The Ponce Therapy Care Center

    1999 Old Moultrie Rd, Saint Augustine, FL, 32086
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Inconsistent care; dangerous communication failures

    I had a wildly mixed experience. The building was clean, updated, therapy (PT/OT/speech) and some nurses/CNAs were excellent and very caring, and activities kept residents engaged. But communication was terrible-phones and calls often unanswered, staff rude or unresponsive, and management unhelpful at times. I witnessed understaffing, missed/incorrect meds, safety lapses (falls, injury, infection outbreaks), neglect (left in soiled sheets, no bathroom/water assistance), and missing belongings. A few staff members went above and beyond, but overall the inconsistent, sometimes dangerous care means I would only trust this place with constant advocacy or avoid it.

    Pricing

    Schedule a Tour

    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

    3.30 · 104 reviews

    Overall rating

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

      3.1
    • Staff

      3.4
    • Meals

      2.7
    • Amenities

      3.1
    • Value

      1.0

    Pros

    • Strong physical, occupational and speech therapy teams
    • Several compassionate, dedicated CNAs and nurses praised by families
    • Clean and well-maintained areas reported by multiple reviewers
    • Engaging activities and a social calendar (bingo, crafts, special events)
    • Deaf-friendly staff and sign-language capable CNAs
    • Helpful, responsive leadership mentioned in positive accounts
    • Specialty consultants and experienced medical providers available
    • Landscaping and outdoor area improvements (planters, cleared shrubs)
    • Barber/beauty salon service appreciated by some residents
    • Easy-to-access location and convenient visitation
    • Some families reported prompt issue resolution and good communication
    • Medicaid navigation and administrative assistance available
    • Positive admission and discharge experiences for many patients
    • Quarterly care updates and care-conference practice cited by some
    • Clean rooms and no nursing-home odor reported in multiple reviews

    Cons

    • Chronic understaffing and high staff turnover
    • Frequent medication errors, missed doses and delayed administration
    • Poor communication from administration and nursing leadership
    • Rude, unprofessional or impatient CNAs and nurses reported
    • Hygiene and cleanliness problems (urine in halls, unmade/soiled beds)
    • Safety incidents including falls, hip injuries and backboard injuries
    • Rooming issues: very small shared rooms and tiny closets
    • Inconsistent or poor meal quality, nutrition concerns and allergy errors
    • Inadequate or infrequent personal care (showers, linen changes)
    • Use of agency staff and cell-phone use by caregivers on duty
    • Clinical neglect: missed insulin, oxygen/medical equipment failures
    • Lack of family involvement and failure to return calls or provide updates
    • Perceived administration indifference/for-profit pressures after acquisition
    • Missing belongings/theft allegations and poor handling of resident property
    • Infection control concerns and reports of outbreaks (COVID)
    • Insufficient or nonfunctional equipment (sit-to-stand failure, bed rails)
    • Phone/voicemail system failures and front-desk communication problems
    • No or inadequate care conferences in some cases
    • Early or inappropriate discharges and surprise hospital transfers
    • Variable quality by shift/unit leading to unpredictable resident experience

    Summary review

    Overall sentiment across reviews for The Ponce Therapy Care Center is highly mixed, with a clear pattern of strong clinical rehabilitation services and pockets of excellent, compassionate staff contrasted against systemic operational and safety issues that create significant risk and dissatisfaction for many families. Many reviewers singled out the therapy teams (physical, occupational, speech and specialty services like lymphedema) as top-notch and credited those programs with meaningful patient improvement and timely discharge readiness. At the same time, a substantial portion of reviews describe chronic understaffing, medication errors, hygiene lapses, and safety incidents that undermine care quality and trust. This polarity suggests the facility can deliver very good clinical outcomes in therapy-focused cases but is inconsistent in basic nursing, housekeeping, and administrative functions.

    Care quality and clinical safety are recurring themes with opposing reports. On the positive side, multiple families reported competent, attentive nursing and therapy staff who knew residents by name, followed care plans, and produced measurable recovery. However, many other reviews describe missed or late medications (including missed insulin), incorrect medication changes, oxygen delivery failures, and serious safety events (falls, hip dislocations, injury from broken equipment, backboard-related injuries). These incidents are complemented by allegations of rapid or inappropriate hospital transfers, lack of pre/post-op nursing care, and poor documentation accuracy. The frequency of such reports—especially medication lapses and equipment failures—constitutes a significant red flag for clinical risk and indicates unreliable medication management and safety oversight.

    Staffing, staff behavior and morale emerge as another major divide. Numerous reviews praise individual CNAs, therapists and some administrators as compassionate, hardworking and responsive. Conversely, many families report rude, impatient, or unprofessional CNAs and nurses, staff arguing or using cell phones on duty, and agency staff who are unfamiliar with residents. Understaffing is a persistent complaint and is linked to delays in assistance (residents left in wet linens or diapers for hours), infrequent showering and linen changes, bedbound residents suffering neglect, and understaffed shifts that compromise safety. Several reviews attribute a decline in quality to ownership or administrative changes (specifically a reported decline after acquisition by Greystone Medical Corporation), suggesting that management priorities and staff retention may have shifted over time.

    Facility condition and environment are described inconsistently. Multiple reviewers praise cleanliness, recent remodeling, updated equipment, no odors, and attractive landscaping with seasonal plantings. Others report outdated rooms, very small shared rooms with tiny closets, shabby beds, urine in halls, and unmade or soaked beds—sometimes for hours. Outdoor improvements and refreshed landscaping are noted, but there are also safety concerns around entrance pavers, insufficient mats, and unfinished outdoor amenities. These mixed observations point to uneven maintenance attention—public spaces and landscaping may receive upgrades while resident rooms and daily housekeeping vary by unit, shift, or management focus.

    Dining and nutrition receive both positive and negative comments. Some reviewers enjoyed good meals, special menus for dietary needs (wheat intolerance), and hot meals delivered to rooms. Opposing reports cite poor meals heavy in carbs, lack of a full-time nutritionist, failure to respect allergy lists, insufficient beverages, and general dissatisfaction with food quality. These discrepancies may reflect changes over time or variation between dining staff and dining shifts.

    Communication and administrative responsiveness are heavily criticized in many reviews. Families frequently report unanswered calls, no voicemail, social workers or directors of nursing not returning calls, lack of family involvement in major decisions (including hospital transfers), and absence of scheduled care conferences. A repeated theme is that only when families escalate complaints persistently (a “squeaky wheel” approach) are issues addressed. A subset of reviews, however, describes responsive leadership, polite admissions staff, quarterly care meetings, and effective issue resolution—again underscoring inconsistent management performance.

    Infection control, outbreaks, and COVID-related issues were raised by multiple reviewers, with some reporting shutdowns or widespread infections tied to unvaccinated staff. These comments, combined with understaffing and reports of residents being left in soiled conditions, raise concerns about regulatory compliance and infection prevention practices. Allegations of theft, lost belongings and poor handling of residents’ property also appear in several reviews, further eroding family trust and indicating lapses in operations and accountability.

    A clear pattern is variability: the resident experience appears to depend heavily on timing, specific units, and particular staff on duty. Many families praised specific employees by name (therapists and certain CNAs), while others reported blatantly negligent or abusive behavior from different staff. Multiple reviews note that the facility has potential and that improvements are possible with proper staffing and administrative focus. There are also explicit reports of decline over time, attributed to corporate acquisition and cost-cutting measures.

    In summary, The Ponce Therapy Care Center receives polarized feedback. Strengths include strong rehabilitation/therapy programs, some exceptional and caring individual staff, engaging activities, and certain clean, well-kept areas. Major weaknesses identified repeatedly are chronic understaffing, inconsistent and sometimes dangerous nursing care (medication errors, delayed treatment, safety incidents), poor communication from leadership, hygiene and cleanliness lapses, and variability across shifts/units. Prospective residents and families should weigh the facility’s strong rehabilitation reputation and the evidence of dedicated caregivers against the documented safety and operational risks. If considering this facility, ask specific questions about staffing ratios, medication administration protocols, recent incident reports, infection-control policies, family communication practices, and whether care conferences and discharge planning will include regular, documented updates. Also request references from recent families who had longer stays and verify any improvements management claims to have implemented since earlier negative reports.

    Location

    Map showing location of The Ponce Therapy Care Center

    About The Ponce Therapy Care Center

    The Ponce Therapy Care Center sits on Old Moultrie Road in South St. Augustine, Florida. That place has skilled nurses, therapists, and a support team who watch over residents 24 hours a day, all week. Folks there can get help for many needs, including skilled nursing, memory care, rehabilitation, assisted living, and both short-term rehab and long-term care. There's hospice care, respite care, and even a pathway for people who need help moving from hospital care back to their home or a care setting. The staff set up care that fits each person, making plans right after admission and working as a team with therapists, nurses, and a dedicated care manager.

    They offer therapy for orthopedic, cardiac, and stroke recovery along with lymphedema therapy, and they do all this right on-site in special therapy spaces and a modern rehabilitation gym. If a resident needs physical, occupational, or speech therapy, the team sets up a program to meet those needs. They work closely with Flagler Hospital too, which means residents can get access to more medical centers and services without hassle. The building itself has been updated, so you'll find more natural light, new touches, and a homelike feeling instead of a cold hospital shell, and they keep things cozy and welcoming with comfortable living spaces, landscaped gardens, and activity rooms.

    People can bring their pets since it's pet-friendly, and everyone, including visitors, can use restrooms and parking on the property. There's wheelchair access all around. Folks often see festivals, concerts, and seasonal events there, covering all sorts of music like jazz, bluegrass, blues, country, pop, folk, electronic, and more, which helps keep the community connected and active. The staff lift up community spirit with wellness programs and events meant to help with socializing and recovery. The Ponce Therapy Care Center focuses on compassion, dignity, and respect for every patient, and takes pride in offering a safe and fair place for everyone, meeting federal care standards. The facility holds a 3.1 rating from 54 reviews and tries to provide reliable care, resources for families, and nursing help at every step of aging, including storing and handling medications right. Visitors interested in seeing things up close can take tours or even book special tours, and all the while, the atmosphere stays warm, steady, and focused on comfort and healing.

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