Lake Pleasant Post Acute Rehabilitation Center

    20625 North Lake Pleasant Road, Peoria, AZ, 85382
    1.7 · 17 reviews
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Terrible care, unsafe, poor communication

    I had a terrible experience here: nursing and medical care were poor, meds and pain relief were delayed or refused, a resident fell and was readmitted (one died), and discharge felt unsafe. Staff communication and management were unresponsive - call buttons ignored for hours, night CNAs screamed and belittled, records withheld, and administrators didn't help. The facility was unhygienic and unsafe at times (bugs/cockroaches, dirty bathrooms, old furniture), food was cold/unappetizing and poorly communicated, and chronic understaffing relied on contract nurses. A few therapists and some staff were helpful and activities were decent, but overall I would not recommend this place.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    1.71 · 17 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.8
    • Staff

      1.8
    • Meals

      1.5
    • Amenities

      1.7
    • Value

      1.0

    Pros

    • Professional, friendly occupational and physical therapists
    • Effective rehabilitation services reported by some families
    • Caring and attentive daytime staff in positive reviews
    • Engaging activities director
    • Regular social events (Friday donut social, popcorn & movies, ice-cream social)
    • Recreational offerings such as bingo and other group activities
    • Personal grooming perks (free nails, first haircut free)
    • Some residents reported clean rooms and pleasant smells
    • Convenient location near stores and restaurants
    • Some reviewers highly recommended the facility
    • Occasional helpful CNAs and staff who supported families
    • Wide diet variety and tasty meals reported by some reviewers

    Cons

    • Missed or delayed medications
    • Prescribed pain medication not given or withheld
    • Delayed or mismanaged IV antibiotics
    • Call buttons frequently unanswered or delayed (reports of 2–5 hour waits)
    • Understaffing and high staff turnover
    • Heavy reliance on contract nurses
    • Night staff described as rude, screaming, belittling, or unprofessional
    • Inconsistent and unreliable staff behavior
    • Administrator and management unresponsive or absent
    • Poor communication with families and between staff
    • Refusal or failure to provide medical records and patient information
    • Medication errors and safety lapses
    • Serious safety incidents (falls, unsafe discharges, readmissions)
    • Residents left in soiled diapers or unattended for long periods
    • Incidents not consistently charted or documented
    • Insufficient therapy frequency/duration and limited weekend therapy
    • Excessive time in bed and minimal rehab sessions reported
    • Unsanitary conditions (bugs/cockroaches, crumbs, grimy areas)
    • Filthy bathrooms and broken bathroom fixtures
    • Food quality complaints and unappetizing meals
    • Residents required to supply their own food in rooms
    • No facilities to warm food or store cold food for residents/visitors
    • Small, crowded rooms (two-person rooms) and cramped layouts
    • Old, worn furniture and beds often positioned against walls
    • No chairs for visitors in some rooms
    • Unknown/unclear emergency exits and dark hallways
    • Website misinformation about services
    • Concerns about licensing and potential safety violations
    • Allegations of illicit activity and unsafe environment
    • Poor value for money and complaints filed with insurer
    • Televisions unreliable or not functioning properly
    • Inadequate assistance with meals and toileting
    • Weight loss and poor diabetic meal management reported

    Summary review

    Overall sentiment across the review summaries is highly polarized: a substantial portion of reviewers praise the facility’s rehabilitation staff, activities program, and certain supportive employees, while an equally significant set of reviews raises serious clinical, safety, cleanliness, and management concerns. Positive comments consistently highlight strong occupational and physical therapy, an engaged activities director with a variety of social events (donut socials, bingo, popcorn & movies, ice-cream social), some pleasant communal experiences (free nails, first haircut), helpful daytime staff, and in a number of cases effective rehabilitation that led to recovery and discharge. Several families explicitly recommended the facility on the basis of the therapy and particular staff members who were attentive and professional. A minority of reviewers also noted clean rooms, pleasant smells, convenient location, and tasty, varied meals.

    Care quality and clinical safety are the most recurring negative themes. Multiple reviews report missed medications, medication errors, and delayed or withheld pain medication; there are also accounts of delayed or mismanaged IV antibiotics. These failures are tied to distressing patient outcomes in some reports, including readmission to hospital after discharge, weight loss (15 pounds cited), unmanaged diabetic diets, and at least one mention of a patient dying after 11 days. Multiple reviews describe residents left in soiled diapers for extended periods, inadequate toileting assistance, and lack of fall-prevention measures — with several fall incidents described and at least one patient left on a mattress on the floor. Reviewers reported incidents that were not properly documented or charted, and worried about unsafe discharges and the facility’s ability to manage medically fragile patients.

    Staffing, communication, and management problems are also frequent and consistent. Reviewers describe chronic understaffing, heavy reliance on contract nurses, and high turnover. Night-shift staff are repeatedly singled out for poor behavior (yelling, screaming, belittling patients), while daytime staff are sometimes characterized as acceptable or caring. Call buttons frequently go unanswered or experience very long delays (some reports of 2–5 hour waits), and families report poor internal communication about meals, therapy schedules, and clinical changes. Several reviewers describe unresponsiveness from administrators and refusal or failure to provide medical records or patient information needed for outside doctor appointments. There are also reports of staff arguing with patients about treatment and refusing to follow care plans, which raises concerns about clinical governance and oversight.

    Facility, cleanliness, and infection-control problems appear in multiple reviews. Many reviewers reported bugs and cockroaches on walls and floors, crumbs, grimy conditions, filthy bathrooms, and broken toilets that obstructed normal use. Some reviews reported old, worn furniture and cramped living spaces (small two-person rooms, beds positioned against walls, and lack of seating for visitors). There are also claims that residents must buy their own food or that the facility lacks storage or warming capabilities for food brought by families. Several reviews mention a dark hallway and unclear emergency exit routes, contributing to perceptions of poor safety infrastructure. A few reports even allege illicit activity on premises, which — if true — would be an additional safety and regulatory concern.

    Dining and activities are another area of mixed feedback. While many reviewers praise a wide diet variety, tasty meals, and regular social events (bingo, donut social, ice-cream socials, movie nights), others report unappetizing food (specific complaints like grape Kool-Aid), cold food, meals delivered without announcement, and poor diabetic meal options. This split suggests variability in kitchen performance or inconsistent service. The activities program receives consistently positive mentions from families who appreciated the social opportunities and engagement provided, often contrasting with negative reports about basic nursing care.

    Patterns and takeaways: reviewers show a clear split between strong therapy/activities experiences and worrying nursing, safety, and cleanliness shortcomings. Positive experiences appear tied to particular therapists, CNAs, or activities staff, while negative experiences are often systemic — linked to understaffing, shift-to-shift inconsistency (notably troubling night shifts), and management breakdowns. Families reporting the most serious problems describe medication lapses, delayed clinical care, lack of documentation, and events that required rehospitalization.

    For families evaluating this facility, the reviews suggest exercising caution and doing targeted due diligence: verify staffing levels (particularly for night shifts), ask about medication administration protocols and error rates, inspect patient rooms and bathrooms for cleanliness and pest control, confirm the exact therapy schedule and minutes, and request policies on incident documentation and release of medical records. If potential residents are medically complex or at high fall risk, the reported patterns of missed medications, delayed responses to call lights, and inadequate toileting assistance are significant red flags. Conversely, for short-term rehabilitation patients primarily focused on PT/OT and who can benefit from an active activities program, some reviewers had good outcomes — but the variability in care quality means positive results may depend heavily on staffing at the time of admission.

    In summary, the facility receives both strong commendations for rehabilitation and activities and repeated, serious complaints about nursing care, safety, cleanliness, and management responsiveness. The most common and consequential issues reported are medication errors or omissions, delayed responses to call lights, understaffing (and problematic night shifts), pest and sanitation problems, failure to document or communicate clinically important information, and instances of unsafe patient handling leading to falls or rehospitalizations. These patterns warrant careful scrutiny by prospective residents and families and, if corroborated, should be of concern to regulators and payers.

    Location

    Map showing location of Lake Pleasant Post Acute Rehabilitation Center

    About Lake Pleasant Post Acute Rehabilitation Center

    Lake Pleasant Post Acute Rehabilitation Center sits over in Peoria, AZ, and you'll find it managed by The Ensign Group, Inc., with a focus on recovery and rehabilitation for seniors who need skilled nursing after a hospital stay, and it's classified as a Skilled Nursing Facility with 128 beds, so it doesn't have assisted living spots, it's really for folks needing that extra bit of medical help while they get back on their feet. The staff includes trained nursing and ancillary support who keep an eye on comfort and safety, whether a person's there for short-term rehabilitation or needs longer care, and they work closely with families and outside healthcare providers to make sure care plans fit each person's needs. Folks can expect physical, occupational, and speech therapy onsite using up-to-date hands-on techniques, all in a supportive, team-based environment aiming for functional recovery, and you'll have wound management and other special services if needed during that stay. You do get customized rehab programs tailored to recovery goals because the place does a good job with those, and for people who like to stay busy, there's a full activity calendar with outings, activities, and meals meant to boost well-being and keep people engaged day and night. Rooms here are spacious and comfortable, and while the place stays focused on promoting recovery and whole-person care, there's also an effort to reach out to the local community through events and programs, so it tries to feel like more than just a place for medical care. Amenities are set up with recovery in mind, supporting both body and spirit with skilled therapy, nursing care, and a friendly, professional staff who want to make things easier during that stay. Lake Pleasant Post Acute Rehabilitation Center belongs to the senior living options offered through A Place For Mom, though it's best fit for people needing post-acute rehab and those looking for thorough, compassionate nursing support in a comfortable setting.

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