Overall sentiment: The reviews for TerraBella Roswell are mixed but lean positive in quantity. Many families and residents praise the staff, food, cleanliness, and small-community feel. Multiple reviewers describe a caring, family-like culture, consistent housekeeping, varied and high-quality meals, and an active calendar of social and therapeutic activities. The facility's recent renovations, pleasant courtyard and outdoor areas, two-story layout with elevators, and proximity to medical services (including a nearby Wellstar clinic and visiting doctor) are frequently commended. Several reviews specifically note strong rehab/physical therapy offerings, helpful transition support at move-in, and staff who go beyond expectations to welcome and settle residents.
Care quality and safety: Care quality perceptions vary widely. A substantial share of reviews describe excellent, attentive caregiving, compassionate nurses, good caregiver-to-resident ratios, and improved safety (including reduced falls). These reviewers credit staff with improving residents' quality of life, restoring appetite, and facilitating social engagement. In contrast, there are multiple serious negative accounts involving medication management (delays in giving meds, misplaced medications for days, and inconsistent medication timing) and specific clinical failures related to diabetes/insulin management. Most alarmingly, a small number of reviews recount severe incidents — dehydration, unmanaged wounds or oral blood left uncleaned for days, MRSA infection, and a near‑death hospitalization — which represent critical lapses in clinical care and infection control. These reports are not the majority but are significant because of their severity and suggest variability in clinical oversight and training.
Staffing, training and management: Staff are the strongest positive theme for many reviewers: kind, welcoming, long‑tenured caregivers, and visible leadership who respond to families (several reviews name specific managers positively). Yet other reviews describe inconsistent staffing quality, understaffing, slow call-button responses, scheduling problems, and instances where caregivers appeared unprepared or inadequately trained (caregivers not knowing how to check vitals, or not using proper lifting equipment). Opinions on management are also mixed: some reviewers praise responsive leadership and a clear turnaround under new managers, while others report poor internal operations, unresponsive administration, billing disputes, and high management turnover. Overall, the pattern is one of variable consistency: when teams are stable and leadership engaged, perceived care is very good; where turnover and poor processes exist, families report substantive problems.
Facilities and environment: The physical plant receives generally positive feedback. Many reviewers like the recent renovations, clean rooms, upstairs and downstairs entertainment areas, elevator access, and the pleasant outdoor courtyard. The building's small size is often viewed positively because it fosters familiarity and closer staff attention. A minority of residents note small or outdated rooms, occasional odors in hallways (urine smell), and some isolated housekeeping lapses (including extreme incidents described in negative reviews). Security is generally seen as good (controlled doors and safe environment), though restricted outside access to the property is noted and could be either a benefit or limitation depending on family preferences.
Dining and activities: Dining is one of the most frequently praised aspects: reviewers mention delicious, home-style Southern meals, good variety (often two entrée choices), large portions, and special holiday events. Many families highlight thoughtful meal service and nutrition as a strength. Activities receive mostly favorable comments — bingo, bell choir, sing-alongs, outings, daily physical activity, films, field trips, and resident committees — with many residents engaged and social. However, some families wanted even more or more specialized memory-care programming and a few reviewers found the activities coordinator or offerings lacking.
Administrative, billing and logistics: Reviews reveal recurring concerns about administrative processes and billing transparency. Several families mention billing disputes, unexpected financial charges, and slow or inadequate responses from administration when problems occur. On the positive side, some reviewers credit front-desk staff and receptionists as excellent and highlight specific managers who made transitions calm and efficient. Prospective residents should verify contract terms, fee structures, and administrative responsiveness during a tour.
Patterns and recommendations: The overall pattern is one of a small, renovated community with many strengths — warm staff, good food, active social life, rehabilitation services, and proximity to medical care — combined with pockets of troubling variability in clinical care, medication management, and administrative consistency. The most serious and recurrent red flags relate to medication handling, diabetes care, infection control, and the potential for understaffing or inexperienced caregivers to create unsafe situations in isolated cases.
For families considering TerraBella Roswell: schedule an in-person tour and ask targeted questions about (1) medication management protocols and recent incidents (how meds are tracked and audited), (2) diabetes/insulin care procedures and staff training, (3) staffing ratios on all shifts and average staff tenure, (4) use and availability of transfer equipment such as Hoyer lifts, (5) infection-control policies and examples of corrective actions after incidents, (6) activity offerings for memory-care residents, and (7) billing practices and what is included in fees. Also request references from current families, inquire about recent management changes and turnover, and observe responsiveness to call buttons during a visit. The facility clearly has many families who are very satisfied, but the variability in critical care areas warrants thorough due diligence before placement.
