Overall sentiment across these reviews is deeply mixed but leans strongly negative, with a clear bifurcation between praise for specific therapy and activity offerings and serious, repeated allegations of lapses in basic care, hygiene, and management. The facility receives consistent positive mentions for occupational and physical therapy, and multiple reviewers specifically praise the activities department — live entertainment, engaging programming, and compassionate activity staff are repeatedly credited with improving residents' quality of life. A number of family members report daily visits and positive interpersonal interactions in those areas, and a few note convenience of location and VA referrals as positives.
However, the most frequent and severe themes concern clinical care inconsistency, neglect, and environmental uncleanliness. Reviewers report nursing care that is highly variable: some nurses and aides are described as caring, but many comments describe a heavy reliance on agency staff, frequent turnover, and short-staffing that prevent stable caregiver–resident relationships. Specific clinical safety concerns appear repeatedly — dehydration, missed feeding or hydration when no family is present, bedsores, suspected bruises, falls, and at least one report of a discharge to hospice followed by death. Several reviewers described situations where call buttons or bed padding were improperly handled, and instances where no staff were available to assist residents to the bathroom. These reports indicate both staffing capacity problems and lapses in bedside supervision or post-acute care transitions.
Facility hygiene and living environment are another major area of concern. Multiple reviewers describe dirty rooms, strong urine odor, matted hair, stained clothing, torn towels, and even a roach infestation. These observations are coupled with allegations that basic hygiene needs (bathing, shampooing, clean linens) were neglected for extended periods. Several accounts describe a bleak, institutional atmosphere — barren hallways and a state-hospital-like feel — which some say is not conducive to healing or dignified long-term care.
Management and operational shortcomings are also prominent. Reviews mention frequent changes in administration, poor responsiveness to family inquiries, unanswered phones, staff who are unprofessional or hostile toward visitors, and incidents of staff gossiping or making inappropriate comments. There are multiple calls from reviewers for regulatory review and even closure, and at least one recommendation to contact the state Department of Public Health. Families describe long, frustrating efforts to get answers and consistent reports that the facility's operational standards do not meet expectations for safety or quality.
Dining and basic resident comforts are criticized in several reviews: cold or unappetizing food and reports that residents are paying for care while receiving substandard services. The facility's mixed population — combining short-term rehab, long-term nursing care, and psychiatric patients — is cited as a structural concern by reviewers who feel this mix inhibits specialized care and contributes to the chaotic environment.
Notably, the reviews contain sharply polarized experiences. While many describe serious neglect and mismanagement, some families consistently praise the therapy teams and activities staff and report good experiences for particular residents. This suggests pockets of competent, compassionate staff and programming exist, but that quality is uneven, and outcomes may depend heavily on which unit, staff, or shift a resident encounters and on how actively family members advocate for care.
Given the volume and severity of the negative reports — especially allegations of neglect, hygiene problems, safety lapses, and dysfunctional management — prospective residents and families should exercise caution. If considering this facility, visitors should perform in-person tours focused on cleanliness, staffing levels on different shifts, infection/infestation evidence, care routines (bathing, toileting assistance, wound checks), and clarification on how the facility handles agency staffing and supervision. Families currently with residents in the facility should monitor hydration, skin integrity, hygiene, and access to care closely; document issues; and consider escalating concerns to higher management or local regulatory authorities if serious problems are observed. Immediate attention by oversight bodies would be appropriate based on the consistent, severe nature of many complaints, even while recognizing that specific positive elements (therapy and activities) are present for some residents.
