Overall sentiment across these reviews is highly mixed and polarized: many reviewers emphatically praise specific departments, teams, and individual staff members—especially rehabilitation (PT/OT/Speech), select nurses, CNAs, and the activities/recreation staff—while a significant number of reviews describe serious care failures, neglect, and administrative mismanagement. The pattern that emerges is one of wide variability: when the right staff are on duty and in certain units (notably rehab and sub-acute care), residents receive excellent, attentive, and professional care that families deeply appreciate. Multiple reviewers single out physical and speech therapy teams, respiratory staff, and activities personnel (Adriana mentioned by name) as exceptional, and several families report that those services helped residents regain strength, dignity, and independence.
At the same time, an alarming set of safety and quality-of-care concerns recur across reviews. Allegations include patients being left unattended for extended periods, long call-button response times, residents found in unsafe or undignified conditions (urine on the floor, naked on the floor), severe dehydration leading to ICU admission, open diaper rash and bed sores, and reported rough handling or even physical abuse by some CNAs (bruises, slapped hands). These incidents are severe enough that multiple families reported relocating loved ones quickly or filing complaints with county or state authorities. Reviewers describe the facility as inconsistent: clean and comfortable at times, run down and understaffed at others.
Management and administrative issues are another dominant theme. Numerous reviewers call out poor communication, disorganized discharge processes, billing and Medi-Cal submission problems, an unhelpful social worker, and a clueless or uncaring administrator. Complaint handling is frequently criticized—families report needing to document everything, that on-site complaint responses can feel convenient for the facility rather than resolute, and that escalation to Ombudsman or regulators was necessary. Several operational problems are specifically noted: inadequate phone/access systems (e.g., very few phones for many patients), denial of after-hours calls, and scheduling or staffing practices that contribute to long wait times and inconsistent oversight.
Facility conditions and infection-control concerns are split in the reviews. Some families describe the facility as clean, well-kept, and comfortable, while others report rooms that are not cleaned for weeks, a run-down appearance, overcrowding, and even a reported head-lice problem among staff. Food and dining also receive mixed comments: a few reviewers praise meals and special events (Mother’s Day lunch, homemade soup), but many describe food inconsistency—sometimes good, other times described as slop or cafeteria-style fare.
A recurrent explanation offered by reviewers for the inconsistency is staffing pressures: staff are described as overworked and underpaid, which reviewers believe contributes to mistakes, slow responses, and variable compassion. The net effect reported by families is unpredictable care quality that depends heavily on which staff are on duty and which unit the resident is admitted to. Rehab and short-term/sub-acute stays appear to produce the most positive outcomes; long-term care and Medicaid-related stays seem more likely to be associated with the negative reports, although this is not universal.
Bottom line: Loma Linda Post Acute receives strong, specific praise for its rehabilitation services, some compassionate clinical staff, and an effective activities/transportation program. However, the facility also has repeated, serious, and specific complaints regarding neglect, safety incidents, management failures, inconsistent cleanliness, and poor complaint resolution. Prospective residents and families should be aware of high variability in care quality, consider visiting and asking targeted questions about staffing levels, complaint procedures, infection control, and discharge/transition processes, and document everything. If placing a vulnerable loved one, follow up closely during the first days and be prepared to escalate concerns promptly if substandard care is observed.