Rosewalk

    1302 N Lesley Ave, Indianapolis, IN, 46219
    2.8 · 65 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Caring staff; understaffing, safety, theft

    I'm torn: I experienced caring, friendly nurses, therapists and staff who at times delivered excellent rehab and gave our family real peace of mind. But chronic understaffing, slow call-button and medication response, poor communication/admin responsiveness, safety and cleanliness concerns (including reports of infestations, neglect and theft) leave me with serious reservations.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.80 · 65 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.6
    • Staff

      2.8
    • Meals

      1.0
    • Amenities

      3.0
    • Value

      1.5

    Pros

    • Caring, attentive therapists (physical, occupational, speech)
    • Compassionate nurses and some dedicated CNAs
    • Effective, outcome-focused rehabilitation program
    • Successful recovery stories and grateful families
    • Clean, modern, odor-free areas reported by some residents
    • Home-like atmosphere and friendly social environment
    • Responsive social services and case management in some cases
    • Specialized equipment and care (wheelchairs, pressure mattresses)
    • Family-like staff compassion and patient encouragement
    • Convenient location for some families

    Cons

    • Chronic understaffing, especially nights and weekends
    • Slow or no response to call lights and urgent needs
    • Medication errors and delayed or missing pain medications
    • Neglectful nursing care (catheter mishandling, urine-soaked linens)
    • Poor communication and mismanagement by administration
    • Filthy conditions reported (hair, gunk, urine, unclean rooms)
    • Pest infestation reports (bed bugs, cockroaches)
    • Transportation failures and long wait times or unsafe drop-offs
    • High staff turnover and perceived 'paycheck-focused' culture
    • Billing, POA, and paperwork problems with unhelpful administration
    • Allegations of unsafe incidents (oxygen mismanagement, choking)
    • Inconsistent care quality across shifts/units
    • Refusal or unavailability of prescribed medications (opioids)
    • Incorrect medication dosing (insulin error reported)
    • State complaints / regulatory oversight and alleged deception

    Summary review

    Overview and Sentiment The reviews for Rosewalk reveal a deeply polarized picture: a substantial number of families and residents praise the therapists, some nurses, and certain teams for excellent rehabilitation and compassionate day-to-day support, while an equally significant set of reviews describe severe neglect, unsafe practices, and poor management. Positive reports highlight an effective, outcome-oriented therapy program and staff who treat residents like family; negative reports document life‑threatening lapses in care, unsanitary conditions, and administrative failures. Taken together, the pattern is one of highly inconsistent quality — impressive care in some areas or shifts, and serious deficiencies in others.

    Care Quality (medical & personal care) Multiple reviews describe top-tier rehabilitation: therapists who are caring, skilled, and instrumental in recovery; families report real functional gains and praise the therapy teams. Positive cases also note individualized measures such as monitored feeding, pressure‑relief mattresses, frequent repositioning to prevent bedsores, and attentive pain management when it occurs. However, a large and troubling cluster of reviews report medically dangerous neglect: failure to respond to breathing distress or pain, delayed or unavailable pain medications, disconnected catheters left unaddressed, urine-soaked linens, wrong insulin doses, untreated infections leading to ER transfers or pneumonia, and at least one report implicating neglect in a death. There are also several mentions of attempted or inappropriate discharges (e.g., trying to discharge a patient who cannot walk) and hospice neglect. These accounts indicate lapses in clinical oversight, medication management, and basic nursing tasks.

    Staff Behavior and Culture Staff experiences are mixed. Many reviewers single out therapists, some nurses, and certain CNAs as compassionate, patient, and professional — people who make exercises engaging, communicate clearly, and provide family reassurance. Conversely, numerous reviews describe rude, untrained, or uncaring aides and night staff, with claims that many employees are more focused on paychecks than patient welfare. High staff turnover and reports of a money-driven culture are recurring themes. Call light response delays (sometimes 30–45 minutes or longer), unattended oxygen, and inattentive assistance for toileting and feeding are frequently cited. The variability suggests service depends strongly on which staff members and which shifts are on duty.

    Facilities, Cleanliness, and Infection Control Reports on the physical facility are highly contradictory. Several reviewers praise a clean, modern, odor-free, home-like environment. Others report grim conditions: rooms not cleaned for days, filthy floors with hair and gunk, urine-soaked linens, and allegations of bed bugs and cockroaches. These sanitation and pest complaints, when combined with reports of severe hygiene lapses and infections, raise concerns about consistent housekeeping and infection-control practices. The divergence suggests uneven standards: some units or floors may be well-maintained while others fall far short of basic cleanliness.

    Dining, Transportation, and Daily Operations Some residents note monitored feeds and dietary accommodations used appropriately, but there are also complaints about meals conflicting with religious needs and inconsistent meal service. Transportation is another recurring problem area: reviewers report long waits (several hours), staff dropping residents at the building entrance rather than escorting them to suites, and drivers falsely claiming appointments were canceled. Conversely, some positive reports indicate reliable ambulance or transport support and prompt hospital transfers in emergencies. Overall, transportation and daily logistical operations appear inconsistent and unreliable for a notable number of families.

    Management, Communication, and Administration A frequent theme is poor communication and unhelpful management. Many families report difficulty reaching staff, delayed or incorrect billing and insurance communication, refusal to refund charges for missed days, problems completing POA paperwork, and an unresponsive executive/administration when concerns are raised. A number of reviews mention state health department involvement or filed complaints (ISDH), and at least one reviewer alleges deception of regulators. Restrictive visitation policies and unprofessional behavior from case managers or social workers were also reported. These administrative failures exacerbate clinical problems by delaying corrective action and undermining family trust.

    Patterns, Risks, and Recommendations The reviews point to a high-variance facility where outcomes depend heavily on specific staff and shifts. Red flags that appear repeatedly and warrant caution include chronic understaffing (especially at night), repeated long call-light response times, medication and catheter mishandling, cleanliness and pest issues, transportation failures, and administrative opacity. These problems have led some reviewers to recommend avoiding the facility entirely and to file formal complaints.

    If you are evaluating Rosewalk for a loved one, consider the following steps based on the review patterns: visit multiple times at different hours (including nights and weekends), ask for staffing ratios and turnover rates, request recent state inspection reports and any corrective action plans, review medication management policies and documentation practices, inquire about infection-control and housekeeping procedures, ask for references from recent families who had long stays, verify transportation procedures (escort versus drop-off), and clarify POA/billing/visitation policies in writing. If you observe immediate safety concerns (unresponsive staff to emergencies, signs of infection, severe sanitation issues), document them and contact state regulatory authorities promptly.

    Conclusion Rosewalk receives strongly positive reviews for therapy and for certain compassionate employees, yet there are frequent, specific, and serious negative reports about neglect, safety, cleanliness, and management. The facility appears to offer excellent care in some circumstances but has systemic problems that have led to dangerous outcomes for other residents. Prospective families should do thorough, time-of-day–diverse evaluations, verify regulatory history, and maintain ongoing oversight if choosing this facility. If multiple recent negative indicators are present during visits, or if staffing and cleanliness concerns are evident, seeking an alternative facility would be prudent given the potential severity of reported incidents.

    Location

    Map showing location of Rosewalk

    About Rosewalk

    Rosewalk, found in Indianapolis, Indiana, is a nursing home community connected with ASCCare.com and stays open all day and night, every day of the week, which means there's always help if someone needs it, and they've specially arranged wheelchair services for those in hospice care, which can matter a lot when someone becomes less mobile near the end. The staff there, trained in nursing and senior care, focuses on both short-term things like recovery after surgery or stroke and on long-term needs for people who need daily help and can't really be cared for at home anymore, and they'll also take time to look at each new resident for hospice needs before accepting them, since that's a serious change and it's important to get it right. You'll find they offer many healthcare options from memory care and skilled nursing to rehabilitation, palliative care, and respite stays, and these services come with a strong team approach where doctors, nurses, aides, therapists, and social workers all pitch in to help keep people as comfortable and independent as possible. The building itself is modern and has a warm, family feel, and there's always a push to make people feel respected and cared for, especially when someone is dealing with memory issues, since their memory care programs use safety alerts, secured outdoor areas, and staff trained to handle Alzheimer's and dementia, all while focusing on daily activities that touch on social, physical, emotional, and intellectual wellness to help residents stay active and connected. The rehabilitation programs help with walking again, rebuilding strength, and managing risks like falls or pressure wounds, and there's even outpatient therapy that uses proven strategies so people can work on health and mobility even if they don't stay at Rosewalk. The partnership with hospice teams means when someone needs comfort or spiritual and bereavement help, Rosewalk brings in medical supplies, guidance, and support services so no one feels alone, and family caregivers can use respite care for short breaks or if they need to travel or recover from illness themselves. Their team believes in a personalized plan for every resident, taking a close look at what each person needs, and with social services, mobility programs, and a strong memory care philosophy, Rosewalk tries to cover as many senior care needs as possible while providing a calm, stable, and respectful setting for people in Indianapolis. For more details, the website is asccare.com/community/rosewalk.

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