Overall sentiment across the reviews for Highline Post Acute is mixed and highly variable, with a strong and recurring theme: the facility appears to deliver high-quality rehabilitation and compassionate daytime care for many patients, but suffers from inconsistent nursing and support care, particularly during evening/night shifts and when staffing is strained. Therapy (physical and occupational) is the most consistently praised department. Multiple reviewers reported dramatic functional gains — regained ability to walk with assistive devices, improved dressing and toileting independence, and meaningful recovery in as little as three weeks. The therapy team is repeatedly described as skilled, knowledgeable, progressive, and personally engaged; director-of-therapy involvement, carefully planned treatments, and therapists who balance encouragement with realistic goals are noted as standout strengths.
Daytime nursing and support staff receive many positive comments: families and residents frequently describe compassionate, friendly, and attentive CNAs and nurses who go above and beyond. Admissions and social work staff are repeatedly singled out for excellence (several reviewers named Anita, Marie, Tara, and Matt Fallon as especially helpful), making transitions smoother and families feel supported. Several accounts describe strong communication, useful care conferences, timely responses during daytime hours, and a warm, family-like atmosphere where residents form friendships and participate in activities. Clean common areas, pleasant outdoor spaces, thorough visitor screening, and an abundance of positive personal interactions contribute to favorable impressions for many patients.
However, the reviews also reveal significant and recurring concerns. The most frequent negative pattern is a sharp drop in care quality after 3 pm or during night shifts: long call-light wait times, delayed or missed toileting and hygiene assistance, and reports of staff being inattentive or distracted. Multiple reviewers alleged serious incidents of neglect — missed baths, residents left on the floor, incorrect or missed medications, and infections related to poor hygiene and unclean equipment (shower chairs not cleaned, lack of disinfectant, mold in some areas, even bugs reported in a few rooms). A few accounts described severe outcomes: worsening conditions requiring hospital transfer or ventilator support. These are grave concerns that multiple reviewers linked to understaffing, poor supervision, and management's failure to address complaints effectively.
Facility maintenance and environment are also described inconsistently. Many reviewers praise cleanliness and a nice exterior and outdoor areas, while others report mold growth, filthy rooms, dirty TVs, and bugs. Air conditioning problems were highlighted repeatedly, making summer visits uncomfortable and raising safety concerns for vulnerable residents. Dining experiences are similarly mixed: several reviewers enjoyed varied food options, side salads, fruit, and desserts, while others called the food late or unacceptable. Some reviewers appreciated the variety and responsiveness of dietary staff, but others said meals arrived late (7–7:30 pm) or that mealtime assistance was lacking when needed.
Management and communication show a split picture. Admissions and front-line administrative staff are often described as professional, friendly, and responsive, frequently helping to resolve initial issues. Yet multiple reviewers reported that complaints made to management were ignored or not followed through — care conferences promised but not held, issues reported without corrective action, and an overall sense that leadership does not consistently enforce standards across all shifts. Allegations of fake positive reviews by employees and staff misuse of review accounts further undermine trust for some families. Billing pressure and inconsistent medical communication also appear in a subset of reviews.
In summary, Highline Post Acute appears to be a facility with excellent rehabilitation capabilities and many dedicated, compassionate daytime caregivers and administrative staff. For patients whose needs are primarily therapy-driven and who receive care during well-staffed daytime hours, the facility frequently provides very positive outcomes and experiences. However, there are significant, recurring red flags: inconsistent night and after-hours care, staffing shortages, hygiene and infection-control lapses, medication and safety errors, and spotty management follow-through. These issues produce a bifurcated experience where some families are highly satisfied and others report serious neglect or unsafe conditions. Prospective residents and families should weigh Highline’s strong therapy program and praised staff against the documented variability in nursing care and facility maintenance, ask specific questions about staffing levels on nights and weekends, infection-control practices, air conditioning and room cleanliness, and seek concrete assurances and documentation of how complaints are tracked and resolved before choosing this facility.