Overall sentiment is mixed but leans positive in frequency: many reviewers describe Cascade House as a small, home-like assisted living / residential care setting with attentive, family-like staff and owners who provide individualized attention. Positive reports emphasize a welcoming atmosphere, cleanliness, comfortable common areas and outdoor space, good food, and active social programming including crafts, family-inclusive activities, and celebrations. Several reviewers specifically praised staff members (one named, Bonnie) and owners for going above and beyond, being available to families, and providing strong communication and hospice coordination when needed. The small size (about 8 residents) is repeatedly cited as a benefit, enabling one-on-one care, regular repositioning for dependent residents, and a close, familial environment.
Care quality is a central theme and contains both strong praise and serious criticism. On the positive side, reviewers frequently note daily personal care, regular repositioning, hospice nurse visits, and compassionate support at end of life. Many reviewers explicitly recommend the facility and state they would hire the staff again. However, contrasting reviews raise significant concerns about the facility's ability to safely care for residents with complex medical needs. Specific allegations include failure to manage diabetes and glaucoma medications properly, insufficient capability to care for bedridden or incontinent residents who require 24/7 skilled care, and a lack of a means for residents to contact family (no phone provided). One reviewer issued an explicit safety warning advising others not to leave loved ones there. These are serious red flags that affect assessment of medical suitability for higher-needs residents.
Management, admissions, and legal concerns appear in the reviews as an important pattern to note. While many reviewers compliment the owners and describe transparent, ongoing communication, others allege misrepresentation by the owner (identified by name in a review) and question the admission/placement process. There is an allegation that a Power of Attorney change was signed while the resident was cognitively impaired and that the owner acted as a non-credentialed Senior Care Advisor in ways that may have been misleading. These are specific, serious claims that contrast sharply with the numerous positive testimonials about the owners' compassion and involvement.
Communication and access to family are reported inconsistently: multiple reviews praise easy family contact, flexible visiting, and regular updates, whereas at least one review claims there was no way to contact loved ones and that residents were not provided a phone. Cost is another mixed area: several reviewers find the facility reasonable or preferable to prior placements, while one mentions it being expensive. COVID precautions and cleanliness received positive mentions across many reviews, reinforcing a perception of conscientious daily care for infection control and hygiene.
In summary, the dominant positive themes are a warm, small, home-like setting with caring staff, individualized attention, active programming, and good hospice coordination. The dominant negative themes are serious medical and safety concerns for residents with complex care needs, specific allegations about management and admissions (including possible misrepresentation and POA issues), and at least one strong warning from a reviewer. Given this mix, prospective families should weigh the facility’s strengths for residents who need primarily custodial or supportive care in a small, home-like environment against the reported limitations for higher-acuity medical needs. Recommended due diligence before placement includes: in-person tours during mealtimes, direct questions about medication administration and clinical oversight (especially for diabetes and eye-care meds), confirmation of staffing levels and 24/7 availability, verification of owner/advisor credentials, review of the admissions and POA/consent procedures and paperwork, checking hospice arrangements and references, asking about resident phone/communication policies, and obtaining written clarity on costs and what is and is not included in fees. These steps will help reconcile the strongly positive family-style accounts with the serious negative allegations found among the reviews.
