Overall sentiment across the reviews is highly mixed with a pronounced polarization: many reviewers praise the therapy, certain staff members, and pockets of excellent nursing and rehabilitative care, while an equally large set of reviewers report serious operational, cleanliness, staffing, and communication problems. Positive comments emphasize strong therapy outcomes, caring individual caregivers, and a sense of teamwork and growth under newer leadership in some areas. Negative comments repeatedly cite systemic deficiencies that materially affect resident comfort, safety, and family trust.
Care quality: Therapy and rehabilitation emerge as the facility's strongest and most consistent positive theme. Multiple reviewers describe the therapy program as exceptional, instrumental in residents’ progress and return to independence, and valuable both for inpatient and outpatient populations. Skilled nursing care and short-term rehab receive repeated praise from families and former residents who report good functional outcomes. However, this clinical strength is contrasted by frequent reports of inconsistent basic nursing and caregiving: bath and hygiene neglect (residents “barely bathed”), missed checks, poor encouragement to eat, and at least one account of rapid deterioration and death within 38 hours. There are also reports of residents being transferred to hospital/ICU because the facility was not equipped or failed to provide needed care.
Staff and culture: Many reviews single out compassionate, hardworking staff and named employees who were helpful. Reviewers describe staff who “go above and beyond,” a family-like camaraderie among employees, and opportunities for staff development and recognition. At the same time, other reviewers report rude, disrespectful, or lazy aides, and describe staff shortages that leave one aide responsible for 20+ residents. This split suggests variability by unit, shift, or timeframe: some shifts and teams function well, others are overwhelmed. Staffing shortages are repeatedly linked to poor day-to-day care, longer response times, and stressed employees.
Facilities, cleanliness, and maintenance: Cleanliness and maintenance are major, recurring concerns. Multiple reviewers report dirty floors, sticky surfaces, urine stains, soiled briefs left in trash, unclean bedding, and even bathrooms with diarrhea. There are allegations of theft of quilts and clothing. Conversely, some reviews mention a remodeled therapy gym and cosmetic updates (including a remodeled front), and some residents report a clean, comfortable environment. The pattern indicates inconsistent housekeeping and maintenance — some areas have been updated while other parts remain run-down and in need of deeper cleaning or repair.
Communication, management, and coordination: Communication failures are another dominant theme. Families report difficulty reaching staff (no receptionist, phones not answered, calls hung up), unclear who is in charge (DON or administrator unavailable), and social workers not involving family in care plans. Discharge planning and guidance on medications and home equipment are frequently described as absent or unclear. Some reviewers say management is responsive and supportive (naming leaders who helped), while others say managers did not return calls, were unresponsive, or gave misleading impressions. This variability amplifies family frustration and erodes trust.
Safety, policy, and operations: Several operational issues arise repeatedly: understaffing that impacts care delivery; locked facilities with few staff present and limited tour access; resident smoking in outdoor courtyards and smoke-break abuse; and reports that the facility sometimes prioritizes cosmetic appearances over substantive care improvements (e.g., front building remodeling). A few reviewers express suspicion of profit-driven motives and report delayed funds or billing concerns. These operational concerns combine with hygiene and clinical examples to raise questions about oversight and quality control.
Dining and activities: Food quality is criticized by some reviewers. Activity posts and outpatient resources are mentioned positively in isolated reviews, but overall there are fewer comments about robust activity programming. Where activity and therapy are strong, reviewers credit these services with improving residents’ morale and recovery.
Notable patterns and recommendations for families: The reviews suggest the facility delivers excellent rehabilitation and has many dedicated caregivers, but care and environment are inconsistent. Positive experiences tend to highlight named staff, active therapy engagement, and timely clinical outcomes. Negative experiences often cite systemic problems — chronic understaffing, poor housekeeping, communication breakdowns, and serious lapses in basic care. Families considering this facility should: ask specifically about current staffing ratios and turnover, request information on housekeeping and infection control practices, confirm who will be the point of contact (DON/administrator/social worker) and how to reach them, verify discharge planning and home equipment procedures, and tour multiple units and shifts if possible to gauge consistency. The mixed reviews underscore that outcomes may vary substantially by unit, staff on duty, and timing; therefore, individualized inquiries and close monitoring early in a resident’s stay are warranted.
In summary, Keystone Ridge Post Acute Nursing and Rehabilitation appears to have real strengths in therapy and pockets of compassionate, high-quality nursing care, but those strengths are counterbalanced by recurring and serious concerns about staffing, cleanliness, communication, and coordination of care. The overall picture is one of uneven performance: families and prospective residents may encounter excellent rehabilitation and caring staff — or may encounter neglect, poor hygiene, and unresponsiveness. The volume and severity of negative reports about basic care and communication elevate these concerns beyond mere inconvenience and merit careful consideration and direct inquiry prior to admission.
