Nathaniel Witherell

    70 Parsonage Rd, Greenwich, CT, 06830
    3.1 · 46 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Caring staff, neglected facility management

    I had a deeply mixed experience. The staff and therapists were often attentive, caring, and excellent - great rehab, engaging activities, and many residents seemed well looked after. But the building showed decline: rundown rooms, spider webs, mice/rats, occasional filth and bad smells, parking chaos (staff taking daytime spots), and expensive fees. Communication and professionalism were inconsistent - missed calls, poor end-of-life notification, mishandled belongings, and even neglect of a resident cockatiel. In short: strong people and programs, but serious facility, cleanliness, and management issues - visit and inspect closely before deciding.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.07 · 46 reviews

    Overall rating

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

      3.3
    • Staff

      3.1
    • Meals

      3.3
    • Amenities

      3.4
    • Value

      1.7

    Pros

    • Attentive, caring staff reported by many reviewers
    • Long‑tenured staff and low turnover
    • Engaging recreation program with frequent activities
    • Wide variety of activities (games, chair yoga, films, ice cream socials, lectures, art projects, music programs, Bingo)
    • Garden setting with outdoor events (summer barbecues, field trips, ice cream truck days)
    • Strong Resident Council and Family Council with administrative feedback
    • Active and committed volunteer program
    • Memory care engagement and religious services in chapel
    • On‑site amenities (beauty salon, gift shop, cafe, library)
    • Rehab gym with highly praised therapists and effective physical therapy
    • Not‑for‑profit, town‑run facility with unionized staff and community focus
    • Higher staff‑to‑resident ratio reported by some families
    • Clean, well‑maintained rooms and private in‑room showers reported by several reviewers
    • Dedicated case management and social work praised in positive accounts
    • Frequent special events (holiday dinners, spelling bees, musical concerts)

    Cons

    • Highly inconsistent quality of care across different patients and shifts
    • Poor communication and unresponsiveness from management in many accounts
    • Medication errors and delays (including missed meds and wrong meds)
    • Call bell and alarm response delays that reportedly led to falls or harm
    • Unskilled, rude, or uncaring nursing staff reported in multiple reviews
    • Serious cleanliness and pest issues reported (urine smell, ants, mice, rats, filthy conditions)
    • Poor handling of personal belongings (packed in trash bags, damaged items, plants thrown away)
    • Neglect allegations including unresponsive staff, ignored alarms, and neglected pets
    • Staffing shortages and short‑staffed shifts affecting care and services
    • Parking shortages and visitor parking occupied by staff
    • End‑of‑life communication failures and visitation restrictions in some cases
    • Alleged billing and Medicare documentation disputes (reported overstated charges or misreporting)
    • Some areas of the facility described as rundown or in need of maintenance
    • Inconsistent rehabilitation outcomes; some report therapy was ineffective or wasted
    • Variable meal quality and issues serving meals when dentures were missing

    Summary review

    Overall sentiment in the reviews for Nathaniel Witherell is strongly polarized: many families and residents describe an excellent, community‑oriented facility with exceptionally caring staff and robust programming, while a significant number of other reviewers report serious lapses in clinical care, communication, and cleanliness. The positive reviews consistently highlight long‑tenured, invested staff, a wide range of social and recreational programming, and high‑quality rehabilitation services. Multiple reviewers called out the recreation team, frequent musical events, ice cream socials, garden barbecues, and special holiday programming as major contributors to residents' quality of life. On the amenities side, the facility is praised for its beauty salon, gift shop, cafe, library, chapel services, and an attractive garden setting. Several families also emphasized the benefits of a Family Council and Resident Council that engage with administration and the existence of a devoted volunteer corps.

    Care quality assessments vary dramatically. Many reviewers describe attentive, patient, and compassionate care — noting cleanliness in rooms, absence of bedsores, effective physical therapy, dedicated social workers and case managers, and a general sense that residents are comfortable and well cared for. These accounts often describe the facility as a community treasure, not‑for‑profit, town‑run, and historically rated highly by regulators. Several families specifically praised the rehab gym and named therapists, reporting excellent functional gains and successful short‑term rehab stays.

    However, an equally strong set of reviews report troubling clinical failures and neglect. Recurring complaints include delayed or wrong medications, call bells and alarms ignored for extended periods (with at least one reported fall attributed to delayed response), and what reviewers described as unskilled or rude nursing care. End‑of‑life communication issues were singled out by some families who reported poor notification and restricted access during final hours. There are also multiple allegations of documentation or billing disputes involving therapy reporting and Medicare coverage, which some families framed as financial or administrative mismanagement. These critical reports indicate the facility's performance can be highly dependent on staffing levels, particular shifts, or specific units.

    Cleanliness and maintenance perceptions are another major split. Several reviewers praised clean, comfortable rooms and a well‑maintained campus; others describe serious environmental problems — urine smell, ants, mice or rats, spider webs, out‑of‑date furniture, and generally rundown areas. Pet care concerns (a parakeet or cockatiel reportedly neglected) and poor handling of personal possessions (items packed in trash bags, plants thrown away, belongings arriving dirty) were reported and provoked strong emotional responses from families. These accounts suggest uneven environmental oversight and challenges in housekeeping or maintenance at times.

    Management, communication, and staffing themes run through both positive and negative feedback. Supporters note low staff turnover, long‑term employees, unionized town staff, and administrative communication via councils. Critics emphasize unresponsiveness from directors or administrative staff, difficulty reaching the facility by phone, and apparent shortages during daytime shifts or weekends. Parking and logistics also appeared as recurring operational frustrations — visitor parking scarcity caused by staff parking and limited daytime visitor spaces.

    Rehabilitation and therapy experiences are frequently praised but not uniformly so: while many call out outstanding therapists and meaningful progress, others describe therapy as ineffective, short‑staffed, or misreported to Medicare. Dining and meal experiences follow a similar pattern: many reviewers liked the food and café offerings, while some complained about meals being served without dentures or poor food quality. The facility's identity as a not‑for‑profit, town‑owned resource and its historical reputation as one of the top local options coexist with reports of regulatory attention (past CMS issues) and signs of decline in parts of the operation.

    In summary, Nathaniel Witherell appears to deliver exceptional quality of life and clinical outcomes for many residents — particularly when staffing is strong and key personnel (therapists, recreation staff, case managers) are engaged. At the same time, there are numerous and sometimes severe reports of inconsistent nursing care, communication failures, medication and safety lapses, and housekeeping/maintenance concerns. Prospective residents and families should weigh the facility's strong programming, rehab capabilities, and community orientation against documented variability in day‑to‑day care and facility upkeep. If considering Nathaniel Witherell, ask specific questions about current staffing levels, unit oversight, recent complaint resolution (including any CMS follow‑ups), housekeeping/pest control practices, medication administration protocols, call bell response times, and how Family/Resident Councils are used to address recurring problems. Visiting multiple times, seeking names of current therapy staff and unit nurses, and speaking with families currently in residence will help assess whether the unit and shift a prospective resident would be placed in reflects the best aspects or the concerning patterns reported in these reviews.

    Location

    Map showing location of Nathaniel Witherell

    About Nathaniel Witherell

    Nathaniel Witherell sits on about 24 acres in Greenwich, Connecticut, owned and run by the Town of Greenwich since 1903, and though the main building went up in 1932 and shows that Colonial Revival touch from William Tubby, it has had its share of additions and updates over the years, including changes in the 1960s and 1970s, plus a fresh update in the 2010s, and it's listed on the National Register of Historic Places so there's some local history to the place since it started as a tuberculosis sanitarium, but now you'll find a modern senior care facility with 202 beds divided among areas for rehabilitation, long-term care, and memory care, all focused on helping older adults with different needs. The staff is one of the strong points because a lot of the nurses have worked there for more than ten years, sometimes up to thirty, which helps create a supportive environment and keeps the turnover rate low, around 7% a year, and families often notice how stable things feel because of this. The leadership team features specific people in charge, including a Medical Director, Director of Nursing Services, and a Rehabilitation Director, and there's even a board of directors with a Chairman and Vice Chairman, which isn't something you see everywhere.

    The facility made the U.S. News & World Report's "Best Nursing Home" lists for both short-term rehabilitation and long-term care in 2021-2022, and Newsweek named it among the "2024 Best Nursing Homes" and "America's Best Nursing Homes 2024," so it gets recognized quite a bit for quality and safety. Nathaniel Witherell mainly provides skilled nursing care, short-term rehab, and support for seniors who need help with things like bathing, dressing, medication management, or more specialized memory care for those living with Alzheimer's or dementia. Residents can get care in private rooms and suites, and benefit from help of registered nurses, expert therapists, and a staff physiatrist right on site, with specific therapy spaces, like a 4,000 square foot rehabilitation gym for physical, occupational, and speech therapy, and specialty services like speech and language pathology are available too. The rehab programs cover a lot-orthopedic, cardiac, pulmonary, neurological, and general medical rehabilitation (even for people recovering from heart surgery, Parkinson's, back surgery, or managing IV therapy), and there's a focus on creating individual treatment and exercise plans.

    Staff members are compassionate and experienced, many are vested in patient care and this is something families talk about, saying the quality of life stands out compared to other places they've known, and the low turnover leads to good continuity in care. Nathaniel Witherell offers a range of services including assisted living, independent living, home care, memory care, nursing, senior apartments, and care homes, but it's mostly remembered for its skilled nursing and short-term rehab. Memory care programs are set up for seniors with cognitive troubles, and there are caregiver support programs to help families and caregivers manage the stress and responsibility, so families can stay involved, especially through the family council, which lets them talk to the administration and share ideas or concerns.

    There's a lot going on day-to-day for residents outside of therapy-therapeutic recreation, plenty of social events like holiday dinners and ice cream socials, spelling bees, musical events, and assorted religious services, and volunteers also step in to help run activities, making the community feel welcoming. Facilities offer nutritious meals and pleasant spaces for daily living, and the approach focuses on person-centered care that tries to meet each person's needs as they arise. Residents see the same faces over time, which brings comfort, and staff treat people with respect and dignity. The campus feels open and green, with room to walk around, and the Colonial Revival architecture gives it a certain charm, all mixed with necessary modern upgrades for care and safety. Nathaniel Witherell runs as a not-for-profit, which means money goes back into programs, staff, and improving services rather than profit, and overall, it's a facility with a long history, modern approaches, good staff, and a practical range of care options for seniors and their families.

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