Overall sentiment across the review summaries is highly mixed, with strong, recurring praise for frontline caregivers and activities staff contrasted sharply by serious, recurring systemic and safety concerns. Many reviewers explicitly commend CNAs, nurses, therapy staff and activity personnel for kindness, engagement, and going beyond expectations to make residents feel included and cared for. Multiple accounts describe a family-like atmosphere, fun events (Easter egg hunts, cake walks, raffles), attentive therapy services, and individual staff members who provided excellent advocacy and support during stressful transitions. Several reviewers call the facility a great place to work, noting camaraderie, professionalism, and teamwork among certain staff groups.
However, these positive experiences are interspersed with numerous and significant negative reports that raise safety and quality-of-care concerns. The most serious themes include neglect (residents left in urine, pervasive urine odor, soaked bedding and clothing), repeated urinary tract infections reported without proper monitoring or timely treatment, and failures to provide or coordinate necessary medical care (refusal or delay of hospital transfers, delayed attention after falls leading to serious injury). There are multiple reports of missed, substituted, or diverted medication doses and of admission delays caused by pharmacy or insurance coordination problems — incidents some reviewers identified as potentially life-threatening. Some reviews describe staff under investigation for abuse and claims of unprofessional or inexperienced personnel and health-code violations.
Facility condition and maintenance emerge as another consistent problem area. Reports include broken beds and toilet seats, extended periods without air conditioning, windows that have been screwed down in a way described as unsafe, and overall cleanliness problems in some rooms. Personal items have allegedly gone missing in a few accounts. Dining and nutrition also draw mixed feedback: several reviewers praise meals and therapy, but others describe awful food quality, small portions, and a declining dining experience, particularly noted under new ownership (cited as Silver View by some). COVID outbreaks and infection control concerns are reported as well.
Administrative and communication failures are heavily noted across reviews. Families cite poor communication from management, difficulty reaching staff or administrators, disorganized discharge paperwork (including failure to send documents to SSI), and inadequate notification about critical events — including one report of family members not being notified of a resident’s death. Several reviews allege profit-driven management decisions, rights violations, and even threats such as calls to police or trespassing notices when families raised concerns. At the same time, some reviewers report a positive management turnaround under new leadership and improvement in staff quality and responsiveness.
A prominent pattern is stark inconsistency: experiences range from “wonderful, attentive care” to “awful, neglectful, and dangerous.” Many positive comments single out individual employees (e.g., named CNAs) and specific departments (activities, therapy, some nursing shifts) while the negative comments often reflect systemic problems that recur across multiple reviews (medication errors, understaffing, poor hygiene, communication breakdowns). This suggests that quality may vary widely depending on staff on duty, shift, and administrative oversight at different times.
In summary, the facility receives substantial praise for compassionate frontline staff, an active activities program, and strong therapy services in many instances, which contribute to a positive, family-like environment for some residents. Conversely, there are repeated, serious complaints about neglect, clinical safety (UTIs, missed meds, delayed transfers), sanitation and maintenance issues, poor meals in some reports, and troubling administrative communication failures. The overall picture is one of a facility with committed individual caregivers and strong programming in places, but with systemic, recurrent weaknesses in clinical oversight, staffing levels, facility maintenance, and management communication that require attention. Prospective residents and families should weigh the noted strengths of engaged staff and activities against the documented safety and administrative concerns and seek up-to-date, specific information about staffing, recent inspections, and leadership changes before making decisions.
