Overall sentiment: Reviews for Littleton Care and Rehabilitation are highly polarized. Many reviewers give strong praise for the staff, therapy, and successful rehab outcomes, describing a warm, home-like, small facility where staff are attentive, encouraging and effective. However, a substantial and vocal set of reviews report serious care failures — neglect, medication errors, missing supplies, wound infections, and hospital transfers — which raise significant safety and quality concerns. The pattern shows that while some residents experienced excellent, personalized care and good outcomes, others experienced harmful lapses that led to distress, medical complications, or abrupt discharges.
Care quality and clinical concerns: A recurring and serious theme is inconsistency in clinical care. Several reviews allege neglect (left in wheelchairs for hours, delayed bathroom assistance, infrequent showers) and medication problems (delayed pain meds, weekend gaps, wrong medications). Multiple reviewers describe wound-care failures — infected bedsores, dehiscence with open wounds to leg and chest, incomplete dressings, and inadequate oxygen management — and a few specifically report hospital transfers or ICU admissions attributed to lack of timely or appropriate care. There are also reports of misdiagnosis or delayed diagnosis (for example, pneumonia vs. heart failure) and nurses or doctors not responding to calls or failing to complete paperwork. These issues suggest variability in clinical oversight, handoffs, and adherence to basic nursing standards in some shifts or periods.
Staffing, professionalism, and team performance: Staff-related reports are strongly mixed. Many reviews celebrate highly skilled, compassionate CNAs, nurses, therapists, and named staff members who are praised for going above and beyond, providing individualized attention, and producing successful rehab results. Conversely, a large subset of reviews describe understaffing, inexperienced or outside-agency caregivers, unprofessional conduct (staff chatting at the nurses' station instead of checking on residents, front desk ignoring patients), and even abusive behavior. Several reviewers noted weekend and after-hours deficits, with therapy or medication management notably worse on weekends. There are also specific allegations of staff speaking poorly about residents to visitors and frontline staff failing to follow through on basic responsibilities. This suggests that staffing levels, staff mix (regular vs. agency), leadership tone, and shift-to-shift consistency vary and strongly influence resident experience.
Therapy and rehabilitation: Physical and occupational therapy receive many positive mentions: competent therapists, effective rehab programs, and success stories of regained mobility and discharge home. Several reviewers credit the PT/OT teams for meaningful recovery, naming staff members and noting individualized exercise plans. However, other reviews criticize therapy frequency and quality (reports of only one 10-minute PT session in six days, or only therapy assistants rather than licensed PTs), and some reviewers say expected services like speech therapy or OT were unavailable. The takeaway is that while the rehab program can be excellent for some, therapy access and credentials may be inconsistent in practice.
Facilities, cleanliness, and environment: The building’s small, homey character is repeatedly noted and often appreciated; some reviewers value that the 35-bed, small-scale facility feels personal and community-oriented. At the same time, many reports highlight an outdated, run-down physical plant: cramped rooms with no windows, shared curtain spaces, nonworking light switches, yellowed gouged walls, no in-room showers, and bathrooms too small for wheelchairs. Cleanliness impressions are mixed — multiple reviewers praise excellent housekeeping and an odor-free environment, while others report infrequent housekeeping, soiled clothing, and areas left unclean for days. These contradictory accounts imply variability across units, time periods, or patient assignments.
Dining, activities and small touches: Dining is another bifurcated area. Numerous reviewers praise food — calling meals delicious, complimenting soups and the chef, and noting attentive dining staff and full closets managed by laundry staff. Conversely, some reviewers describe the food as poor to inedible (dried-out frozen pizza or food that “looked like cat vomit”). Activities and social programming receive positive mentions (drive-in movie night, outings), and small comforting touches (warm soup, pet visits) are appreciated by many.
Administration, billing and discharge: Administrative themes also vary. Positive notes include prompt bed placement, helpful administrative staff, supportive handling of insurance, and leaders who check in. However, many reviewers recount problematic administrative actions: abrupt discharges with minimal notice despite coverage, missing paperwork, billing for therapy or rehab visits that families say did not occur, outside-agency signup fees, and concerns about Medicare rating accuracy or fake positive reviews. Executive turnover and inconsistent leadership were cited as factors undermining continuous improvement. Several reviewers recommended verifying billing, discharge supplies, and continuity of care before or at admission/discharge.
Safety and notable adverse events: Safety concerns include patient falls, questionable patient transport safety, and missing or incomplete medical equipment at discharge (missing walkers, shower chairs, chest dressings, zero supplies sent home). Specific accounts of oxygen attachments being incomplete and wounds left untreated heighten the sense that, while many residents do well, others face significant risk. These reports emphasize the importance of verifying wound-care protocols, medication management, and discharge planning when considering this facility.
Overall pattern and recommendation considerations: The reviews depict a facility that can provide outstanding, personalized rehab and long-term care when it is well-staffed and managed, but that also has episodes or periods of neglect, clinical errors, and administrative failures. The small size and caring staff are clear strengths frequently cited by families and residents. Yet the frequency and severity of the negative reports — including infections, hospital transfers, medication errors, and abrupt discharges — are serious red flags that should not be ignored.
For prospective residents or families, the key takeaway is to probe for consistency and specifics: ask about current nurse-to-resident ratios, weekend staffing, whether licensed therapists versus assistants will provide care, wound-care protocols, medication administration procedures and weekend coverage, discharge and supply policies, how the facility manages agency staff, recent inspection reports/deficiency history and how recent leadership turnover has been addressed. Also consider an in-person visit to inspect rooms, bathrooms, and housekeeping; request recent therapy schedules and confirm billing practices. In short, Littleton Care and Rehabilitation appears capable of providing excellent, compassionate rehab and short-term care for many residents, but reviewers also document enough serious lapses that due diligence is essential before admission.
