Overall sentiment across reviews for All American Assisted Living at Hillsborough is predominantly positive with recurring praise for the facility’s compassionate staff, cleanliness, and active social programming, but tempered by repeated concerns about staffing consistency, communication, dining variability, and some operational/financial surprises.
Care quality and staffing: Many reviewers highlight caring, proactive, and attentive caregivers and nurses — several people named staff members and described prompt, compassionate responses during falls or health events. Multiple accounts praise the director-level staff and specific individuals (nurses, admissions staff, activities director) for going above and beyond. At the same time a sizable subset of reviews describes staffing shortages, turnover, and uneven performance across shifts (notably evenings/overnight or certain aides). Those staffing issues translate into inconsistent care experiences: while some families report that medical needs were handled well and therapies delivered, others note missed therapies, inadequate assistance for showering or two-person transfers, and in rare cases bruises or post-admission infections. The pattern suggests the facility can provide strong, attentive care but has variability tied to staffing levels and shift coverage.
Management, communication, and administration: Multiple reviewers report a positive trend under new administration or directors — citing improvements in cleanliness, programs, and responsiveness after leadership changes. Conversely, several reviews recount early problems with the previous administration (unprepared at move-in, startup issues), as well as continuing problems in communication: phone calls or messages not always returned, confusing billing or rate-change communications, and lack of written notification for rent or rate increases. There are also reports of unwanted marketing calls and poor handling of opt-out requests, which caused emotional distress for at least one family. Overall, administration appears to be improving in many reviewers’ experience, but families should confirm communication and billing practices up front.
Facilities and accommodations: The building is frequently described as new or recently updated, clean, and pleasant — light-filled common areas, a neat dining room, bistro, library, activity rooms, and well-kept outdoor spaces receive consistent praise. Many residents and families appreciate the secured memory-care unit and the presence of therapy spaces and a movie theater. Room sizes are mixed in feedback: some commenters note spacious, light corner rooms and comfortable private-like apartments, while many others point out compact rooms, small closets, and shared-bedroom arrangements (two residents sharing an apartment) that may affect privacy and value perceptions. Prospective residents should confirm whether private apartments are available and inspect room layouts personally.
Dining and dietary needs: Reviews of food quality are mixed. Several families report improved meals and a pleasant dining atmosphere with many meal options, while others describe limited menus, inadequate portions, problems with special-diet accommodations (e.g., lactose intolerance), or cold meals during particular shifts. A few reviewers preferred off-site breakfast options for their loved ones (e.g., IHOP preference). Dining can be a strength for many residents but appears inconsistent; families with specific dietary needs should directly discuss menu flexibility and accommodations.
Activities, social life, and family engagement: Activity programming is a widely reported strength. Many reviews applaud a busy and creative calendar — arts and crafts, movie/music nights, exercise classes, BBQs, field trips, bingo, religious services, dog visits, and family events that include photos and videos for relatives. The activities director receives strong individual praise for engagement and innovation. Some limitations were noted during quarantine or in memory care when group activities were restricted, but overall the facility is described as lively and family-oriented.
Safety, therapy, and medical support: The facility has emergency pendants and a reputation among many reviewers for strong COVID precautions and infection control. On-site therapy and arrangements with external rehab providers (Fox Rehabilitation mentioned) are available and appreciated. However, reviewers also flagged limited on-site skilled medical staffing for higher-acuity needs; families with residents who require frequent skilled nursing or intensive assistance should evaluate staffing levels and clinical capabilities carefully before committing.
Costs, billing, and value: Numerous reviewers describe the community as affordable and a good value — even Medicaid-ready in some units — and praise all-inclusive pricing options. At the same time, several reviewers reported unpleasant surprises: substantial move-in costs, rent or rate increases without clear or timely written notice, and confusion around reassessments and billing changes. Prospective residents should request written fee schedules, ask about frequency and notice of rate adjustments, and confirm what services are included.
Notable red flags and variability: While many families give high recommendations and five-star assessments, there are recurring cautionary notes: inconsistent care across shifts, occasional uncaring aide behavior reported by a minority, maintenance or delivery lapses (missing furniture or hospital bed rails), and a few serious complaints about understaffing leading to delayed bathroom assistance and infections. These reports are fewer relative to the volume of positive reviews, but they point to variability in the resident experience that prospective families should explore during a tour and by speaking with current residents or families.
Bottom line: All American Assisted Living at Hillsborough is generally seen as a clean, welcoming, activity-rich community with many compassionate staff members and reasonable pricing. It is particularly appealing for families seeking strong social programming, a secure memory-care option, and a modern facility. However, families should verify staffing patterns (especially for higher-acuity needs and overnight coverage), clarify billing and rate-change policies in writing, evaluate room configurations for privacy, and confirm dietary and therapy arrangements. Visiting in person, meeting nursing leadership, and asking specific questions about shift staffing and reassessment procedures will help determine if the facility’s strengths align with a particular resident’s clinical and personal needs.
