Overall sentiment across the reviews for Prema at Ashton Hills is strongly positive, with recurring praise for the staff, the quality of memory care, and the facility’s physical environment. Many reviewers emphasize that staff are friendly, warm, compassionate and go “the extra mile,” creating a family‑like atmosphere. Multiple accounts highlight that staff are attentive to both mental and physical health needs, provide compassionate end‑of‑life care, and maintain proactive communication with families (including arranging FaceTime during COVID restrictions). Several reviewers specifically call out exceptional memory care and dementia programming, saying the community is a “life saver” for dementia, keeps residents engaged, and helps prevent depression through structured activities.
The facility itself receives consistently high marks: it is repeatedly described as brand‑new, beautiful, pristine, and resort‑like. Reviewers praise its cleanliness, hotel‑like lobby, spacious one‑bedroom apartments, and useful in‑room amenities such as refrigerators and microwaves. The grounds and outdoor spaces (gardens, courtyards, patios, bird feeders) are frequently admired, as are the on‑site amenities and therapy resources including a movie theater, beauty salon, arts and crafts rooms, physical therapy room, big game rooms, and a wellness director. Many families appreciate the robust programming — bingo, movies, arts and crafts, outings to local shops and restaurants, seasonal/holiday events — and say residents are kept busy and engaged.
Care quality is generally described as excellent: reviewers call caregivers “wonderful,” “caring,” and “loving,” and cite professional nursing evaluations and strong hands‑on support during hospital transitions. The wellness and memory‑care teams earn special praise for their training and approach. Several families note that staff actively include family members in social functions and keep them well informed about their loved ones. Positive anecdotes (for example, staff dressing a resident for game day or facilitating special visits) underscore the highly personalized care that many families experienced.
However, there are important and recurring operational concerns that potential residents and families should weigh. Staffing issues appear across multiple reviews — short staffing, pay disparities (reported between receptionists and CNAs), and the resulting care burden on CNAs — which reviewers linked to diminished service in certain areas. Dining and meal service are the most commonly cited operational weaknesses: several accounts describe cold food, limited evening offerings (sandwiches and hotdogs), and understaffed meal service (examples include two staff serving roughly 60 residents). While some reviewers praised the food and an on‑site chef, others say families must frequently supplement meals. Reviewers also reported variability in management responsiveness and room upkeep: some managers followed up promptly and professionally, while others noted issues such as rooms needing cleaning after move‑in, a privacy intrusion concerning a safe combination, and at least one instance of an unprofessional nurse leading to a bad experience.
A small number of accounts describe more serious concerns or isolated negative incidents: allegations of staff bullying by a person named Pam, a resident being removed from memory care, extra fees tied to that action, and an assertion that some furniture or room elements were not designed to protect vulnerable residents (risk of injury). These reports, while not the dominant pattern, are serious and should prompt prospective families to ask direct questions during tours about staff training, incident reporting, safety audits, and how the community handles grievances.
Cost is another consistent theme: reviewers note that Prema at Ashton Hills is often more expensive than comparable facilities, with at least one mention of an annual 2% rate increase. Some describe the community as “upper class” or “pricey,” and others warn that ongoing increases or extra fees can make cost of care a concern over time. Additional remarks include limited respite availability at times and a few comments about limited resident diversity.
In summary, Prema at Ashton Hills earns very strong marks for its staff, memory care programming, physical environment, cleanliness, and activity offerings. Most families express gratitude for compassionate, family‑oriented care and for the wide range of amenities that support quality of life. The main areas for scrutiny are operational: evidence of short staffing in dining and care, uneven dining quality and service, higher costs and recurring rate increases, and a handful of serious but isolated reports of unprofessional behavior or safety/design shortcomings. Prospective residents should tour the community, speak directly with the wellness and dining directors, ask about staffing ratios (especially at meal times), review fee structures and escalation policies, and request examples of how the community has addressed past incidents to make an informed placement decision.







