Overall impression: The reviews for Silverstone - Skilled Nursing & Rehab are deeply mixed and polarized. A substantial number of reviewers praise the facility's therapy team, certain caregivers, and the appearance of the building; they describe staff members who are compassionate, prompt, and effective at returning patients home after rehab. However, an equally strong set of reviews describe serious problems with staffing, neglect, safety, and management. The divergence is stark: some families report excellent outcomes and strong communication, while others report incidents that they characterize as neglectful or harmful.
Care quality and safety: A recurring theme is inconsistency in care quality. Multiple reviewers report positive, attentive care and successful rehabilitations, but many others allege missed or delayed basic nursing tasks — examples include failure to treat bed sores, untreated urinary tract infections, failure to feed or change residents, oxygen not replaced or turned on, and a resident left trapped under a walker for hours. Some reviews describe infections serious enough to require hospitalization (including reported infection of ankle hardware). These reports suggest variability in clinical oversight and wound/infection management and raise significant safety concerns for some residents.
Staffing and staff behavior: Understaffing is repeatedly cited as a driver of many problems. Reviewers describe staff shortages, high turnover, and periods when staff are rarely seen during visits. While some reviewers highlight hardworking and caring staff or management who assist on the floor, others describe uncaring or indifferent caregivers, rude kitchen staff, and a charge nurse characterized as uncaring. Several reviews suggest that staff do their best under pressure, but that shortages and staff quality issues result in inconsistent attention and response times.
Facilities, housekeeping, and possessions: The facility appearance and physical plant are frequently praised — ‘‘beautiful building’’ and ‘‘super clean’’ appear in positive reviews. Yet there are specific complaints about room-level housekeeping and personal belongings: reviewers report rooms left dirty, dust and dried food present, missing or delayed pillowcases, items not put away after room moves, and lost clothing or other possessions. This contrast indicates that while common areas or the facility exterior may be well maintained, room-level housekeeping and property management are inconsistent.
Management, communication, and administrative issues: Opinions about management vary. Some reviewers say management is supportive, visible, and willing to work with families; others call management incompetent or untrustworthy and describe unresolved billing disputes, checks being held, and staff drama. Communication problems are described in several reviews (delayed phone access, poor follow-up), and billing or payroll-related issues are referenced by multiple families. The presence of both supportive and highly critical views suggests inconsistent administrative performance or uneven experiences between families.
Dining and custodial services: Reports on dining and custodial services are mixed. Several reviewers praise the food and friendly dining staff; others criticize food quality as poor or ‘‘nasty-looking’’ and describe service delays (including an example of a six-hour water delay). Housekeeping experiences are similarly mixed, with reports ranging from ‘‘super clean’’ to complaints of unclean rooms and unattended grooming issues (e.g., hair knots left for months).
Patterns and credibility: Multiple reviewers explicitly note staffing shortages as the root cause of many problems and also speculate about disgruntled former employees posting negative reviews. Nevertheless, the presence of multiple, independent allegations of neglect, safety incidents, and infection-related hospitalizations is notable and cannot be dismissed solely as retaliation. The combined pattern is one of uneven care: some patients receive attentive, effective therapy and compassionate nursing, while others experience lapses that families describe as neglect or worse.
Takeaway and caution: The overall picture is one of a facility with real strengths — an effective therapy department, dedicated caregivers in some shifts, attractive physical space, and instances of excellent care — alongside recurring and serious concerns about staffing levels, inconsistent nurse attention, safety incidents, infection control, housekeeping, and administrative reliability. Prospective families should be aware of these polarized experiences. Given the gravity of the negative allegations (untreated wounds/UTIs, infections, resident safety incidents, missing items, and billing disputes), a careful, in-person evaluation is warranted: ask about staffing ratios per shift, wound and infection-management protocols, turnover rates, handling of valuables, call-bell response times, and recent inspection or complaint history; meet frontline staff and observe mealtimes and a typical medication or therapy session. The reviews indicate that individual experiences at Silverstone can vary widely, so ongoing monitoring and direct communication with staff and management are advisable if you place a loved one there.
