Overall sentiment across the reviews is highly polarized but leans toward serious concerns. Reviewers repeatedly describe a facility with a strong physical appearance—"beautiful property" and a quiet, welcoming campus—but with major and recurring problems in day-to-day care, safety, and management. Several reviewers highlight individual staff members by name (Holly, Robert, Holly Stephany, Nurse Dominique, Jenny) and attest to very positive, professional, and sometimes life-saving care from those employees. Long-term residents and some families report satisfaction, effective rehabilitation, helpful admissions assistance, inclusive activities, and strong emotional and financial navigation support from specific staff.
At the same time, an alarming number of reviews detail neglectful and abusive care: patients exposed in bed, soaked gowns and bedding left unchanged, improper diapering of non-incontinent residents, misplaced dentures, and painful or forceful treatment. Serious safety incidents are described frequently, including falls on the first night, re-fractures, hip dislocations, heavy sedation leading to immobility, and bedsores that became infected. Several reports link these incidents to inadequate monitoring, poor staffing practices, or reliance on contract workers doing minimal tasks. Families report lack of explanation, poor staff communication, and delayed or absent doctor visits; one review specifically notes a doctor never visiting the resident.
Cleanliness and infection control emerge as consistent concerns. Multiple reviewers call the facility "disgusting," report that rooms are not cleaned or disinfected, and say housekeeping is unresponsive. At least one family highlighted an unsafe COVID-related room assignment and a COVID-19 pneumonia death, indicating lapses in infection prevention or cohorting. Renovations are also criticized for damaging personal belongings and blocking porches and doorways, creating additional safety and quality-of-life issues.
Dining and nutrition are another repeated problem area. Reviews describe meals arriving cold or undercooked, inappropriate ingredients (excess seeds, pepper, nuts, canola oil), excessive sugar, and assertions that dietician recommendations were ignored. Families feel the high price charged for care does not match the food quality or nutritional oversight, resulting in perceptions of poor value. Several reviews also described failure to monitor food intake, which in some cases contributed to readmissions.
Management, communication, and administrative issues recur across many comments. Reported themes include management turnover, unresponsive administration, miscommunication during admissions (including false promises about placement), and long-standing broken landlines or phones that impede family-staff communication. These operational failures compound clinical problems—families describe distress, lack of clear explanations after adverse events, and even consideration of legal action following a resident's death.
Medication safety and handling were flagged in multiple reviews: near-miss dosing errors, delayed or incorrect pain medication (Percocet), and allegations of stolen meds. Such reports raise substantial safety concerns. Simultaneously, experiences vary widely: while some reviewers returned glowing endorsements—"awesome experience," "helpful staff," "would recommend"—others called it the "worst care ever," not recommended for rehabilitation, and warned of horrific treatment. This variability suggests inconsistent care quality that may depend heavily on specific shifts, individual caregivers, or contracted personnel.
In summary, Oak Manor Healthcare and Rehabilitation Center appears to offer a pleasant physical environment and has several highly valued staff members and positive programs. However, pervasive and serious concerns about safety, neglect, cleanliness, nutrition, medication management, and administration overshadow those positives for many reviewers. The most significant patterns are recurrent reports of neglect-related injuries (falls, re-injury, bedsores), unclean conditions, poor dietary and medication practices, and unreliable communication from leadership. Prospective residents and families should weigh the mixed accounts carefully, seek detailed, documented answers about staffing, infection control, nutrition/dietary compliance, incident reporting and prevention, and observe current conditions and staff interactions before making a placement decision.
