LIVIA Health & Senior Living

    1 S Ridgedale Ave, East Hanover, NJ, 07936
    3.6 · 76 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Beautiful facility, inconsistent care, caution

    I had a mixed experience. The facility is beautiful, immaculately clean, and the rehab/PT/OT/speech teams were excellent (Justin, Roland and several therapists really helped my loved one). Many nurses, CNAs and front-desk staff were caring and attentive (Alex, Abby, Precious), activities are engaging and meals/chef events can be very good - but food and service are inconsistent. Major problems: chronic understaffing, slow or unresponsive nursing, poor communication from administration, long call-light waits, missed meds/soiled linens and unsafe care for bed-bound or advanced dementia patients. My takeaway: great for short-term rehab or more independent residents if family is involved; use caution for high-dependence or memory-care needs.

    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

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    3.61 · 76 reviews

    Overall rating

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

      3.3
    • Staff

      3.5
    • Meals

      3.4
    • Amenities

      4.4
    • Value

      2.7

    Pros

    • Knowledgeable and effective physical, occupational, and speech therapy
    • Compassionate, dedicated CNAs and some attentive nursing staff
    • Clean, modern, newly built or recently renovated facility
    • Engaging activities program and frequent special events
    • Successful short-term rehabilitation outcomes reported
    • Comfortable, well-appointed rooms and pleasant outdoor spaces
    • Helpful front desk, concierge, and social work support
    • Some excellent, chef-led dining and themed meal events
    • Convenient amenities (hair salon, manicurist, multiple dining rooms)
    • Good communication tools in some cases (in-room tablets/Alexa)
    • One-floor layout in some locations making visiting easier
    • Compassionate end-of-life care enabling family presence
    • Responsive therapists and several named staff praised for exceptional care
    • Personalized attention and encouragement of resident independence
    • Varied exercise areas and multiple activity options

    Cons

    • Inconsistent and frequently understaffed nursing coverage
    • Long wait times for call lights and assistance
    • Neglect incidents (soiled diapers, prolonged waiting, missed hygiene)
    • Medication errors, late or missed medication administration
    • Poor communication from nursing, administration, and admissions
    • Kitchen service problems (cold food, missing utensils, unanswered calls)
    • Food quality inconsistent—praise for chef events but many complaints
    • Staff turnover and wide variability in staff skill and attitude
    • Safety concerns and allegations of serious nursing negligence
    • Denial or poor handling of memory care admissions; possible misrepresentation
    • Maintenance issues and poor response to room/temperature complaints
    • Billing and admissions process problems and messy billing
    • Weekend and night staffing shortages affecting care
    • Failure to identify/treat acute medical issues promptly
    • Lack of nighttime checks, bed rails, alarms and other safety aids reported
    • Difficult phone/communication access; unreturned calls
    • Management often apologizes but reportedly fails to take corrective action
    • Reported incidents of poor staff attitude, rudeness, and alleged racism

    Summary review

    Overall sentiment across the reviews is highly polarized: many families and residents describe exceptional, compassionate care—especially for short-term rehabilitation and end-of-life needs—while a significant set of other reviews report serious lapses in basic nursing care, responsiveness, and safety. Positive reports repeatedly highlight excellent therapy teams, attentive CNAs and some nurses, clean and modern facilities, and a strong activities program. Negative reports raise red flags about inconsistent staffing, unresponsiveness to call lights, missed medications and clinical orders, hygiene neglect, and even alleged nursing negligence resulting in hospitalization or critical harm.

    Care quality and staffing are the most frequent and consequential themes. On the positive side, physical, occupational, and speech therapists receive constant praise for producing measurable rehabilitation gains; specific staff members and therapy teams are repeatedly singled out as exemplary. Many reviewers note attentive and compassionate aides, helpful nurses, and staff who went “above and beyond” (including supportive end-of-life care allowing families to be present). However, these positive experiences sit alongside many accounts of dangerous gaps: extended periods where residents were left sitting or in bed without assistance, delayed or missed diaper changes, dehydration, urinary tract infections, pneumonia, and claims that medications and physician orders were not followed. Shift-to-shift variability is repeatedly described—some reviewers note particular shifts (e.g., midnight) or floors where staff are excellent, while others report rude or inattentive employees and large staff shortages. Several reviews explicitly call out systemic understaffing and safety concerns (e.g., an LPN assigned to an extremely high patient load).

    Facilities, amenities, and hospitality receive generally strong marks. Many reviewers praise the physical environment: brand-new, spotless, bright, odor-free buildings with modern rooms, private family gathering spaces, salons, multiple dining rooms, outdoor seating areas, and technology such as in-room tablets for family updates. Multiple accounts describe rooms as well-appointed and the community as home-like rather than institutional. The activities department and special events are frequently commended for keeping residents engaged and socially active. Dining feedback is mixed: while there are enthusiastic reports about chef-led meals and themed food days (Tasty Tuesday, Thirsty Thursday) and some say food was “delicious,” a substantial number of reviewers report cold meals, missing utensils, unsatisfactory lunches/dinners, and generally inconsistent food service.

    Communication, management, and administrative processes are another divided area. Many reviews compliment specific front-desk staff, social workers, and admissions coordinators for being responsive and helpful, and several families felt the admission and transition processes were smooth. Conversely, numerous reviewers report unreturned calls from nursing, the Director of Nursing (DON), or the Administrator; messy billing; an unresponsive admissions director; and management that apologizes but fails to remediate problems. Memory care and dementia-specific services are a notable point of contention: some families state the facility denied memory care admissions citing supervision limitations, and others accuse the facility of false advertising about memory care capabilities. These contradictions suggest limits to the facility’s ability or willingness to accept higher-acuity dementia patients and raise the need for careful, specific inquiry at intake.

    Safety and clinical risk emerge repeatedly in the negative accounts. Several reviews describe delayed recognition or treatment of acute medical conditions, unnecessary hospital transfers, and one or more serious incidents alleged to be nursing negligence (including a report of a patient becoming comatose after refusal to send to the ER). Reviewers also mention lack of basic safety equipment (no bed rails or alarms), recommendations of adding cameras for monitoring, and the facility’s failure to provide regular nighttime checks for higher-dependency residents. These reports, along with accounts that staff sometimes do not act unless a family member is present, indicate potential systemic vulnerabilities in clinical oversight and responsiveness.

    Patterns and practical takeaways: The facility appears capable of delivering outstanding therapy-driven rehabilitation and compassionate individualized care when staffing and specific staff members are present and engaged—many reviewers recommend it strongly for short-term rehab stays or for residents who require predictable therapy services. However, for long-term care residents—especially those with dementia or high-dependency needs—reviews suggest significant risk: inconsistent nursing coverage, poor nighttime supervision, and variable adherence to clinical orders. Families considering this facility should ask concrete, specific questions about staffing ratios (day/night/weekend), response time goals for call lights, medication administration protocols, memory care staffing and supervision policies, emergency transfer procedures, and recent quality/inspection reports. It is also prudent to verify how the facility handles billing and admissions follow-up, and to ask about mechanisms for timely communication from nursing and administration.

    In summary, LIVIA Health & Senior Living elicits both deep gratitude and serious concern from reviewers. Strengths are most evident in therapy excellence, modern facilities, engaging activities, and individual staff members who deliver exemplary care. Weaknesses cluster around staffing consistency, responsiveness, safety practices, food service consistency, and administrative communication. The net assessment is mixed: outstanding experiences are common, but so are reports of clinically meaningful failures. Prospective residents and families should weigh the facility’s strong rehabilitation and hospitality attributes against reported safety and staffing variability and perform targeted due diligence before admission—especially for residents with high medical or memory-care needs.

    Location

    Map showing location of LIVIA Health & Senior Living

    About LIVIA Health & Senior Living

    Sycamore Living At East Hanover is a distinctive wellness community devoted to providing a holistic living experience tailored to each resident’s unique needs and preferences. The philosophy at Sycamore centers around creating a home-like environment where residents can truly feel at ease, supported by a professional team dedicated to establishing meaningful relationships not only with residents but also with those closest to them. At Sycamore, every aspect of care is highly personalized, beginning with an individualized plan that thoughtfully considers each person’s clinical requirements as well as their lifestyle choices and aspirations.

    The community offers a comprehensive suite of services designed to support residents at every stage of their health journey. This includes senior living accommodations, assisted living, and specialized memory care, all structured to deliver comfort and dignity. Post-acute care services are available for those requiring short-term rehabilitation, while skilled nursing and long-term care ensure that individuals with ongoing medical needs receive continuous, attentive support. For residents needing additional support, hospice and palliative care are seamlessly integrated into the care spectrum, emphasizing compassion and comfort.

    Sycamore Living At East Hanover stands out for its state-of-the-art amenities and attention to detail in resident living spaces. Private rooms are a defining feature, providing residents with both comfort and privacy. The community is thoughtfully designed with a variety of welcoming communal areas, such as the Main Street Cafe, a gathering place that offers opportunities for socialization and relaxation, as well as elegantly-appointed living rooms and family and dining rooms that create a warm, inviting atmosphere. Entertainment options, including a dedicated movie theatre and a relaxing lobby, further enhance the daily experience for all who live there. The Sycamore Eldercare philosophy permeates the community, ensuring that wellness, happiness, and resident fulfillment are always at the forefront of the Sycamore Living experience.

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