Madison Grove Post Acute

    1618 Laurel Ave, Redlands, CA, 92373
    3.5 · 27 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Compassionate staff but systemic neglect

    I placed my loved one here and had a mixed but mostly negative experience. Chronic understaffing meant long waits for help, missed/late meds, unresponsive call buttons, lost belongings, filth on floors and rude or disrespectful staff (even vaping on duty). On the plus side a handful of people - Hazel, Julie, Jennifer Flowers, Corina V., Imelda and the rehab team - were compassionate, competent and helped my family a lot; food was warm and some rooms are being renovated. Overall: excellent individual staff, but systemic neglect and poor communication make the facility unreliable.

    Pricing

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    Amenities

    3.48 · 27 reviews

    Overall rating

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

      3.0
    • Staff

      3.5
    • Meals

      2.5
    • Amenities

      3.0
    • Value

      3.0

    Pros

    • Many staff described as caring, compassionate, and friendly
    • Skilled nursing and medical interventions (wound care, IV antibiotics)
    • Effective therapy/rehab programs (daily OT/PT, goal-oriented rehab)
    • Examples of life‑saving care and successful weaning from ventilator
    • Social worker support (Hazel praised repeatedly)
    • Engaged activities staff (Imelda, Julie noted as uplifting and helpful)
    • Staff who provide dignified, respectful treatment for some residents
    • Quick management responses and positive management change reported
    • Some rooms renovated and daily cleaning reported
    • FaceTime and other family‑communication support available
    • Some residents report warm, good food and comfortable beds
    • Recreation offerings (movies/popcorn) and social programming
    • Reports of IV/medical treatments being administered onsite
    • Some families would choose or recommend the facility again

    Cons

    • Chronic understaffing and long wait times for assistance
    • Medications late, missed, or not given regularly; substitute nurses unfamiliar with meds
    • Reports of unclean conditions, including feces on floors
    • Residents left without water or staff failing to feed dependent patients
    • Lost or missing personal items (teeth, glasses, purse, DVD player)
    • Inconsistent quality of care — wide variability between shifts/staff
    • Unresponsive staff to call buttons and poor communication with families
    • Reports of staff vaping on duty and other unprofessional behavior
    • Rude, prejudiced, or disrespectful staff reported by multiple reviewers
    • Therapy not provided or limited doctor visits in some cases
    • Safety concerns including past violence, neglect, pain management failures, and at least one death allegation
    • Dated building and common areas; ongoing renovations but some areas need redo
    • High pricing relative to perceived value for some families
    • Allegations of fraud, misinformation, and a troubled reputation/name change

    Summary review

    Overall sentiment is mixed and highly polarized: many reviewers praise individual staff members and therapeutic outcomes while a substantial number report serious quality and safety concerns. The most consistent positive thread is that certain nurses, therapists, and support staff deliver compassionate, skilled, and personalized care. Multiple reviewers single out social services (Hazel), activities staff (Imelda, Julie), and named nursing staff as exemplary: they provided dignified treatment, effective wound care, daily OT/PT, help with ventilator weaning, IV therapies, and meaningful family communication (FaceTime, paperwork assistance). Several family members described life‑saving interventions, successful rehab progress, and goal‑oriented therapy that led to measurable improvement. Some rooms have been renovated and some reviewers note daily cleanliness, comfortable beds, warm food, and an improving facility culture under new management.

    At the same time, there is a recurring pattern of serious negative reports that cannot be ignored. Understaffing, long response times to call lights, and unresponsiveness are frequent themes; these problems are tied to medication problems (late or missed doses, substitute nurses who cannot find medications) and basic neglect (residents left thirsty or with food trays when they cannot feed themselves). Several reviews allege unclean conditions — including feces observed on floors — and reports of lost personal property (dentures, glasses, purses, electronics). There are also multiple accounts of unprofessional behavior (staff vaping on duty, rude or prejudiced treatment) and communication failures between staff and families. These negatives range from administrative/operational failures (poor communication, misplaced items) to clinical safety concerns (pain medication neglect, limited doctor visits, therapy not provided, and at least one allegation of death related to neglect).

    Facility condition and amenities show a split picture: the building is described as old and historic with dated rooms and linens, but renovations are ongoing and some rooms are described as nicely redone. Common areas and the lunch/dining area were identified as needing work by several reviewers even as others praised warm food and recreation activities (movies and popcorn). Management and leadership appear to be changing over time; some reviewers note positive management change, quick responses, and a sense of continuous year‑over‑year improvement, while others assert the facility has a poor reputation, name changes, or even allege fraud — indicating inconsistency in governance and public perception.

    A notable pattern is high variability: experiences range from “worst facility” with systemic neglect to accounts of exceptional, attentive care that families felt grateful for. This suggests that outcomes are highly dependent on specific shifts, individual staff members, and possibly which unit/room a resident is placed in. Therapy and rehab can be strong and lead to good results for some residents, while others experience gaps in care, missed medications, and unresponsiveness that prompted transfers to other facilities.

    Recommendations for families considering Madison Grove Post Acute based on these reviews: (1) verify current staffing levels and medication administration protocols during a visit; (2) meet the social worker and therapy team (Hazel, therapists) to confirm services and schedules; (3) ask about recent management changes and quality improvement metrics; (4) secure valuables or get a clear property policy to avoid lost items; (5) inspect room and common‑area cleanliness and inquire about renovation timelines for dining/lounge areas; and (6) request references or talk with recent families about consistency of care across shifts. In short, Madison Grove shows clear strengths in individual caregiver compassion and rehab capability, but families should be cautious because reports show persistent operational and safety concerns tied to staffing, medication management, cleanliness, and inconsistent professionalism.

    Location

    Map showing location of Madison Grove Post Acute

    About Madison Grove Post Acute

    Madison Grove Post Acute sits in Redlands, California, and tends to older adults who need help with daily living, dementia, Alzheimer's, or care after surgery or illness, taking in up to 243 residents with both short-term and long-term stays. Staff support folks with memory care, watching for confusion and wandering, and run a full calendar of activities to keep minds and hands busy, including on-site and off-site devotional options, games, and social gatherings, which can be comforting for people who feel disconnected or restless. Residents get meals prepared for them and can visit the beauty or barber shop on site, which helps keep up appearances without extra trips. The place has both indoor and outdoor common areas including gardens for fresh air, along with wheelchair-accessible rooms and showers, and it offers private or shared living spaces so people can pick what suits them.

    Transportation to medical appointments or errands comes with the place, and there's parking for those who still drive. Staff are trained for skilled nursing, memory care, complex wound care, and managing pain and high-needs medical conditions, with licensed nurses on hand 24 hours a day. For people coming right from hospitals or facing tough recoveries, there's post-acute rehab including physical, occupational, and speech therapy, plus special programs for improving strength, walking, and balance. Neurological and orthopedic rehab are part of the care, so those who've had strokes or joint surgeries get extra attention, and the therapists come up with plans made for each person, focusing on helping people walk again, stay steady, use their bodies the right way, and avoid injury. The facility was built in 2025 and has seen recent renovations, so the halls and private rooms feel cleaner and more up to date than some older places, and common spaces tend toward the warm side, creating welcoming spots for visits or rest.

    The facility runs under Covey Christensen, who's managed things since 2015, and Madison Creek Partners owns and helps oversee the place, which is a for-profit operation, meaning it pulls in resources to pay for up-to-date equipment and offerings like advanced rehab technology. The state records show the nurse turnover rate is 44.1%, which is higher than the California average, and nurse staffing hours per resident are a little below the state norm at 4.10 hours daily, so staff are often busy. Inspections come on the slow side, with the last full standard check occurring over two years ago, and records mention 49 deficiencies, 4 involving infection control, so families might want to ask about past reports. Still, the staff focus on keeping residents safe with constant supervision, accident prevention, clean areas, and care that's meant to help folks live as independently as they can. The place runs from 10 in the morning to 8 at night, allowing visitors a broad window.

    Madison Grove Post Acute works to keep residents socially and mentally engaged, providing therapy, meals, group activities, and healthcare, while the staff aim for patient-centered care and try to make the environment comfortable and supportive, even though like any large facility, there are challenges with staffing and meeting every regulation. Amenities include gardens, newly renovated halls, updated living spaces, and a variety of programs designed to support recovery and independence, especially for those with complicated medical needs.

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