Overall impression: Reviews of Tri-State Nursing and Rehabilitation Center are highly polarized, with many families reporting excellent, compassionate care from specific staff members and departments while others report serious, systemic problems including neglect, abuse, and poor management. The facility appears to produce markedly different experiences depending on unit, shift, or individual staff encountered. Multiple reviewers praised the physical therapy/rehabilitation services, social services staff (Dominique repeatedly named), certain CNAs, dietary staff, and several administrators or the director of nursing on particular occasions. At the same time, a substantial number of reviews detail severe lapses in basic personal care, safety, cleanliness, and professionalism. The volume and severity of negative allegations (bedsores, infections, bedbugs, theft, physical mishandling, and alleged verbal abuse) are notable and recurrent themes that cannot be ignored alongside the positive accounts.
Care quality and clinical concerns: One of the clearest patterns is inconsistent clinical care. Physical therapy and rehabilitation are frequently singled out as strengths — reviewers call the PT department 'phenomenal' and cite good rehab outcomes. Conversely, many reviews allege neglect in basic nursing and personal care: residents left unbathed for days, delays in assistance with toileting and bed changes, slow or absent call-light responses, restorative or promised therapies not delivered, and nutrition supplements or meals withheld. Serious clinical outcomes are described, including bedsores, infections (including sepsis), dehydration, UTIs leading to hospitalizations, and falls. There are multiple allegations that these outcomes are linked to staff inattention or neglect. Medication administration is reported as timely by some families but other reviews allege unqualified staff handling meds — an important inconsistency.
Staffing, behavior, and variability: Staffing emerges as a central and divisive theme. Many reviewers praise 'incredible', 'compassionate', and 'hard-working' individual staff members (CNAs, nurses, D.O.N., admissions team), whereas others report rude, lazy, or abusive CNAs and nurses. Reports of overnight and weekend staffing problems — staff 'doing no work', hiding in rooms, using cell phones, or failing to perform duties — contrast sharply with accounts of attentive overnight care. Several reviewers specifically call out management or certain administrators as unresponsive or 'money-focused', and at least one admissions coordinator or administrator is described as helpful and professional by other families. This suggests high variability by personnel and shift and possible issues with staff turnover, morale, or inadequate supervision and training.
Facility cleanliness and safety: Reviews about the physical environment are contradictory. Some families describe the facility as extremely clean, well-kept, and home-like; others report serious sanitation concerns including feces and urine in showers and on residents, mold, mildew, odor problems, bedbugs, and dirty walls. The presence of both 'extremely clean' and 'unclean/unsafe' reports suggests that cleanliness and infection control may be inconsistent across units, shifts, or time periods. Reports of bedsores, malnutrition, infections, and even death tied to alleged facility conditions raise significant safety concerns that families and regulators may want to investigate further.
Dining and daily living: Dining receives mixed feedback. Several reviewers praise the dining staff and say meals were well-prepared and supportive of special needs (insulin/dietary accommodations). Others complain about bland or cold meals, lack of warming options (no microwave for patients), and interrupted routines (staff stopped getting residents up for breakfast). Food quality and meal service reliability appear inconsistent and may correlate with staff or shift differences.
Management, communication, and oversight: A recurring complaint centers on management responsiveness and administrative priorities. Some reviewers applaud hands-on administrators and quick follow-through, while many others describe administrators as unresponsive, profit-driven, or ineffective at addressing serious complaints. Several people reported filing state complaints or contacting authorities with little or no corrective action taken, fueling frustration. Communication with families is likewise mixed — some reviewers consistently report excellent, informative communication and follow-up, while others describe phone lines that go unanswered, rude receptionists, and poor discharge/transfer coordination.
Allegations of abuse, theft, and legal/oversight issues: Multiple reviews allege theft of personal items, misplacement of belongings, and even more serious claims such as physical mishandling of frail residents, verbal abuse, threats, and confrontational incidents that escalated to police involvement. Bed bugs, bedsores progressing to sepsis, and claims that staff administered medications without proper qualifications also appear in the negative reports. Some reviewers explicitly call for closure or greater state oversight. While positive reviews sometimes note good state ratings, the negative reports suggest that regulatory follow-up, where it occurred, was not always satisfactory to families.
Patterns and overall recommendation: The overall pattern is one of significant inconsistency. When the facility is staffed, supervised, and managed well, families report compassionate, professional care, effective rehabilitation outcomes, clean and home-like surroundings, and good communication. When staffing, leadership, or oversight fail, families report neglect, hygiene and safety violations, abuse, theft, and serious clinical harm. Because of this bifurcation, the risk profile for a prospective resident appears to depend heavily on current leadership, staff stability, and the particular wing or shift.
What to watch for and suggested precautions: Based on the reviews, families considering Tri-State should (a) review the facility's most recent and detailed state inspection reports and enforcement actions, (b) ask specific questions about staffing ratios, turnover, training, and supervision (especially for nights and weekends), (c) request to meet or hear from the PT/rehab leadership and social work team (Dominique is repeatedly praised), (d) tour the specific unit where their loved one would reside and observe cleanliness and odors, (e) ask about policies for handling personal belongings and theft, (f) ask how calls/alerts are handled overnight and what the average response time is, and (g) inquire how complaints are investigated and what follow-up has been done in response to any state citations. Given the gravity of some allegations (bedsores, infections, physical mishandling, theft), families should monitor closely and consider alternatives if they perceive any pattern of neglect or if management responses are unsatisfactory.
In summary, Tri-State Nursing and Rehabilitation Center elicits strong praise for certain staff, disciplines (notably physical therapy), and specific administrators, but the facility also receives repeated, serious, and varied allegations of neglect, abuse, theft, poor sanitation, and managerial failures. The experiences appear highly dependent on individual staff and shifts. Prospective residents and families should perform thorough due diligence, ask specific operational questions, observe current conditions in person, and maintain vigilant follow-up if they decide to place a loved one there.
