Overall sentiment across the reviews is highly mixed, with a strong and recurring theme of deeply caring front-line staff and excellent therapy/rehab programs contrasted against systemic operational problems that produce serious safety and quality concerns for a substantial number of residents. Many reviewers praise individual nurses, CNAs, therapists, and activities staff for compassion, professionalism and dedication — describing staff who go above and beyond, provide emotional comfort, and create a family-like atmosphere. Positive experiences frequently highlight an updated, clean facility, a quiet and dignified memory care unit, robust therapy services, meaningful activities (park outings, pet days, family events), and successful transitions from hospital to rehab. Several reviewers explicitly named staff who provided outstanding care and support, and multiple families said their loved ones felt loved and well cared for.
However, these positive experiences sit alongside numerous, repeated reports of serious lapses in clinical care and facility operations. A common and urgent concern is understaffing: reviewers describe CNAs and nurses being overwhelmed with too many residents, delayed or absent responses to call lights, and long waits for assistance. Clinical failures documented across multiple reviews include missed or refused medications, delayed or absent breathing treatments, medication errors, and failure to follow doctor orders. Consequences reported include dehydration, significant weight loss, bedsores, hospitalizations, and numerous falls — in one summary reviews referenced “about 25” falls — which raise safety and oversight alarms. Several reviewers alleged neglectful or even abusive behavior by some staff members, and some reported difficulty getting management to take complaints seriously, or encountering barriers when filing formal grievances.
Facility cleanliness and food service are another area of stark contrast. Many reviewers describe the building and memory-wing rooms as very clean and well-kept, while others report dirty rooms, unclean sheets, strong urine odors, and incidents that suggest poor infection control or food safety (for example, an unrefrigerated sandwich left for 48 hours). Dining feedback is split: some call the food fresh, tasty, and able to be tailored for swallowing needs; others describe cold, poor-quality meals and signs of cost-cutting. There are also reports of cleaning chemicals causing respiratory issues for some family members. Personal property management is problematic for some: missing or bagged belongings, clothing lost or replaced with incorrect items, and a sense of poor inventory control.
Communication and management practices show wide variability. On the positive side, several families praised proactive updates, compassionate hospice coordination, and staff who quickly resolved issues. On the negative side, multiple reviews mention an unresponsive phone system with long hold times, no callback, difficulty scheduling visits, and an administration perceived as unresponsive or dismissive. Some reviewers felt care declined after a change in ownership/management and described initiatives such as contests for staff reviews that came across as PR-oriented rather than meaningful quality oversight. There are also reports of unprofessional staff behavior (smoking, yelling, screaming at residents) and allegations of fake or incentivized positive reviews.
Taken together, the reviews depict a facility with strong potential and many exemplary employees who provide compassionate, high-quality interpersonal care and therapy, but whose good work is undermined for some residents by systemic staffing shortages, inconsistent clinical practices, operational lapses, and management/communication failures. This creates a split experience: families who interact day-to-day with committed staff and a clean, activity-rich environment can report positive outcomes, while others who encounter missed medications, hygiene neglect, falls, or poor responsiveness report very negative and sometimes dangerous experiences.
For prospective families, the reviews suggest several practical steps: tour the unit(s) that would house your loved one and ask about current staffing ratios and nurse/CNA schedules; inquire specifically about medication administration processes, fall-prevention protocols, wound and skin checks, and how the facility documents and responds to missed meds or call lights. Ask to see activity calendars, therapy schedules, and examples of family communication practices. Check how the facility handles personal belongings inventory and lost-item procedures. Finally, because of the variability reported, request references from current families in the same care level (memory care, short-term rehab, or long-term care) and confirm how management handles complaints and incident reporting. The mixed nature of feedback means the facility may offer excellent care in many cases, but families should verify consistency and safeguards before committing to long-term placement.