Overall sentiment across the reviews is mixed but leans toward positive for direct caregiving and clinical care while highlighting operational and management inconsistencies. Multiple reviewers explicitly praise the nursing staff, dietitians, cleaning and maintenance teams, and kitchen staff, describing care as "very good," "high quality," "compassionate," and in some cases "the very best." Several families and a long-term resident express gratitude, note attentive and respectful staff, and recommend the facility for the level of hands-on care provided. Positive comments also include a clean facility, an upbeat atmosphere among direct caregivers, and convenient local placement for some families.
Care quality and staffing: The strongest, most consistent positive theme is the competence and compassion of clinical and direct-care staff. Nurses are frequently described as excellent and skilled, and dietitians and caregivers receive multiple commendations. However, there are recurring concerns about caregiver continuity and staffing levels: reviewers mention CNA turnover and not enough staff at times. These staffing issues appear to contribute to uneven experiences—some families report consistently excellent care while others have had lapses that influenced their overall impression.
Administration and communication: A clear pattern of inconsistent administrative performance emerges. Some reviewers praise the administrator and office personnel for helping with paperwork, insurance questions, and being responsive to calls. Others, however, report the opposite experience: difficulty reaching administration, poor information disclosure to families, appointments arranged but not kept, and at least one named staff member (Ms. Kay) described as rude and demanding on the phone. This split suggests variability in how administrative responsibilities are handled and that family experiences may depend heavily on which staff members they interact with or on timing.
Operational concerns and resident belongings: Several reviewers raise operational problems that are serious and recurring. Laundry issues and misplaced clothing/blankets are noted more than once, and some reviewers report that belongings were not returned. A particularly serious allegation appears in the reviews claiming that items have been stolen after residents pass away; this raises safety and trust concerns for families and warrants close attention from facility leadership. These kinds of logistical failures exacerbate family worry and can overshadow otherwise positive assessments of direct care.
Activities, environment, and amenities: Activity offerings receive mixed but generally modest comments. Reviewers note there are not many events, though at least one observed that the facility offered more than other places, and church services are present on Sundays. The facility is described as clean, and maintenance and housekeeping receive praise, contributing to a generally acceptable living environment for residents.
Polarized impressions and overall recommendation: The reviews are polarized—some describe Four County Health & Rehabilitation as wonderful and provide strong recommendations, while at least one reviewer labels it the "worst nursing home" and advises against sending loved ones. Several reviewers explicitly recommend monitoring loved ones closely, particularly with respect to personal items and administrative transparency. The most reliable takeaway is that direct patient care (nursing, caregiving, dietary, cleaning) is frequently strong and appreciated, but inconsistent administration, communication gaps, laundry/possession handling issues, and staffing variability create significant and recurring concerns for families.
If evaluating this facility, weigh the consistent praise for hands-on caregivers and clinical staff against the repeated operational and administrative complaints. Prospective residents and families should ask specific questions about laundry and personal-item policies, staff continuity, how the facility handles after-death belongings, and the point(s) of contact for complaints or concerns. Confirming current staffing levels, turnover rates for CNAs, and recent steps management has taken to address the communication and logistical problems would help form a more complete, up-to-date assessment.
