Overall sentiment: The aggregated reviews portray a facility with significant and recurring operational, clinical, and management problems that have materially affected resident safety and family confidence. While a minority of reviewers note positive individual staff members, private rooms, and occasional therapy services, the dominant themes are chronic understaffing, poor leadership, breakdowns in communication, and reports of neglect and unsafe, unsanitary conditions. Many reviewers expressed strong dissatisfaction and warned others against sending loved ones to the facility.
Care quality and clinical issues: Multiple reviews report delayed or omitted medical care with serious consequences. Specific clinical failures include catheter mismanagement, resulting urinary tract infections and fungal infections, delayed releases that resulted in extra emergency-room visits and added costs, and missed or incorrect transportation to medical appointments. Reviewers described open wounds, bedsores, bruises, and untreated injuries. Several accounts state that calls for help went unanswered for hours, medication administration was unreliable, and basic hygiene care (bathing, diaper changes, clothing changes) was often delayed or not performed. These clinical and care-quality breakdowns are linked by reviewers to avoidable infections, ER returns, and escalation to legal considerations.
Staffing, communication, and behavior: A recurring and central complaint is severe understaffing and a high turnover rate. Families say staffing is particularly thin on weekends and between shifts, with alleged manipulation of staffing records to appear compliant. Reviewers frequently note a failure to pass information between shifts, difficulty reaching head nurses or physicians, and poor communication with POAs or HCPs when incidents occur. Beyond communication failures, reviewers described troubling staff behavior: rude comments from nursing staff, harassment or threats from aides, and instances described as neglect or abuse. At the same time, reviews also acknowledge a few compassionate, competent, or “solid” aides who provided attentive care — suggesting inconsistent staff performance rather than uniformly poor behavior.
Facilities, cleanliness, and safety: Many reviewers describe unsanitary conditions — pervasive stench of feces and urine, dirty diapers left in rooms, feces on bathroom floors and toilet seats, and blood on pillowcases. Clothing and personal items were reported missing, mixed up between residents, or returned in different condition; laundry errors and lost blankets were frequently noted. In contrast, a small number of reviewers described the facility as spacious and clean/odor-free, indicating variability or inconsistency in environmental conditions. Several reviews mention multiple moves between floors and instability that contributed to confusion and loss of belongings. Security concerns were raised as well, including reports of security leaving due to nonpayment and alleged supervisor theft or misconduct.
Management, finance, and systemic concerns: Reviewers repeatedly leveled criticisms at management and leadership, accusing them of being profit-driven, unresponsive, and lacking empathy. Allegations include withheld benefits or services tied to payment issues, staff leaving due to nonpayment, and records manipulation to reflect adequate staffing. Some families reported escalating problems after they complained, including worse treatment of residents. There are multiple mentions of consideration of legal action and calls for regulatory intervention or facility shutdown from families. The facility is perceived by many reviewers to be expensive relative to the quality and safety of care provided.
Dining, therapy, and daily life: Food quality was commonly described as poor or “slop,” and some reviewers reported missed meal items (e.g., requested kosher food not delivered). Reports on therapy are mixed: some short-term patients received PT/OT, while other reviews claimed no physical therapy availability since COVID lockdowns. Activities and resident engagement are not widely described, but the combination of staffing shortages and inconsistent care implies limitations on individualized attention and programming. Personal touches such as family-sent birthday cards were appreciated by reviewers, indicating that some aspects of daily life remain normal for residents when staffing allows.
Patterns and final assessment: The dominant and consistent patterns in these summaries are understaffing, poor leadership/management, critical communication breakdowns, and instances of neglect and unsanitary conditions that pose safety risks. While isolated positive reports highlight competent staff and some adequate services, these appear inconsistent and insufficient to offset the widespread concerns reported by multiple families. The reviews collectively recommend caution: many families warned others not to entrust loved ones to this facility, citing repeated, serious failures in basic caregiving, safety, and transparency. If considering this facility, prospective families should investigate current staffing levels, infection-control practices, incident reporting and resolution, laundry and property controls, transportation coordination, and management responsiveness before making placement decisions.
