Overall sentiment in the reviews is highly polarized: many reviewers report exceptionally positive experiences centered on rehabilitation outcomes and compassionate individuals on staff, while an equally large set of reviews describe severe problems including neglect, medication errors, and unsafe conditions. This split suggests the facility has significant strengths in therapy and pockets of dedicated staff, but persistent systemic issues — especially staffing and management lapses — create considerable risk for many residents.
Care quality and clinical issues: The facility receives consistent praise for its rehab services (physical, occupational, and speech therapy). Multiple families credit therapy staff with meaningful functional improvements and safe transitions home. Several reviewers singled out specific clinicians and therapists as highly competent and reassuring. At the same time, there are numerous and serious clinical complaints: delayed or missed medications (including pain medication), medication management errors, inconsistent wound care with bedsores and infections, mishandled catheters, untreated constipation/dehydration, and cases where residents were rushed to the emergency room due to deterioration. These reports indicate variability in nursing competence and follow-through. The most severe reports describe neglect (residents left in soiled linens, dried blood on faces, not bathed for extended periods) and allegations of abusive or cruel treatment. Families report that errors and neglect are more likely during evenings, nights, weekends, or when staffing is minimal.
Staffing, responsiveness, and communication: A dominant theme is chronic understaffing. Many reviews describe long waits for assistance, quiet call buttons ignored, inability to reach nurses by phone, and staff who are overworked. Positive reviews acknowledge kind, attentive CNAs and nurses who go above and beyond; negative reviews describe rude or unresponsive staff and even administrators who hang up or are confrontational. Communication breakdowns are repeatedly cited: families report unreturned calls, inconsistent information from staff, conflicting stories about incidents, missing or withheld medications at discharge, and problems reaching residents because many rooms lack phones or video access. Several reviewers noted that management is not regularly on-site or is absent when issues arise, and some families felt their concerns were minimized or dismissed.
Facilities, cleanliness, and safety: The facility layout and physical attributes receive mixed feedback. Many reviewers appreciate large, bright rooms, patios, and a welcoming reception area. Conversely, multiple reports describe poor housekeeping and maintenance: odors (urine, general), pests (ants, spiders, small bugs), cracked flooring, unclean bathrooms, and HVAC/temperature problems. Safety concerns are prominent: falls, delayed ambulance response, bedsores, and missed dialysis or medical monitoring were reported. Overcrowding and multi-occupancy rooms (including reports of three-person rooms) added to family concerns about privacy and quality of care.
Dining, activities, and therapeutic programming: There are clear strengths in activity programming tied to rehab goals — an occupational garden, cooking and baking classes, and an active activity room are cited as meaningful for patient engagement. However, several families said promised activities did not actually occur and complained about lack of social programming and boredom (no bingo or no weekend therapy). Dining reviews are mixed: some families praise fresh, varied meals and good accommodation of dietary needs, while others complained of inconsistent meal delivery, being brought only Jell-O, food shortages in the kitchen, or residents ordering delivery because facility meals were insufficient.
Management, policies, and administrative concerns: Reviews reflect inconsistent administrative performance. Some reviewers praised an involved and caring administration and named individuals who helped with insurance/casework. Others accused management of being defensive, unresponsive, or even complicit in covering up incidents, including allegations of forged documents and misrepresenting DNR status. Several families reported that interdisciplinary team (IDT) meetings offered hope for improvement, but results were inconsistent. Discharge processes are a recurrent problem — missing paperwork, withheld medications, and delayed transfers. There are also allegations of money-driven practices and poor coordination with external providers (doctors, caseworkers).
Notable patterns and takeaways: The most common positive pattern is excellent short-term rehabilitation with strong therapists and some compassionate frontline staff. The most common negative patterns are chronic understaffing, inconsistent nursing care, dangerous lapses in hygiene and safety, communication failures, and management variability. Several reviews describe an initial period of good care that deteriorates over time, suggesting that staffing changes or process breakdowns occur during longer stays. Night and weekend coverage and availability of therapy during weekends are frequently flagged as weak points.
Conclusion and practical implications: Based on the reviews, Las Colinas Post Acute may deliver very good outcomes for patients seeking short-term, intensive rehabilitation when they receive care from the praised therapy teams and supportive nurses. However, families should be aware of considerable risks for long-term stays or for residents who require close medical monitoring. If considering placement, prospective families should (1) verify staffing levels across shifts and weekends, (2) meet the primary nurses/CNAs who will care for the loved one, (3) confirm communication methods (phones, video access) and escalation pathways, (4) document an explicit care and wound/medication plan in writing, and (5) visit at varied times (evening/night/weekend) to observe staffing and responsiveness. Families already with a loved one at the facility who notice problems should escalate to on-site administration, document incidents, request IDT meetings, and, if safety concerns persist, contact local long-term care ombudsman or regulatory authorities. The reviews indicate clear excellence in therapy and pockets of compassionate staff — but also repeated, severe reports of neglect and systemic failures that require vigilance and active advocacy from families.