Overall sentiment across the reviews is mixed but leans positive, with many reviewers strongly praising the staff, the facility’s atmosphere, and the engaging programming, while a smaller but significant number describe troubling inconsistencies in food quality, management, and staffing that impacted care. The most consistent strength cited is the staff: multiple reviews describe caregivers and CNAs as kind, compassionate, attentive, and willing to go above and beyond. Several reviewers emphasize respectful, dignified treatment, emotional comfort, and specific acts of kindness (arranged social engagement, special event viewing, popcorn nights), and multiple people explicitly recommended the community as a great place to live. Pandemic-era safety and cleanliness were also noted positively by several reviewers.
Care quality is a major theme with mixed reports. Many reviews describe exceptional, attentive nursing care and a supportive environment where residents thrive. However, there are also concrete reports of care decline over time, short-handed nursing, and at least one account alleging medications were skipped. Some reviews describe an initially positive clinical experience that later changed for the worse, indicating inconsistency in staffing levels or supervisory oversight. Prospective families should note both the strong examples of compassionate care and the documented instances of lapses.
Staff and management receive polarized feedback. Numerous reviewers praise individual staff members, including CNAs and nurses, and remark on helpful, congenial office staff and strong management in some accounts. Conversely, there are complaints about a business-like atmosphere where filling rooms appears prioritized over individualized care, and at least one reviewer called out a manager by name (Cathy) as unprofessional when accountability was requested. There are also reports of intimidation or bullying by certain staff members, which is a significant red flag and a point families should ask about during a visit.
Dining and nutrition show clear variability. Several reviews rave about great meals, generous portions, hot food, and special holiday dinners (Thanksgiving), while others call the food “disgraceful,” state that special diets were not accommodated, and claim residents’ nutritional needs were not being met. This split suggests the dining experience may depend on staffing, management priorities, menu planning, or individual expectations—again worth verifying with direct questions about special-diet accommodations and sample menus.
Facilities and amenities are generally well-regarded but show room for improvement. Many reviewers describe a clean, attractive facility with spacious common areas and a pleasant dining area. Other comments note aging furniture, worn carpeting, and a need for redecorating or upgrades in parts of the building. The fitness options appear limited: there is a small gym and a library, but reviewers specifically said there was no treadmill or exercise bike and that the exercise equipment is lacking. Rooms were described as clean and sometimes spacious, although a few reviewers mentioned small rooms.
Activities and social life are frequently praised: regular activities (bingo, live music, games), outings, and staff-organized social events contribute to a lively atmosphere for many residents. Some families appreciated that staff arranged social engagements and tailored activities (e.g., sports viewings). A couple of reviews said outings were restricted, indicating policies or staffing constraints may limit external activities at times.
Notable operational concerns include staffing shortages, occasional cleanliness lapses, transportation issues, phone outages, and at least one allegation of medications being skipped. These items, combined with reported inconsistencies in food quality and management responsiveness, form the bulk of negative feedback. The presence of both strongly positive and strongly negative comments suggests that experiences can vary significantly depending on which staff members and managers are on duty, the unit, or changes over time.
In summary, Azalea Hills Assisted Living appears to offer a generally warm, well-kept environment with many compassionate caregivers, active programming, and amenities that please many residents and families. However, there are recurring and specific concerns — variable dining quality and special-diet accommodation, inconsistent care levels and staffing, occasional unprofessional management behavior, and some maintenance/amenity shortfalls — that warrant careful, targeted questioning during a tour. Recommended actions for prospective residents and families: observe staffing levels during different shifts, ask about special-diet policies and sample menus, inquire about medication administration protocols and incident reporting, request references from current families, check recent inspection records, and look for signs of unit-specific cleanliness and equipment (treadmill/exercise bike) if fitness is important. These steps will help determine whether the strong positives reported by many will be consistent for an individual resident.







