Advanced Rehab

    515 Brightfield Rd, Lutherville, MD, 21093
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Good therapy, poor nursing care

    I had a mixed, ultimately disappointing stay. The therapists and many front-desk/therapy staff were excellent, warm and professional, and rehab helped me regain strength. However nursing, providers and administration were frequently unresponsive or rude-severe understaffing led to long call-bell waits, delayed or missing medications (including days for pain meds), filthy rooms/bathrooms and safety/neglect incidents. Food and housekeeping were hit-or-miss, concerns went unanswered, and I would not trust this place for ongoing nursing care-only consider it for short, closely supervised rehab.

    Pricing

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    Amenities

    Healthcare services

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

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    3.48 · 277 reviews

    Overall rating

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

      2.6
    • Staff

      3.0
    • Meals

      2.7
    • Amenities

      2.5
    • Value

      1.9

    Pros

    • Strong rehabilitation services (PT/OT/SLP) with many positive outcomes
    • Skilled and compassionate therapists (many reviewers named individual therapists)
    • Some nurses and CNAs praised for attentive, caring bedside care
    • Dietary offerings often customizable and praised by many families
    • Private rooms available without extra fees in some cases
    • Engaging daily activities and good activity programming
    • Front desk/guest services staff frequently described as professional and helpful
    • Clean and attractive grounds and common areas in multiple reports
    • On-site amenities reported (hair salon, store, covered patios, dining options)
    • Department heads/administration occasionally responsive and communicative
    • Successful Powerback/short-term rehab experiences reported by many
    • Family-focused staff and individual employees who advocate for residents
    • Good outpatient and recovery-focused rehabilitation outcomes in many cases
    • Some shifts/units noted as well-staffed and well-managed
    • Pleasant dining presentation and special-night dining events cited by some

    Cons

    • Chronic understaffing and short-staffed night/weekend coverage
    • Long delays or failure to administer medications and pain control
    • Call bells ignored or extremely slow response times (minutes to hours)
    • Inconsistent and often poor nursing and aide care for basic needs
    • Serious sanitation and cleanliness failures, including fecal contamination
    • Bedpans/soiled linens left on patients or in rooms for extended periods
    • Wound care failures, infections (C. diff, sepsis, UTIs) and hospital transfers
    • Medication errors and confusion about orders and prescriptions
    • Frequent communication breakdowns with families and between staff
    • Safety incidents: falls, rough handling, residents left unsafe or unattended
    • Rude, defensive, or unprofessional behavior from some staff
    • Housekeeping unreliable or absent; trash/linen problems reported
    • Maintenance/pest issues (mice/roaches) and run-down room conditions
    • Inconsistent food quality—some report awful/undercooked meals
    • Poor discharge planning and mismanagement of transfers
    • Theft/missing personal belongings reported by multiple reviewers
    • Misrepresentation or missing amenities compared to tours/promises
    • Inconsistent management accountability and delayed corrective action
    • Weekend and night gaps in therapy, meds, and nursing oversight
    • Highly variable care quality depending on specific staff and shifts

    Summary review

    Overall impression: Reviews of Advanced Rehab are sharply polarized but trend toward a mixed-to-negative overall sentiment driven by operational and nursing problems. Across hundreds of comments there is a persistent pattern: the therapy department (physical, occupational, and speech therapy) is repeatedly praised and frequently described as excellent and instrumental in recovery, while nursing, nursing assistant, and housekeeping functions are repeatedly criticized for understaffing, neglect, and unsafe practices. Many families report outstanding short-term rehabilitation outcomes (Powerback-style success stories) attributable primarily to therapists and certain individual staff members, yet those positive therapy experiences are regularly undermined by unsafe or unsanitary basic care.

    Care quality and safety: The single most consistent theme is inconsistent clinical and bedside care. Numerous reviews recount long delays (often hours) for medication or bathroom assistance, ignored call bells, and residents left in soiled clothes or on commodes for extended periods. There are multiple reports of medication mismanagement (meds not available, wrong meds, delayed analgesia), missed wound or dressing care, and communication failures around orders — in some cases leading to infection, hospitalization, or severe complications such as C. difficile/sepsis and urinary tract infections. Safety concerns are prominent: falls, residents left unattended, rough or unsafe transfers, and at least several accounts describing what reviewers perceived as negligent handling (e.g., patient left naked or in soiled bedding). These are not isolated anecdotes; the pattern recurs across different reviewers and timeframes, suggesting systemic staffing/oversight problems.

    Staffing, responsiveness, and culture: Many reviewers explicitly attribute poor care to chronic understaffing and high turnover. Night and weekend coverage gaps are repeatedly mentioned, as are shifts with only one aide for many rooms. Reported consequences include slow or absent responses to call lights, delayed medication rounds, infrequent room cleaning, and aides or nurses appearing overwhelmed or disengaged (e.g., seen on phones, arguing in hallways). That said, staffing is uneven — multiple reviews single out individual nurses, aides, therapists, and front-desk staff as compassionate, professional, and effective. Reviewers often state that outcomes depended on which specific staff were on duty: therapy and some named employees receive strong praise, while others are described as unqualified, rude, or negligent.

    Sanitation, housekeeping, and maintenance: Cleanliness and maintenance are areas of significant complaint. Reports include rooms and bathrooms with fecal matter, bedpans/soiled items left in rooms, sticky floors, unclean linens, missing pillowcases, clutter, overflowing trash under beds, and pest sightings (mice, roaches, stink bugs). Conversely, some reviewers describe clean patient rooms and attractive grounds; this inconsistent picture suggests varying performance by unit/shift or periods of better/worse housekeeping. Several reviewers explicitly stated that the facility has deteriorated under new ownership or budget cuts, linking maintenance declines to administrative decisions.

    Food and amenities: Dining receives mixed reviews. Many families praise the food, customization options, and special dining events; several reviewers credited dietary staff for accommodating preferences and therapeutic diets. Others report undercooked or unappetizing meals, frequent carbohydrate-heavy menus for diabetics, and food left uneaten. Amenities such as private rooms, a salon, activities programming, patios, and an on-site store were appreciated by many. However, some reviewers said promised amenities seen on tours were absent or misrepresented.

    Communication and management: Communication problems are frequent. Reported issues include lack of notification about transfers or room changes, miscommunication about lab results and orders, social worker or discharge planning mistakes, and unreturned calls from administration. Several reviewers described management as defensive or unresponsive until family escalation occurred. There are also positive accounts where administration promptly corrected issues and apologized. Taken together, these comments indicate inconsistent leadership responsiveness and variable accountability for clinical problems.

    Notable patterns and red flags: Recurrent red flags are long medication delays (sometimes days without meds or hours for pain relief), call bell response times measured in hours, repeated sanitation failings involving human waste, and multiple reports of infection/wound-care complications that led to hospital readmissions. Weekend and night vulnerabilities appear systematic. Conversely, a clear, recurring strength is the therapy team; many reviewers explicitly recommend Advanced Rehab for short-term, therapy-focused stays provided families are prepared to advocate and monitor basic nursing/housekeeping attention.

    Conclusion: The reviews portray a facility with real strengths in rehabilitation therapy and individual employees who are committed and effective, but with systemic problems in nursing, housekeeping, medication management, safety oversight, and leadership consistency. Prospective patients and families can reasonably expect high-quality therapy services and some caring staff, but they should also be alert to recurring operational failures that have resulted in neglectful care and safety incidents for some residents. The volume and specificity of serious complaints (sanitation, delayed meds, infections, falls, and poor responsiveness) elevate these from isolated grievances to patterns that warrant careful consideration, close monitoring during any stay, and clear expectations about staffing; many reviewers said outcomes improved only after persistent family advocacy or manager escalation.

    Location

    Map showing location of Advanced Rehab

    About Advanced Rehab

    Advanced Rehab at Autumn Lake Healthcare sits back from the road at 515 Brightfield Rd, Lutherville, Maryland, looking like a quiet, tree-filled oasis with a lot of bright spaces and renovated rooms where people can feel comfortable. This nursing home sits within a well-known healthcare network and has links to both Autumn Lake Healthcare and MedStar Health, so it gets good support with high standards for quality and safety, yet, the place does have a record of 40 inspection deficiencies, including some about infection control, infection prevention, and making sure resident rights are respected-sometimes missing timely notifications for residents about bed holds during hospital transfers, and the staff could respond better to reported violations. Leadership stays steady under Mark Schwartz since June 2023, and 515 Brightfield Road Holdco LLC is the direct owner.

    People who need help with daily activities find round-the-clock skilled nursing care here, along with skilled rehabilitation for those recovering from hospital stays, so long and short stays both happen. Advanced Rehab also creates memory care plans for people living with dementia. The staff-speaking English and trained in cultural competency-work to keep things feeling home-like and caring, keeping rooms bright and lounges and courtyards open for visits, social time, or just some quiet. Residents can join a good range of activities, and the dining program offers diverse options to fit special diets.

    The rehab team uses a state-of-the-art gym and advanced therapies to create and follow personalized recovery plans, and a multidisciplinary team checks progress and helps folks regain strength and independence through hands-on techniques and collaborative work. For daily comfort, the place offers concierge service, private rooms, free cable and wifi, a private garden, housekeeping, laundry, and even vacation stays for people who just need a short break. Housekeeping and laundry run regularly for comfort, and the facility is ADA accessible.

    With recent renovations, modern amenities, and lovely landscaping, residents can enjoy time outside or inside, and people are cared for 24 hours a day, seven days a week, though regular front office hours run from 9:00 AM to 4:00 PM, Monday through Friday. The staff turnover rate for nurses is high-69.6%, compared to the Maryland state average of 41.5%-but the nurse staffing hours per resident each day is above average. Right now, the site serves about 80 residents daily, with space licensed for up to 515 beds, but they're not accepting new residents at this time. The place stands apart for its effort to make a comfortable, engaging home, even while meeting challenges in keeping up with all professional and regulatory standards.

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