Overall sentiment across these review summaries is strongly negative, with numerous and recurring reports of neglect, unprofessional behavior, poor communication, and safety concerns. While there are multiple isolated positive reports—primarily focused on exceptional wound care by a specific nurse, some compassionate nurses and CNAs, and reasonably effective therapy for some residents—the balance of comments documents systemic problems that reviewers felt put residents at risk.
Care quality and safety are the most frequently cited problems. Reviewers report repeated incidents of missed or delayed medications, medication errors, and in some cases alleged withholding of medication. Call lights and emergency requests often went unanswered or were met with very long delays (more than 30 minutes in several accounts), and multiple residents reportedly fell and waited extended periods for help. Bedsores, bruises, and other injuries are repeatedly mentioned, with at least one account attributing a death to substandard care. There are also troubling reports that basic safety practices are not followed consistently—OTC medications stored in supply closets and accessible, wound bandages not reapplied or wounds not cleaned, and inaccurate or incomplete medical records that could compromise continuity of care.
Staffing, staff attitudes, and communication are consistent themes. Many reviewers describe staff as lazy, rude, or uncaring; others note that some staff were compassionate and helpful, indicating highly variable performance among personnel. Short staffing—especially on weekends—is repeatedly reported and appears to correlate with the incidents of delayed care and unmet basic needs (baths delayed, residents left in bed, inability to assist with small tasks). Admissions and discharge personnel are singled out for unprofessional and rude behavior, and there are allegations of unresponsiveness to family inquiries, long hold times when calling, and refusal to provide legally required state representative contact information. Several reviewers also reported billing issues, including alleged fraudulent charges and problems with respite billing, which feed into a broader perception of a money‑focused management attitude.
Facility environment and daily life are also problematic in reviewers’ accounts. Common complaints include persistent smells in hallways and rooms, inadequate cleaning and housekeeping (sticky floors, cleaning “barely touches” rooms), lost clothing and personal items, and food that is often served cold. Activities appear limited but present—some reviewers mention church singing and bingo—yet these do not offset the more serious care and safety concerns for many families.
There is a notable pattern of variability over time and across staff: some reviewers report a positive experience (one family described five wonderful months and life‑saving wound care), while others state a decline in quality (decent in early 2022 but awful by late 2023). This suggests inconsistency in management, staffing, or oversight. Several reviewers urge formal investigation, filing complaints, or media attention, reflecting strong dissatisfaction and concern about systemic issues rather than isolated incidents.
In summary, these reviews describe a facility with some pockets of excellent clinical care—particularly in wound management and certain therapy services—but with pervasive operational problems that repeatedly endanger resident well‑being and dignity. Major concerns are staffing shortages and staff behavior, delayed and missed medical care, safety incidents (falls, bedsores, injuries), poor hygiene and housekeeping, inadequate communication and documentation, and troubling management and billing practices. Families considering this facility should weigh the reported exceptional wound‑care cases and some compassionate staff against the consistent reports of neglect, safety lapses, and systemic administrative issues; reviewers clearly feel many of these matters warrant formal complaints and regulatory attention.
