NHC HealthCare Town and Country

Pros

• The staff takes good care of my aunt.
• This home has come such a long way.
• The inside decor and the staff and management team are great.
• Well done Athene.
• They have plans to expand their care services, including in-house dialysis, and they offer PT, OT, and ST as needed.
• All flooring has been replaced with laminate; HVAC is being completely replaced.
• Staff has been extraordinary.
• It was clean and smelled really good.
• The management staff are amazing, very welcoming and assuring that if you bring your family member here they'll be well taken care of.
• Great place to be; they host great events for the residents and vendors.
• Five stars.
• Great experience.
• The admin team has a good grasp on their community; culture and positivity start from the top.
• Nice staff and the facility is very clean and neat.
• The staff here really cares about you and the activities are so fun.
• This is a building full of caring people!!!
• This facility has provided exceptional care and rehab therapy for our son; all staff working here are very attentive to resident needs and their teamwork prevails.
• My grandmother was transferred there from the hospital, and everyone was very friendly, and welcoming.
• Their unit Manager was always resourceful and easy to contact.
• Enjoyed first visit; the facility smelled and looked clean, followed COVID preventive measures well.
• The staff was wonderful; the facility is beautiful.
• So happy with everything at Athene; from management to care, we could not have asked for a better place to be.
• The nursing staff is amazing.
• Loving environment, great management, and happy staff.
• The people here are loving and caring for the residents.
• This is a building full of caring people.

Cons

• They would give zero stars and warn others not to send their loved ones there.
• The facility looked run down and stank, with poor infection control and several patients developing serious diarrheal infections requiring hospitalization.
• A resident's clothes were found dirty and moldy in the closet, with flies flying around the room.
• The staff were described as not caring, disrespectful, and even abusive toward residents; the place should be shut down.
• The memory care unit was labeled a "hell hole" with constant administrator turnover, dirty conditions, and no physical therapy after a hip fracture.
• Care was refused for a 52-year-old brother because he has cerebral palsy.
• The kitchen's food was atrocious and sometimes made residents sick; roaches were observed in the building.
• Call bells were ignored for long periods, leaving residents waiting and some deteriorating as a result.

Review

This community is best suited for families seeking short- and longer-term rehab-focused care in a setting that is actively improving and that can deliver structured therapy, social engagement, and practical support for memory care needs when a dedicated team is in place. For residents who benefit from PT, OT, and speech therapy across several days each week, Town & Country offers access to therapy services and the potential for in-house dialysis as plans unfold. The property's recent renovations and ongoing improvements can appeal to families who want to see tangible changes and a facility that is investing in its future. When the priority is high-touch, engaged care with a broad activity calendar, this site can serve well, provided expectations are aligned with the realities of a large, evolving operation.

Those who should consider alternatives are primarily families prioritizing flawless, consistently predictable long-term care and a tightly controlled, low-variance environment. A recurring thread across reviews is concern about safety and reliability in daily operations, especially for memory care and for residents with complex needs. Inconsistent administration, frequent turnover, and gaps in communication appear in multiple family accounts, sometimes with alarming consequences. For anyone placing a loved one who requires steady, proactive oversight and transparent, regular updates, the risk of abrupt changes in leadership or care patterns makes alternatives worth exploring.

On the plus side, the strongest redeeming features center on staffing dedication and the quality of direct care. Numerous family and resident stories highlight compassionate aides, wound care specialists, and a therapy team that delivers real attention to individual needs. Several posts praise administrators and the culture that rises from the top, noting that a cohesive leadership group can translate into better resident experiences, cleaner common areas, and more engaging activities. The facility's improvements - new flooring, HVAC work, and a push toward expanded services like in-house dialysis - signal a serious attempt to modernize and lift overall care standards, which can meaningfully offset some of the longer-running, structural concerns.

Yet the cons carry substantial weight and can overwhelm the positives if not actively managed. Widespread, validated concerns include delays in responding to call bells, inconsistent medication administration, and perceived gaps in nursing oversight - issues that can have direct implications for safety. Reports of unsanitary conditions, odors, and pest sightings, along with instances of belongings going missing and clothing being misplaced, create an undercurrent of mistrust for families trying to gauge reliability. The most troubling reviews describe neglect, poor communication with families, and administrative turnover that leaves families repeatedly restarting conversations about care plans and billing. In the most severe cases, accounts allege hospitalizations following infections or neglectful events, underscoring why independent verification and frequent check-ins are essential.

For families actively evaluating Town & Country, a practical, on-the-ground approach is essential. Tour multiple times with specific questions about staffing ratios, shift changes, and how care plans are updated and communicated; request to speak with the nursing director or administrator and with frontline caregivers; ask for concrete examples of how memory care needs are met beyond general care, including safety protocols and daily routines; review the quality of meals, cleanliness, laundry processes, and room maintenance; and verify transparency in billing and service levels. It is also wise to cross-check state inspections and seek current resident or family references who are willing to share unfiltered feedback. The aim is to separate the achievable strengths from the recurring risks and to determine whether the level of oversight and advocacy available to families will be sufficient to keep a loved one safe and engaged.

In sum, Town & Country can be a sensible choice for families who want a rehab-forward community with capable therapy staff, a willingness to invest in improvements, and a willingness to stay closely involved in care planning. It is less suitable for those who require a uniformly flawless day-to-day operation, especially in memory care or for residents needing highly consistent administrative support. The decision hinges on capacity to supervise and push for accountability, balanced against the facility's momentum toward better service. For families willing to do the legwork, ask the hard questions, and visit repeatedly, Town & Country offers a viable path - one that may deliver meaningful rehabilitation and social enrichment while demanding vigilance to ensure safety, dignity, and dependable communication.

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)