Overall sentiment in the reviews is highly mixed and polarized. A number of reviewers describe Advena Living on Tenth as a loving, family-like community with specific staff members (including nurses) who are hospitable, supportive, hardworking, and effective at rehabilitating residents. These positive comments emphasize individualized, high-quality care for some residents—especially those with special needs—and note friendliness, respect, and a generally pleasant appearance of the grounds and some rooms. Several relatives explicitly said they would recommend the facility and described a good rehabilitation outcome.
Counterbalancing those positive accounts are frequent and serious negative reports describing systemic operational, safety, and cleanliness problems. Multiple reviewers call out inadequate staffing and delays in assistance, which they link to neglect and poor care outcomes. There are repeated allegations of medication errors not being addressed and of nurses failing to follow physician orders—issues that raise patient-safety concerns. Reviewers also allege HIPAA violations and unprofessional staff behavior (including staff smoking while on the clock), which suggest compliance and supervision weaknesses.
Cleanliness and facility maintenance are another major area of concern. Several reviews describe filthy rooms, dirty floors, a filthy dining room, dirty utensils, pest infestations (mice and roaches), and pervasive odors that some reported as headache-inducing. Others, however, describe the facility as smelling fresh and clean and praise specific areas; this contrast suggests significant inconsistency in housekeeping standards or uneven performance across shifts or units. Additional physical-plant complaints include residents lacking hot water, cramped rooms, cold food being served, and poor kitchen cleanup after evening meals.
Management, hiring, and HR practices are also criticized. Reviewers allege unprofessional management, dishonest behavior from an interview staff member named Brenna, low pay for employees, failures in recruitment and onboarding, and lack of follow-up from HR. These operational critiques are consistent with the staffing and teamwork problems people reported: poor team coordination, forgetful or rude staff, unresponsive phone lines, and in some accounts, a near-call for facility closure due to extremely poor care.
Patterns and notable contrasts: the reviews show a clear division between accounts of compassionate, effective care from specific staff and severe, systemic failings that compromise safety, hygiene, and resident experience. Positive reports tend to focus on particular caregivers and rehabilitation outcomes, while negative reports describe persistent, facility-level problems (cleanliness, pests, odors, staffing, medication and privacy issues, and management failures). The mix of praise and severe criticism suggests inconsistent quality—some residents receive good care from committed staff, while others experience neglect or unsafe conditions.
In summary, the dominant themes are inconsistency and safety/maintenance risk. Decision-makers, prospective residents, and families should be aware that experiences at Advena Living on Tenth vary widely: there are documented strengths in individual caregiving and some pleasing aspects of the facility, but there are also multiple recurring, serious complaints about staffing, clinical practice, cleanliness, pests, odors, and administrative practices that warrant investigation and remediation. Specific areas that stand out for attention are medication safety and physician-order adherence, staffing levels and supervision, housekeeping and pest control, dining hygiene and food-temperature practices, HR and recruitment processes, and responsiveness of management to complaints.
