Overall sentiment across the reviews for New Horizons Limestone is highly mixed, with strong, polarized accounts ranging from exceptional, life-saving care to serious allegations of neglect, unsafe practices, and poor management. A recurring theme is inconsistency: several reviewers praise specific staff members and therapy teams for excellent, compassionate, and effective care, while multiple other reviewers describe systemic failures that jeopardized resident safety and well-being.
Care quality and staffing: Many reviews highlight variability in the quality of direct care. On the positive side, physical and occupational therapists and some nurses and aides are repeatedly credited with helping residents regain mobility, enabling discharge home, or providing memorable, caring service. However, an equal or greater number of reports describe CNAs and nurses who are described as lazy, uncaring, punitive, or disengaged. Short-staffing is cited as a persistent problem, and reviewers link staffing shortages to reduced bathing frequency (sometimes only twice weekly), odors on residents and in facility areas, delayed responses to requests (such as water or ice), and other lapses in basic care.
Medication management and clinical safety: Several reviewers raised serious safety concerns regarding medication administration and clinical coordination. Specific problems include nurses forgetting to administer medications, medications being changed without notification to residents or families, and inconsistent or irregular med delivery. There are also accounts of missed follow-up appointments and poor communication among clinical staff, including lack of awareness of a resident's diagnoses. These patterns contributed to major adverse events in some reports: residents being dropped multiple times, discharge/eviction situations that families contested, and situations where hospitals reportedly refused to readmit residents. A few reviewers explicitly called for investigation or shutdown of the facility—indicating severe trust and regulatory concerns.
Infections, isolation, and safety incidents: Infection control and safety incidents appear in multiple summaries. Reported exposures include VRE and norovirus, and one reviewer cited a prolonged nine-month period of isolation for a resident. Combined with reports of theft (rings and other personal property stolen), these items raise both infection-control and security concerns. The presence of odors, cleanliness issues, and statements that the place is a “disaster” in some reviews further underscore systemic safety and environmental problems that may increase infection risk and reduce resident dignity.
Facilities, amenities, and dining: Reviews about the physical environment and services are mixed. Some reviewers describe the facility as well maintained, with good dining service and private rooms. Conversely, others report rooms lacking basic amenities such as TVs or phones, sour or unpleasant smells, and food that is often cold or described as disgusting. Delays or refusal to provide basic items like water or ice were specifically mentioned, and instances of residents being left wet or not assisted appropriately after incontinence were reported, pointing to lapses in basic caregiving and hygiene.
Management, communication, and family experience: Many of the negative reports emphasize poor organization, miscommunication between shifts or departments, and lack of responsiveness from management. Families reported not being informed about medication changes, follow-up care, or hospital readmission denials. Positive reviews tend to single out individual staff members or departments (therapy, nutrition, certain nursing aides) rather than systemic strengths, suggesting that positive outcomes may depend heavily on which specific caregivers are assigned rather than consistent organizational performance.
Net assessment and notable patterns: The dominant pattern is inconsistency—New Horizons Limestone has demonstrably capable and compassionate staff and therapy services that can produce excellent outcomes, but these positives are offset by recurring, serious negatives: medication errors, missed appointments, poor hygiene, infections, safety incidents (falls and thefts), and administrative failures leading to contested discharges and calls for external investigation. For prospective residents and families, this means there is potential for very good care, especially in rehabilitation, but also a meaningful risk of neglect or harm tied to staffing, communication breakdowns, and management problems. Any evaluation should include direct, specific questions to management about staffing ratios, medication administration policies, infection-control practices, security measures for residents' belongings, and examples of how the facility addresses complaints and incidents. Additionally, speaking with recent families about their experiences and observing meal service, staff responsiveness, and cleanliness during multiple visits could help identify whether the facility’s positive aspects are consistent or isolated.
