Overall sentiment about Dominion Senior Living of Florence is polarized: a large number of reviewers praise the facility for its beautiful, modern, resort-like environment and many kind, attentive staff members, while a substantial minority report serious care, safety and communication failures. The property itself receives consistently strong marks — reviewers frequently describe the building as new, clean, airy and hotel-like, noting tasteful finishes (granite countertops, built-in dressers), large windows and well-appointed rooms. Many families and residents report a welcoming, home-like atmosphere and an active social calendar with exercise classes, bingo, outings, religious services, salon access and multiple daily activities. Dining is often described positively for breakfast and lunch, with menu ordering and flexible options for picky eaters; several reviews mention that staff dine with residents and that meals are adequate if not gourmet.
Staff quality and culture are major themes with mixed impressions. Numerous reviewers highlight compassionate, helpful, patient and professional aides, nurses and admissions teams who make move-ins smooth, respond to concerns, and form family-like relationships with residents. Several accounts describe 24-hour nursing coverage, proactive medication management, strong teamwork and staff who go above and beyond. These positive experiences underpin many five-star endorsements and high recommendations.
However, there is a recurring pattern of inconsistency: several reviewers recount troubling lapses in basic personal care and safety that indicate variability across shifts, staff, and management. Specific, serious allegations include infrequent showers (noted as twice weekly), poor hygiene (strong odors, skin condition), failure to apply doctor-ordered interventions (compression socks), a resident being left in a chair for days with swollen legs, medication errors, and falls during showers. In at least one case reviewers said neglect led to a urinary tract infection and hospitalization. These incidents are significant and suggest gaps in routine care, oversight and training for higher-dependency residents.
Management, communication and staffing practices also draw mixed commentary. Some families praise the admissions team for clear explanations, pricing transparency and helpfulness. Others report poor ongoing communication, high turnover among leadership (including a director leaving shortly after complaints), and the necessity for family members to act as advocates to ensure adequate care. Several reviews mention understaffing at night and staffing shortages in general, which correlate with reports of missed care and inconsistent service. There are also reports of problematic behavior and policy enforcement — including an allegation of a staff relative removing a resident without authorization, mandated use of an expensive pharmacy, and at least one facility compliance concern (an elevator out of inspection code) — which raise questions about administrative oversight and safety compliance.
Financial and policy concerns appear repeatedly. Some reviewers praised transparent, all-inclusive pricing and helpful admissions; others describe a bait-and-switch dynamic with upsells for additional services, costly one-on-one caregiver charges, and partial refunds after short stays (resulting in significant family losses). Transfer and assistance policies are reported as inconsistent, and several reviewers advise that the community may be best suited for independent or lower-dependency residents rather than those requiring intensive assisted-living or complex dementia care.
Memory-care impressions are similarly mixed: a number of families express gratitude for caring, attentive memory-care staff and positive outcomes, but there are also calls for better dementia-specific training and improved handling of residents with behavioral or wandering issues. Activity programming, while often praised (including unique activities like balloon volleyball), is sometimes criticized as insufficient or under-promoted for certain residents who receive little personal interaction.
In summary, Dominion Senior Living of Florence presents as a high-quality, attractive community with many compassionate employees and strong elements of hospitality, dining and activity programming. At the same time, multiple reviews point to systemic inconsistencies — especially related to personal care, safety, staff training, communication and leadership stability — that have, in some cases, resulted in serious negative outcomes for residents. Prospective families should weigh the facility’s strong physical environment and many reports of excellent staff against the documented incidents of neglect and management shortfalls. For those considering placement, it is advisable to: (1) verify staffing ratios and leadership stability, (2) ask about dementia and personal-care training, (3) confirm protocols for physician orders and medication administration, (4) clarify pharmacy/vendor and additional-fee policies in writing, and (5) plan for close family monitoring or advocacy during the initial months to ensure promised standards of care are consistently delivered.
