Overall sentiment: The reviews for A & I Adult Care Home are mixed but lean positive on the core elements of personal care, cleanliness, and value while raising significant operational and consistency concerns. Multiple reviewers emphasize that the facility is clean, well-kept, and offers a small, home-like environment with structured routines. Staff are frequently described as caring, attentive, and understanding of medical needs (including dementia and toileting issues) and many residents receive lots of attention. The home provides several clinical conveniences — monthly physician visits, podiatry and lab services on-site, and 24/7 caregiver coverage — and accepts Cigna. Practical amenities cited positively include pet-friendliness, available transportation, private and semi-private rooms, and reasonably priced monthly rates (private approximately $2,500, semi-private approximately $2,000). Several long-term residents or family members reported being pleased with the quality of care and considered the facility a good value.
Care quality and medical management: Reviews present a dual picture. On one hand, reviewers note staff competence with medical and dementia-related needs and appreciation for hands-on toileting help. On the other hand, there are serious negative reports about medication management (medications not given when needed) and at least one avoidable hospitalization tied to care issues. These reports suggest inconsistency: some families experience reliable, medically knowledgeable care, while others encounter lapses with potentially significant consequences. Prospective families should verify current medication administration protocols and recent incident history during a tour and by asking for references.
Staffing, time with residents, and behavior: A recurring theme is that staff are caring but overburdened. Several reviews specifically call out understaffing, times when a single caregiver is on duty, and insufficient time spent with residents. Where staff are stretched thin, this has manifested as limited organized activities, less individualized attention, and in a few cases, lapses in cleanliness or bedside care (examples include a soiled bed and yelling from staff). A minority of reviews mention rude behavior and a language barrier (broken English), which contributed to an overall negative perception in those accounts. Conversely, other reviewers explicitly praise staff tolerance for extra work and their medical understanding, reinforcing the variability across different shifts or resident experiences.
Activities, social life, and routine: The home-like, small-group atmosphere and a structured routine are positive elements, appreciated by many reviewers. However, organized activities appear limited: multiple reviewers wanted more activities or said there were not many organized options. Some reviewers could not rate activities due to their relative illness, making activity satisfaction somewhat unclear. The small size that contributes to a close-knit feel may also limit the breadth of programming and social activities compared with larger facilities.
Facilities and cleanliness: Most reviews describe the facility as very clean and well-kept, with home-cooked fresh meals. A number of reviewers called it beautiful and well-run. That said, a subset of reviewers disagreed, mentioning that the inside or outside was not nice, and citing specific cleanliness incidents (e.g., soiled bed). These contradictory impressions reinforce the overall pattern of inconsistent experiences: many residents report a tidy, pleasant environment while others report lapses that significantly affected their impression.
Policies, fit, and administrative concerns: Several logistical and administrative issues are worth noting. The facility reportedly retains deposits and care fees in some dispute cases, so families should clarify refund and deposit policies in writing. There is mention of an ALTCS admission policy restriction, which may limit access for some state-funded residents. A few reviewers also felt the home was not a good fit for their loved one (too many residents, not a fit for advanced bedridden or Alzheimer's care), indicating that the facility may be better suited to residents who need regular assistance but are not fully bedridden or at late-stage dementia. Admission-fit appears mixed: some residents thrive long-term, while others and their families decide it isn’t the right environment.
Patterns and recommendations: The strongest patterns are (1) consistently positive remarks about the caring nature of staff, home-like environment, meals, and on-site clinical services; and (2) recurring operational concerns around staffing levels, medication management, activity programming, occasional staff behavior, and administrative/financial transparency. These mixed signals suggest that A & I Adult Care Home can provide very good care for the right resident under the right staffing circumstances, but that experiences vary by shift, staff, and individual expectations.
If you are considering this facility, request a tour at different times of day (including evenings and weekends) to observe staffing levels and interactions, ask for written policies on medication administration and incident reporting, verify deposit/refund terms in writing, confirm acceptance criteria (ALTCS limitations), and ask for recent references from current families—especially those whose loved ones have similar care needs (dementia, toileting, mobility). Also confirm whether the facility can meet needs for bedridden or advanced Alzheimer's care, since reviews conflict on suitability. These steps will help determine whether A & I Adult Care Home is the right fit for a specific resident given the variability reported across reviews.
