and missed critical treatments.

Review

This community is best suited for seniors who require robust rehabilitation and post-acute care, plus an engagement-forward living environment. Families that want consistent access to physical, occupational, and speech therapy, often five days a week, and the option for in-house dialysis planning will find the facility capable of meeting those needs. Residents who thrive when staff are visible, responsive, and willing to coordinate care across disciplines will also benefit, provided the operation runs with stability. When the leadership team is in place and maintenance is kept current, the facility can deliver warmth in daily interactions, reliable therapy, and a level of comfort that makes transitions smoother for the person coming from hospital or another care setting. The ability to offer meaningful activities and social opportunities further strengthens its appeal for families seeking both care and a sense of community.

This is not the right choice for families that demand immaculate cleanliness, rapid response to calls, and consistently respectful communication with relatives. A pattern of odor, dirty rooms, and lapses in basic cleanliness surfaces in multiple accounts, sometimes alongside broken equipment or missing linens. Memory care in particular has drawn strong concerns from several families about safety, staff attentiveness, and consistency of care. Management turnover and inconsistent communication about care plans or incidents further erode confidence. Billing frictions and difficulty reaching the appropriate administrator also crop up in complaints. For households with heightened sensitivity to infection control or with loved ones who require highly reliable, minute-by-minute supervision, exploring other facilities with steadier reputations is a prudent step.

On the upside, the rehab-centric model and the emphasis on therapy are repeatedly cited as strengths. Several residents and families praise the caliber of therapy teams, the attentiveness of aides, and the ability to stay engaged through programs and outings. The campus has invested in updates, including new flooring and HVAC work, signaling a concrete commitment to improving the environment. Some residents report good meals, friendly staff, and a sense of dignity maintained by caregivers who treat residents with respect. When those operational foundations are solid, the combination of dedicated therapy, activity-rich days, and a supportive atmosphere can translate into meaningful progress and a better quality of life for residents who are recovering or adapting to long-term care.

Yet the cons are serious and recurring enough to demand caution. Detailed accounts describe persistent odors, unclean rooms, and infrequent linen changes that undermine dignity and infection control. Staffing gaps, long waits for call-button responses, uneven bedside care, and reports of rude or disengaged behavior, leave families worried about safety and reliability. The stories of memory care units showcase a pattern of neglect or mismanagement by some families, with concerns about clothing, personal hygiene, PT/OT plans, and safety. Administrative churn compounds the problem, with families reporting difficulty reaching administrators, inconsistent updates, and disputed bills. These issues do not appear as isolated incidents but as a spectrum of experiences that shift with shifts, units, and leadership.

Given the mixed track record, prospective residents and their families should conduct a rigorous due diligence. Tours should be repeated, with emphasis on the specific unit where care will occur, and conversations should establish a clear care plan, a dedicated point of contact, and a realistic discharge strategy if rehab is anticipated. Ask for current staffing ratios, the process for responding to call bells, and recent quality metrics or survey results. Set expectations around language used with residents and family, meal quality, and daily activities. For long-term living, insist on a transparent plan for ongoing maintenance, laundry, and room readiness. For rehab-minded stays, insist on measurable goals, weekly progress checks, and documented coordination with medical providers to avoid the kind of gaps that have appeared in the most severe reviews.

Bottom line: NHC HealthCare Town and Country can be a strong fit for rehab-focused seniors when the care team is stable and the environment is clean, organized, and consistently managed. It is not a universal solution; families must weigh whether reliable cleanliness and steady, respectful communication across all shifts are achievable in this setting. Alternatives with steadier leadership, stronger infection control histories, and fewer reports of neglect or administrative friction should be contemplated for those who place a premium on predictability and safety. For families drawn to the facility’s therapy strength, social programming, and in-house services, proceed with thorough due diligence, and plan to monitor care closely for the first 90 days. The decision should hinge on whether the care system can deliver dependable, compassionate care across all units, especially for memory care and long-term residential needs.

Restaurants

• Cooper's Hawk Winery & Restaurant (0.7 miles)
• Mercy Pharmacy - Dierbergs Manchester (2.5 miles)
• Stoogez (2.8 miles)
• St Louis Bread Co. (3.2 miles)
• The Cheesecake Factory (3.3 miles)
• Andy's Frozen Custard (4.1 miles)
• Lee's Famous Recipe Chicken (4.3 miles)

Pharmacies

• CVS Pharmacy (1 miles)
• Walgreens (2.6 miles)
• Walgreens (2.6 miles)
• Walgreens (3 miles)
• Schnucks (3.1 miles)
• Dierbergs (3.2 miles)
• Dierbergs Markets (3.4 miles)

Parks

• Queeny County Park (1.5 miles)
• Vlasis Park (2.9 miles)
• Faust Park (3.1 miles)
• Chesterfield Central Park (3.7 miles)
• Des Peres Park (4 miles)
• New Ballwin Park (4.4 miles)
• Ferris Park (4.8 miles)

Cafes

• Starbucks (2.6 miles)
• Panera Bread (3.4 miles)
• Starbucks (4.9 miles)
• Panera Bread (5.2 miles)
• Panera Bread (6.1 miles)
• Starbucks (7.3 miles)
• Starbucks (7.4 miles)

Hospitals

• St John's Mercy Surgery Center (3.6 miles)
• Barnes-Jewish West County Hospital (3.9 miles)

Physicians

• Orthopedic Associates (3.7 miles)
• St John's Mercy Medical Center (6.7 miles)
• Town Center Dermatology (7.3 miles)
• Wildwood Internal Medicine (7.3 miles)
• Christopher Kling, MD (7.3 miles)

Places of Worship

• Church of Christ-Lafayette (3.8 miles)
• St John Church (4.8 miles)

Transportation

• Enterprise Rent-A-Car (4.1 miles)