Overall sentiment across the reviews is sharply polarized, with strong praise for therapy services and many individual staff members but widespread and recurring complaints about safety, staffing, medication management, facilities, dining, and management. Numerous reviewers report excellent short-term rehabilitation outcomes driven by a very capable PT/OT team, skilled nurses and aides, and coordinated transitions from hospital to facility. At the same time, a substantial portion of reviews describe experiences that include neglect, medical errors, and poor facility maintenance — in some cases resulting in hospitalization, confirmed malpractice investigations, or reports to the state.
Care quality and clinical services: The facility receives consistent, high praise for its physical and occupational therapy programs; reviewers repeatedly call therapy “phenomenal,” credit therapists for meaningful functional gains, and describe seamless hospital-to-facility handoffs. Several reviewers also specifically praise wound-care staff (Lydia referenced positively) and named administrative/helpers (Diana, Denise, Beth) for arranging follow-up care and hospice when needed. However, this clinical strength is undermined by systemic problems. Multiple reports cite medication mismanagement (medications not dispensed, running out, delayed pain meds, even an alleged overdose), inconsistent pain control, and missing wound supplies. These medication and supply failures are described as causing pain, deterioration, emergency department visits, and, in at least one case, sepsis/ICU admission.
Staff behavior and staffing levels: Reviews portray a workforce of many compassionate, hardworking individuals who sometimes “go above and beyond.” Named staff (e.g., CNA Charles) are singled out as exceptional. Nevertheless, staffing shortages are a dominant theme: long wait times for assistance (commonly 30–40 minutes, sometimes much longer), missed scheduled checks, evening and weekend coverage gaps, and reports of aides being rude or inattentive. Several reviews describe floors running short, which reviewers attribute to reactive rather than proactive care. The result is inconsistent day-to-day care quality: some families report attentive staff and good oversight (including multidisciplinary meetings and clear care plans), while others describe neglectful episodes and lack of supervision.
Safety, neglect, and serious adverse events: A troubling cluster of reviews document severe safety concerns. Incidents include residents left in human waste for hours, left unattended in positioning devices, unattended falls with injuries, dehydration, pressure ulcers/bedsores, wound infections progressing to sepsis, missing bed rails and lifting equipment, and missing personal items/theft with no meaningful investigation. Multiple reviewers filed state reports or malpractice complaints; at least one review indicates a malpractice investigation confirmed. These accounts point to system failures — staff shortages, poor monitoring, insufficient training or processes — that have led to harm for some residents.
Facilities, cleanliness, and accessibility: Descriptions of the physical plant vary widely. Some reviewers describe clean, renovated, spacious rooms with no odor, while many others report disrepair: sticky or dirty bathrooms, urine odor, broken sinks or tiles, hanging fixtures, single working elevator, and small bathrooms that are unsafe for wheelchair users. Accessibility problems are repeatedly noted — rooms that won’t fit a bed through the door, bathrooms too small to safely assist a person with mobility needs, lack of hoyer lifts or bed rails, and dangerous trip hazards such as exposed outlets and long extension cords. Housekeeping is inconsistent: some rooms reportedly not cleaned for several days, while other reviewers describe clean and well-maintained accommodations.
Dining and nutrition: Dining experiences are mixed and inconsistent. Several reviewers enjoyed rotating menus and adequate portions; others found meals inedible, improperly seasoned (e.g., sugar used instead of salt), delivered cold, or limited in choices. Access to water and appropriate diet monitoring for bedridden or dementia patients is described as inadequate in multiple accounts, contributing to dehydration concerns.
Management, communication, and billing: Communication and management responsiveness are frequent issues. Families report difficulty reaching staff or social workers, poor follow-up from social work, and rude or unhelpful administrative responses in some cases. Reviews cite frequent turnover in nursing leadership, draconian or opaque policies, and poor complaint handling. Billing concerns are prominent: reports of coerced discharges, excessive transportation charges (one review cites $3,000+), daily charges (reportedly $350/day in one case), missing reimbursements, and alleged staff-conducted improper charges. These financial and administrative problems, combined with inconsistent complaint resolution, increase family frustration and distrust.
Patterns and recommendations for prospective families: A clear pattern emerges: the facility can provide excellent short-term rehabilitation and has many dedicated clinicians, but it suffers from systemic operational weaknesses that make long-term care or memory-care placements risky without close oversight. Positive outcomes are most likely when families are engaged, monitor medication and wound care, and advocate proactively. Conversely, families who depend on the facility for full autonomous care — particularly for residents with complex medical or mobility needs — report higher risk of neglect or adverse events.
If considering this facility, ask pointed questions before admitting: current staffing ratios by shift and weekend coverage; detailed medication management protocols and how shortages are prevented; wound-care responsibilities and who is the contact person; lift and transfer equipment availability; housekeeping and linen schedules; elevator and accessibility status; incident reporting and family communication practices; and written policies on billing and transport charges. During any stay, document medication administration, wound dressing changes, and response times to call lights; keep frequent in-person checks early in the placement; and escalate promptly to state regulatory agencies or medical providers if you observe neglect, missed medications, or worsening wounds.
In summary, reviews present a facility with real strengths in therapy and several highly regarded staff members, capable of delivering significant rehabilitative benefit. Those strengths coexist with recurring, serious concerns about staffing, medication and wound management, safety, cleanliness, communication, and billing. Prospective residents and families should weigh the facility’s strong rehabilitation reputation against the documented risks for longer stays or for medically complex patients, and should insist on clear assurances and documentation about staffing, safety equipment, medication handling, and responsive management before committing to placement.
