Overall sentiment across reviews for Manor At Elfindale is predominantly positive regarding the hands-on care environment, skill level of clinical staff, facility upkeep, and the resident experience, but there are consistent and significant concerns centered on billing practices, admissions/rehab policies, management changes, and occasional lapses in communication or compassion.
Care quality and clinical services are the most frequently praised aspects. Multiple reviewers describe staff as genuinely caring, professional, and attentive. Skilled nursing, occupational and physical therapy are repeatedly highlighted as strengths, with references to customized treatment plans, amazing therapists, and successful short-term rehabilitation when admissions were accepted. Memory care receives specific positive mention for providing compassionate, home-like care with dignity and respect. Several reviews single out individual staff and leaders (e.g., a primary nurse named Terri, and leadership such as Matt and his team) for exceptional service, and families report that the facility often exceeds expectations compared with other local options.
The physical environment and amenities are also strong points. The building is described as very clean, well maintained, and laid out on one level, which supports accessibility. Rooms are characterized as home-like rather than institutional, and the outdoor spaces and views (deer, geese, attractive grounds) are repeatedly praised as therapeutic and pleasant. In addition, practical services — bathing, hair services, good food, and a neighborhood approach that aligns staff with residents — contribute to the perception of a high-quality, resident-centered facility.
Despite these positive themes, there is a clear and recurring set of concerns that prospective residents and families should weigh carefully. Several reviewers report the facility is expensive and cite add-on or hidden costs. More serious are accounts of problematic billing interactions: insurance billing disputes, denial of claims, and in some cases threatening collection letters that families found upsetting. These financial and contractual issues appear to have contributed to a narrative of the facility being "greedy" in rare but notable reviews.
Admissions and rehabilitation decisions are another common pain point. While the facility promotes specialized therapy and short-term rehab, multiple reviewers describe being denied admission or rehab services on the basis of paperwork without a direct clinical assessment. Some families felt these denials were handled insensitively — including being told to accept end-of-life care rather than offered alternatives — and that home therapy was not feasible for rural families. Relatedly, a deleted Facebook review and mentions of administration changes lead to concerns about how negative feedback is managed and whether the facility’s reputation has declined in recent years.
Communication and consistency are mixed across reports. Many families and residents commend nurses and some staff for excellent communication and responsiveness. However, other reviews cite poor staff communication, limited physician accessibility, lack of responsiveness when help was needed, and episodic insensitive attitudes from some employees. Several reviewers explicitly note a perceived decline in staff quality or leadership after management transitions, suggesting variability over time and dependence on current administration and staffing levels.
In summary, Manor At Elfindale appears to deliver high-quality, compassionate clinical care and a comfortable, well-kept living environment for many residents, particularly in memory care and therapy services. The strongest praise centers on the caregiving staff, therapy teams, cleanliness, and the non-institutional atmosphere. Conversely, there are important and repeated concerns about cost transparency, billing and insurance disputes, inconsistent admissions/rehab acceptance practices, and uneven communication or management performance. Prospective residents and families should balance the facility’s clear clinical strengths against the documented administrative and financial risks: ask detailed questions about contracts and billing, verify rehab admission criteria and appeals procedures, request current references, and clarify how hospice and visitor policies are enforced to ensure expectations match current practice.
