Victory Health + Rehabilitation Center

    Victory Health Rehabilitation Center, 512 49th Ave N, Minneapolis, MN, 55430
    2.1 · 33 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglectful unsafe filthy senior care

    I placed a family member in a Minneapolis senior living facility and it was a horrific, neglectful experience - I would not recommend it. We saw missed care (bath/feeding neglect, long call-light delays), safety failures (resident missing/hospital transfer, infections, eventual death), theft/financial exploitation that involved police, filthy conditions (mold, pests, foul odors, soiled bedding), inconsistent meds and missed appointments, and rude/unresponsive staff with poor communication. A few staff (receptionist), the therapy department, and the outdoor space were excellent, but overall the facility failed on basic care, safety, and decency.

    Pricing

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    Amenities

    Healthcare services

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

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.12 · 33 reviews

    Overall rating

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

      1.9
    • Staff

      2.1
    • Meals

      2.7
    • Amenities

      3.0
    • Value

      2.3

    Pros

    • Strong/remarkable therapy department
    • Many caring and excellent nurses and direct-care staff
    • Professional and helpful administrator (reported by some)
    • Supportive social work advocacy (named staff praised)
    • Engaging activities, field trips, and entertainment
    • Comfortable rooms and beds
    • Accessible 24-hour showers
    • Well-balanced meals and some positive dining experiences
    • 24/7 snack availability (reported by some)
    • Clean front entry and some well-kept areas
    • Nice outdoor space and pleasant-smelling common areas
    • Medicare accepted/covered expenses for some residents
    • Some staff go above and beyond to meet resident needs
    • Residents/guests report feeling treated with dignity by some staff

    Cons

    • Repeated allegations of neglect and substandard care
    • Infection control failures and wound-care problems
    • Pests (mice droppings, bed bugs) and evidence of infestations
    • Facility-wide cleanliness problems and foul odors (urine/feces)
    • Inconsistent or incorrect medication management
    • Long delays responding to call lights and unmet needs
    • Unsafe supervision leading to wandering or missing residents
    • COVID exposure incidents and alleged transmission between roommates
    • Physical injuries reported (bruising, skin tears) and dehydration/malnutrition
    • Non-functional or inadequate medical equipment reported (e.g., oxygen tanks)
    • Rude, unprofessional, or threatening staff behavior
    • Allegations of financial exploitation/theft and lost belongings
    • Poor communication and mismanagement of appointments/transportation
    • Lack of weekend management/supervision and variable staffing
    • Reports of state-substantiated complaints and slow regulatory action
    • High cost or poor value for money reported by some families
    • Denial of resident rights reported (example: voting)
    • Inconsistent quality across shifts/units and notable variability by staff member
    • Specific environmental hazards reported (black mold in furniture)

    Summary review

    Overall sentiment across the collected reviews is highly polarized, with a distinct split between reviewers who describe strong clinical and rehabilitative care and those who report serious, systemic failures in safety, cleanliness, and basic caregiving. Positive accounts consistently highlight an excellent therapy team, several compassionate nurses, certain administrators and social workers who advocate effectively for residents, and a number of facility features such as comfortable rooms, accessible showers, a pleasant outdoor area, and engaging activities. Conversely, many reviews allege grave deficiencies: neglect, infection risk, infestations, and unsafe supervision are recurring themes.

    Care quality and clinical concerns form one of the strongest negative patterns. Multiple reviewers describe neglectful care resulting in dehydration, malnutrition, bruising, skin tears, and delayed or inconsistent medication administration. There are specific reports of improper wound care and bandaging that increased infection risk, non-functional oxygen equipment, and long response times to call lights. Some reviewers allege that residents were left with COVID-positive roommates, with at least one review claiming that a family member contracted COVID and died afterward. Several reports also point to staffing gaps (notably on weekends), poor oversight, and a lack of consistent clinical protocols — all of which reviewers link to adverse outcomes and hospital transfers.

    Staff behavior and communication is another area of sharp contrast. Numerous testimonials praise individual nurses, therapists, and a few administrators for professionalism, kindness, and advocacy (one social worker was named positively). At the same time, many other reviews accuse staff of rudeness, unprofessional or abusive conduct, threats toward residents, gaslighting family members, and even involving police over disputes. Communication failures extend to mismanaged transportation and missed doctor appointments, confusion about scheduling, and staff accusing callers of lying. This variability suggests inconsistency across shifts and personnel: some staff are described as going above and beyond, while others are accused of apathy or neglect.

    Facility cleanliness, pest control, and infection prevention concerns are frequent and specific. Reviews report urine and feces odors, unkempt residents, mice droppings found in bags, bed bugs, and black mold in furniture/dressers — all serious red flags for a care environment. Some reviewers describe the facility as filthy and offensive, while others describe certain areas (for example, the front entry and outdoor spaces) as clean and well-maintained. The coexistence of both positive and negative cleanliness reports again points to uneven conditions across the building or over time.

    Dining, activities, and resident life also receive mixed feedback. Several reviewers praise well-balanced meals, 24/7 snack availability, field trips, and engaging entertainment — elements that support quality of life. However, other accounts criticize the food as disgusting and note that some staff lack pride in food service. Activities and therapy appear to be strengths for many families, especially when therapists are described as kind, knowledgeable, and cohesive.

    Management, oversight, and systemic issues appear in multiple reviews. Positive mentions of a professional administrator and helpful staff are tempered by serious allegations: financial exploitation (money taken), loss or misappropriation of possessions, denial of voting rights, and reports of substantiated complaints to regulatory agencies. Several reviewers urge caution, describing the facility as expensive with poor value. There are also mentions of the state being slow to act despite substantiated complaints, which indicates possible regulatory and systemic challenges beyond individual staff behavior.

    In summary, the reviews portray a facility with notable strengths — particularly a talented therapy team, several compassionate clinical staff, some clean and pleasant spaces, and meaningful activities — but also with serious, recurring safety, cleanliness, and management problems reported by multiple families. The most consequential and repeatedly cited issues include infection risks, pest infestations, neglect leading to physical harm, inconsistent medication and equipment reliability, rude or abusive staff interactions, and alleged financial misconduct. Because of the stark variability in experiences, prospective residents and families should perform thorough, up-to-date due diligence: review recent inspection and complaint records, ask directly about pest control and infection-prevention protocols, verify staffing patterns (including weekend coverage), observe cleanliness in person during multiple times of day, clarify medication and equipment maintenance procedures, and establish financial safeguards. The mixed nature of reviews means some residents may have good outcomes, particularly in therapy and with certain caregivers, but the frequency and severity of negative reports suggest clear risks that deserve careful, proactive evaluation before choosing this facility.

    Location

    Map showing location of Victory Health + Rehabilitation Center

    About Victory Health + Rehabilitation Center

    Victory Health & Rehabilitation Center is a medium-sized nursing facility with a capacity of 79 beds. The center operates under for-profit, individual ownership and is not part of a continuing care retirement community. It accepts both Medicare and Medicaid, enabling it to serve a wide range of residents with varying needs and financial resources.

    The facility provides both short-term rehabilitation and long-term care services, earning an average rating in both areas based on recent assessments. Short-term rehabilitation at Victory Health & Rehabilitation Center focuses on post-acute care for individuals recovering from hospital stays due to conditions such as strokes, heart attacks, infections, or injuries. The goal of the center’s rehabilitation program is to help residents regain their strength and independence so that they can return home when possible. Long-term care is provided for residents who need ongoing assistance with daily tasks including medication administration, dressing, eating, mobility, and personal hygiene.

    Staffing at the center averages about 3 hours and 11 minutes of nursing care per resident each day. Consistent nurse staffing ensures that residents’ medical and non-medical needs are attended to, although there have been noted differences in staffing levels between weekdays and weekends. The center has systems in place to monitor and support residents’ self-care abilities, with a significant percentage maintaining the capacity to perform daily activities independently. Preventive health measures such as annual influenza vaccinations are emphasized to safeguard residents’ well-being.

    Victory Health & Rehabilitation Center has undergone regular health, fire, and safety inspections in accordance with relevant standards. These inspections cover food preparation, resident care practices, and overall environmental safety. The center has, at times, been subject to additional scrutiny to ensure standards are maintained, reflecting a commitment to addressing areas that require improvement.

    In terms of resident safety and health outcomes, the center has a record of maintaining a low percentage of major injury falls among residents. Emergency room visit rates are also tracked and monitored to provide insights into resident health trends and the effectiveness of on-site care.

    The center has been proactive in addressing challenges related to staffing, especially in specialized areas such as food and nutrition services, ensuring that residents’ dietary needs are met by appropriately qualified staff. Over recent years, the facility has addressed areas that required attention as identified through inspection reports, resolving issues and implementing needed changes to enhance the quality of care provided.

    Victory Health & Rehabilitation Center strives to create an environment focused on the medical, physical, and emotional needs of its residents. By offering a combination of rehabilitation and long-term care, together with an experienced staff and established procedures for monitoring care quality, the facility is dedicated to supporting seniors and individuals who require ongoing assistance in their daily lives.

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