Overall sentiment across the reviews is sharply polarized: a consistent pattern of very positive experiences centered on the facility's rehabilitation services and certain staff members sits alongside numerous, serious allegations of neglect, poor nursing care, and systemic operational failures. The single most consistently praised element is the therapy department — reviewers repeatedly describe professional, knowledgeable therapists, an impressive, sunny and spacious rehab gym, individualized goals aligned to patients’ home environments, and measurable rehab successes that enabled return home for holidays. Several families explicitly credit the therapy team with excellent outcomes and with keeping them well informed throughout the post-acute stay.
In contrast, nursing care and long-term resident management receive many of the harshest criticisms. Reports include medication errors or missed doses, severe unexplained weight loss, multiple pressure ulcers/bedsores, infected wounds without dressing changes, residents not being turned, and allegations that pills were found on the floor. Several reviews describe residents being left unsupervised for long periods, failing to receive assistance with showers and hygiene, and serious safety incidents (falls, an instance of a resident jumping out a window, and at least one report of a patient death with family alleging substandard care). These specific clinical failures — missed medications, lack of wound care, delayed recognition of medical distress, and inadequate pain control — are among the most alarming and most frequently cited concerns.
Staffing, communication, and management emerge as frequent root issues. Many reviewers mention high staff turnover, understaffing, and inconsistent care from shift to shift. Communication problems are common: families report difficulty reaching nurses, social workers who do not return calls, and administrative staff who sometimes refuse to discuss incidents. Conversely, some reviews highlight an attentive owner or administrator who promptly addressed issues; this variability suggests uneven leadership or recent management turnover that has not stabilized practices across all units. There are also claims that department heads leave early, staffing problems lead to delays in oxygen or insulin delivery, and that some visitors experienced restrictions on access or supervised visit enforcement — occasionally involving police — which compounded family frustration.
Facility condition and environment show a split picture. Multiple reviewers praise a renovated, attractive rehab wing, bright common areas, tasteful decor, and clean spaces with a homelike lobby. The therapy gym, natural light, and some well-maintained sections draw positive remarks. However, other reviews describe long-term wings as older, darker, poorly maintained, and in some cases unclean — with reports of foul urine odors in hallways, filthy rooms, and sweltering heat due to AC failure. This geographic and functional inconsistency (rehab wing vs. long-term wing) is a recurring theme: the rehab/short-term care area is frequently lauded, while long-term care areas attract most cleanliness and maintenance complaints.
Dining and activities also elicited mixed feedback. Several reviewers praised chef-prepared meals, delicious home-style food, and engaging activity programs, while many others reported poor-quality meals (powdered drinks, dried meat, cold food in styrofoam containers, forgotten trays, and even bizarre items left as a meal). Activity programming — crafts, games, pet visits, and social events — is appreciated by multiple families and contributes to positive day-to-day experiences when present.
Safety, legal, and regulatory concerns surface repeatedly. Multiple reviewers describe filing complaints, contacting lawyers, or observing what they believed to be incomplete or inaccurate medical records. Several families reported that serious incidents were not properly reported or communicated. There are also accusations of fake online reviews posted to mask facility problems. These reports, combined with allegations of death or hospital transfers following what families described as neglect, indicate a need for prospective residents and families to review inspection reports, complaint histories, and to ask detailed questions about staffing, wound care protocols, and incident reporting.
In synthesis, Chestnut Rehab and Nursing appears to provide outstanding rehabilitative services and has facilities and staff that, in many cases, deliver excellent short-term recovery outcomes. At the same time, there is a substantial and recurring body of reviews describing severe deficits in long-term nursing care, communication, cleanliness, safety, and administrative responsiveness. The pattern suggests strong performance in the dedicated rehab unit but significant variability in quality and oversight elsewhere in the building, likely driven by staffing instability and inconsistent management practices. Families considering this facility should weigh the strong rehab reputation against the documented risks in long-term care areas: visit the specific unit where their loved one would be placed, ask for recent state inspection results and complaint summaries, inquire about staffing ratios and turnover rates, review wound-care and medication administration protocols, and seek references from recent families whose loved ones received long-term nursing care rather than only rehab services.
