Overall sentiment in the reviews is highly mixed, with strong, repeated praise for the rehabilitation and therapy services contrasted by serious and recurring concerns about basic nursing care, safety, sanitation, and communication. Many reviewers describe Marin Post Acute as a facility with an excellent therapy culture: physical and occupational therapists are repeatedly called "wonderful," "enthusiastic," "inspiring," and "top notch," and several reviewers credit the therapy team with meaningful recoveries and smooth transitions. The facility's remodel, therapy gym, comfortable rooms, and amenities such as Netflix and pleasant courtyards are frequently mentioned as positives that support a healing environment for many residents.
However, these positives sit alongside substantial reports of substandard medical and custodial care. Multiple summaries allege medication errors, incorrect dosing, and even punitive withholding of medications. Several reviewers reported that no physician or nurse evaluated patients on arrival and that medical oversight felt absent, leading to outcomes such as new or worsened incontinence, inability to walk after transfer, untreated wounds or bloody dressings left in place, and generally degraded medical status. Complaints describe residents left in soiled diapers, unlifted from bed for prolonged periods, screaming or being yelled at, and in some cases threatened verbally. These are not isolated comments — they appear repeatedly enough to indicate a pattern of inconsistent nursing attention and serious lapses in basic resident care.
Staffing and staff behavior are recurrent themes with a broad range of experiences. Many reviewers singled out specific staff members and departments for praise — social services (Ana, Judith Rooke), discharge planners, certain nurses and CNAs, and rehab leaders (Kyle and team, Stephan) receive strong commendations for kindness, competence, and communication. Conversely, others report rude, inattentive, or absent staff; difficulty obtaining timely help; and high turnover that produces inconsistent caregiver continuity. The front desk and phone system also draw criticism: problems transferring calls, room phones not working, and family members being unable to reach residents are common complaints that feed frustration and anxiety.
Cleanliness and facilities present a split picture. Numerous reviewers praise the lobby, remodeled areas, therapy gym, and overall appearance, calling the facility clean and well-run. Yet other accounts point to strong smells of urine in back areas, shared bathrooms that smell, soiled beds left unattended, and even allegations of roach infestation. Housekeeping practices are also criticized for being disruptive (cleaning at 4 a.m.) or inadequate in specific wings like memory care or some rehab units. This inconsistency suggests variability across units and shifts rather than a uniform standard of housekeeping.
Communication, transparency, and management response emerge as significant organizational concerns. Families describe difficulty getting direct answers from directors of nursing or administration, failures to address complaints at the front desk, and slow or opaque responses to incidents. Some reviewers believe administration is providing lip service or biased treatment toward wealthier patients, while others acknowledge that recent administrative changes seem to be trying to improve conditions. There are mentions of potential regulatory violations and recommendations for state intervention, indicating that at least some reviewers felt problems were severe enough to involve outside authorities.
Dining and daily living services are another area of mixed feedback. Food quality is frequently described as poor or inconsistent, with many calling meals "inedible" or giving a low grade, though a minority enjoy the food. Several families note that residents must sometimes make their own beds or carry their own trays, reflecting variability in custodial assistance. Conversely, social activities, neighbor interactions, and a home-like environment are praised by residents who feel well cared for and engaged.
Safety and quality-of-care implications are the most serious themes. Reports of medication mishandling, unsafe discharges, neglect resulting in worsened functional status, and verbal threats to residents raise red flags that weigh heavily against the otherwise strong rehab reputation. Many reviewers explicitly stated they would not send a loved one to the facility based on their experience, while others recommended Marin Post Acute as the best option in the area because of its therapy program and portions of the staff.
In summary, Marin Post Acute appears to offer exemplary rehabilitation services, a pleasant remodeled environment in public areas, and a number of deeply committed, effective staff members (notably within therapy and social services). At the same time, there are persistent and serious concerns about nursing care consistency, medication safety, incontinence management, communication and phone access, intermittent sanitation problems, and managerial transparency. These polarized experiences suggest the facility can deliver high-quality recovery-focused care for some residents, but systemic issues — particularly in nursing oversight, staff stability, and complaint resolution — create significant risk and occasional harm for others. Families considering this facility should weigh the strong rehab capabilities and praised staff against the documented variability in basic custodial and medical care, and should ask specific, targeted questions about staffing levels, medication oversight, complaint escalation processes, and the condition of the particular unit where their loved one would be placed.