Overall sentiment across the reviews is highly polarized: a sizable number of families report attentive, professional, and effective care (especially around therapy and hospice), while an equally significant group recounts neglect, poor cleanliness, and serious administrative and safety problems. The result is a mixed-to-contradictory picture in which some residents and families feel secure and well-cared-for, and others describe what they perceive as appalling neglect and mismanagement.
Care quality and daily assistance are recurring focal points. Positive comments highlight nurses and CNAs who are "caring," "kind," and attentive, with specific praise for hospice staff who monitored vitals and provided comfort care. Therapy services (physical, speech, wound care, and rehab) receive repeated commendations, including reports of improved independence and successful rehab stays. Conversely, many reviews describe delays in assistance (long waits for call lights), residents left unbathed or in soiled diapers, minimal meal feeding, unexplained sedation or medication administration, bruising in the first week after admission, missing adult diapers, lost hearing aids, and overall neglectful behaviors. These negative experiences appear tied to critical day-to-day care tasks and personal dignity issues.
Staffing and staff behavior emerge as a key dividing line. Numerous reviewers blame short staffing, overworked and underpaid CNAs, and slow nurse responses for poor outcomes. Several accounts describe nurses and aides with bad attitudes, alleged verbal or physical mistreatment, or "lazy" behavior; other reviewers, however, describe the staff as exceptional, professional, and family-like. The common pattern is inconsistency: families often note that a "handful" of staff are dependable while others are not, leading to variable experiences depending on shifts and personnel.
Facility, cleanliness, and environment comments are sharply split. Multiple reviewers report strong positives: clean rooms, well-maintained grounds, flowers, outdoor seating, and a pleasant dining area with no foul odor. At the same time, many accounts are alarming — urine and feces odors on floors (one reviewer said every floor except the main smelled of urine), bare mattresses with no sheets, rooms described "like jail cells," overflowing toilets caused by blockages, garbage-filled and foul-smelling rooms, and reports of residents left in waste. These conflicting reports suggest uneven housekeeping and maintenance practices: some areas and shifts meet expectations, while others fall far short.
Dining, activities, and social programming are generally cited positively by several reviewers. Activities such as bingo (including weekend bingo), Bible studies/prayer services, old-time movies, and a large dining area are mentioned alongside comments that residents generally did not complain about the food. Practical services like laundry and an onsite store are noted positively in multiple summaries. Still, there are critical comments about minimal feeding for some residents and inconsistencies in how mealtimes and assistance are handled.
Management, communication, and administration generate substantial complaints from families. Reported problems include slow or poor communication, failure to notify families about changes (for example, physical therapy being stopped without notice), billing and records errors (including an improper discharge from the database and Social Security halted due to misclassification), failures to fax required documents, and unfulfilled promises by specific staff members. Conversely, some families say they experienced excellent communication and a smooth transition when their loved one was admitted. Again, the pattern is inconsistent administration: some families experienced well-run admission and communication processes while others encountered significant operational failures.
Safety and clinical concerns are nontrivial. Reviews mention COVID outbreaks and individual infections, denials of therapy services in some cases, significant weight loss, hospitalizations, possible falls, bruising, and in one case, an alleged improper discharge from records. There are also allegations of theft (missing clothes), laundry mishandling, and misplaced personal items — all of which raise concerns about resident safety and property security. A few reviewers also alleged physical or verbal abuse; such claims, combined with reports of regulatory problems (IDPH mentions), indicate areas that require investigation and oversight.
In summary, the reviews paint a facility with clear strengths — notably therapy/rehab capabilities, some highly dedicated and compassionate staff, active programming, and positive experiences with hospice and certain operational areas — but also with significant and recurring weaknesses: inconsistent staffing and staff behavior, substantial cleanliness and hygiene lapses in some units, medication and care concerns, administrative errors, and safety/incidents that have led some families to strongly warn others to avoid the facility. Prospective residents and families should weigh the positive reports about therapy and some compassionate staff against the repeated reports of neglect, poor sanitation, and administrative failures. If considering this facility, visiting multiple times across different days/shifts, asking for documentation on staffing levels, infection control, incident reports, and observing mealtime and toileting assistance would help assess whether the unit and shift that would serve a loved one operate at the higher standard reported by some reviewers or reflect the concerning patterns reported by others.
