The Reserve at Mills Farm

    1000 Mills Chase Loop, Apex, NC 27523
    • Independent Living
    • Assisted Living
    • Memory Care

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    Reviews

    4.43·(158)

    Overall rating

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

      3.4
    • Staff

      4.0
    • Meals

      3.4
    • Amenities

      4.5
    • Value

      2.4

    Pros

    • New, well-maintained resort-style campus
    • Three-level age-in-place model (independent, assisted, memory care)
    • Memory-care villas with single rooms and small household layouts
    • Spacious, well-appointed apartments with in-unit washer/dryer
    • Smart-apartment features (voice-activated lighting, Alexa)
    • On-site pharmacy and medication services
    • On-site salon and beauty services
    • In-house movie theater and varied indoor amenities
    • Multiple dining venues including private/restaurant-style dining
    • Robust life-enrichment and activity programming
    • 24-hour security and visible safety features (pull cords, daily checks)
    • Shuttle/transportation services and proximity to shopping and parks
    • Attractive landscaping, patios, and courtyard/garden spaces
    • Household-style dining and communal common areas
    • Comprehensive move-in and concierge support

    Cons

    • High staff turnover and reliance on temporary staff
    • Inconsistent memory-care staffing competency and training
    • Medication-management and administration process gaps
    • Variable dining quality and meal-service continuity
    • Inconsistent housekeeping and laundry service delivery
    • Gaps in family communication and management responsiveness
    • Operational disruptions from construction, alarms, and executive turnover
    • Perceived value concerns relative to high monthly fees
    • Inconsistent activity engagement and enrichment across care levels
    • Fall-prevention and transfer-safety practice weaknesses

    Summary of reviews

    The Reserve at Mills Farm presents as a new, upscale senior-living community with a broad set of amenities and an age-in-place model that integrates independent living, assisted living, and memory care on a single campus. Reviewers consistently note attractive, well-maintained grounds, modern and spacious apartment layouts (including smart-home features and in-unit washers/dryers), and a resort-like interior with multiple dining options, an on-site pharmacy, salon, movie theater, and coordinated transportation. The memory-care design emphasizes small household villas and single rooms with shared common areas, and the community’s location near parks and shopping is repeatedly mentioned as a convenience.

    Care and staff impressions are mixed. Many families and residents describe compassionate, attentive caregivers, proactive front-desk and concierge staff, and dedicated activity coordinators; several reviewers named individual staff members positively. At the same time, a recurring pattern of high staff turnover and temporary staffing was identified. This instability has been linked by reviewers to variability in staff competency—particularly in memory care—and to operational gaps such as inconsistent bathing and hygiene schedules, uneven housekeeping and laundry service, and uneven activity delivery across units.

    Clinical and safety concerns appear as operational patterns rather than isolated descriptions: reviewers raised issues around medication administration processes, fall-prevention practices, and timeliness of clinical response. Some families expressed difficulty obtaining consistent communication from management and sought clearer documentation of care plans and medication protocols. Given the presence of on-site clinical supports (pharmacy, in-house urgent care providers), these process gaps are a notable area for clarification during a tour or intake discussion.

    Dining and activities are strengths for many residents but show variability in execution. Numerous comments praise the culinary team, diverse menus, and robust activity calendar (creative projects, exercise classes, outings), while other reviewers described inconsistent meal temperature/quality, meal allotment or pricing concerns, and differences in dining experience between independent and assisted-living levels. Activity programming is generally active and varied, but its frequency and resident engagement can differ by unit and staffing availability.

    Management and operational leadership receive both praise and criticism. Several families cited responsive team members and positive move-in experiences, while others pointed to executive turnover, delayed follow-up on requests, and occasional operational disruptions such as construction noise and alarm issues. Cost structure and perceived value are recurring themes; the community’s pricing is described as high by some reviewers, and families commonly advise clarifying fees, buy-in options, meal allowances, and what is included in monthly payments.

    Overall, the Reserve at Mills Farm may be a good fit for prospective residents seeking a modern, amenity-rich environment with a continuum of care and a resort-like atmosphere. Prospective residents and families should prioritize an in-person tour of the specific care neighborhood they are considering, ask for written staffing ratios and training standards (particularly for memory care), review medication-management and fall-prevention protocols, confirm housekeeping and laundry schedules, and obtain clear pricing and meal-service details in writing to assess whether the community’s operational practices match its physical strengths.

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    Location

    The Reserve at Mills Farm is located at 1000 Mills Chase Loop, Apex, NC, 27523.

    About The Reserve at Mills Farm

    The Reserve at Mills Farm is a senior living community that offers independent living, assisted living, and memory care, all under one roof, which makes things convenient for folks who need different levels of care as time goes on. The community belongs to Navion Senior Living, a group with decades of experience in North Carolina, and the staff have been described as helpful and friendly, which is good to know. They've got quite a mix of apartments-studio, one-bedroom, two-bedroom, some with full kitchens, walk-in showers, stainless steel appliances, designer finishes like granite countertops, and even private patios or balconies, so there's a range of options if you want your own space. They take pets, cats and dogs, and there are outdoor areas, including bocce courts, a putting green, a back courtyard, and places to sit or socialize. There's also a workout gym, a state-of-the-art rehabilitation and fitness center, a spa, beauty salon, arts and crafts room, theatre, game room with billiards, TV and movie room, library, sunroom, lounge, and specific areas like a gourmet café bistro and a private dining room for special gatherings, so boredom isn't likely an issue.

    Meals get served restaurant-style in an elegant dining room, with dinner included in the main fee but breakfast and lunch in a smaller, separate area, and the food is made by professional chefs with seasonal menus planned by dietitians who can do gluten-free or low-sodium meals if needed. Folks often sit with the same three people for meals because there's assigned seating and set dining times, and people have said the dining room can get chilly and sometimes the food isn't piping hot, so that's something to keep in mind, but the staff do try to cover guest meals and room service as options. There are 98 independent living apartments, 30 assisted living residences, and 24 memory care residences, so it's got space for a good number of people, with a wireless emergency response system in each apartment and things like incontinence care, medication management, diabetic care, and ambulatory care available 24 hours a day.

    Activities are a big part of life here, with a full-time social director planning daily wellness programs, stretching classes, art classes, card clubs, outings to restaurants, live music, wine tastings, cooking classes, educational speakers, devotional activities and religious services (including Catholic services on-site and off-site), and even happy hours. There's a focus on residents staying connected, active, and engaged, whether that's through their special "Pathways to Discovery" program for memory care or day trips for independent and assisted living folks. Staff works closely with residents and their families to make personal care plans that can change if needs change. Residents get weekly housekeeping, laundry, in-house maintenance, and most utilities-like electricity, water, and Wi-Fi-are included, so there aren't a lot of extra charges. The Reserve at Mills Farm does things in its own way, sometimes trying out new ideas and technology to help residents live well, but mostly it offers a steady, friendly place with plenty to do and help available if you need it, in a setting that tries to feel home-like and welcoming.

    People often ask...

    The Reserve at Mills Farm offers independent living, assisted living, and memory care.

    There are 71 photos of The Reserve at Mills Farm on Mirador.

    Yes, The Reserve at Mills Farm allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 1000 Mills Chase Loop, Apex, NC 27523.

    No, The Reserve at Mills Farm does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.

    License number170423
    Facility typeFamily Care Home
    Capacity6 residents
    View the official license record

    Inspection Reports

    29

    Reports

    4

    Type A Citations

    19

    Type B Citations

    2

    Complaints

    5

    Years

    23 Apr 2024Construction
    Found that building equipment was not maintained in a safe and operating condition because the fire alarm panel showed a TEL COM alert.
    • 10A NCAC 13G .0317Building Service Equipment
    23 Apr 2024Construction
    Found a sprinkler escutcheon plate dropped from the fire-resistance ceiling, exposing an opening that could allow smoke and heat to spread. This condition was identified as not compliant with building safety equipment requirements.
    • 10A NCAC 13G .0317BUILDING SERVICE EQUIPMENT
    23 Apr 2024Construction
    Identified a fire safety equipment deficiency when a sprinkler escutcheon plate dropped from the fire-rated ceiling, exposing an opening. Not maintained in a safe and operating condition.
    • 10A NCAC 13G .0317 BUILDING SERVICE EQUIPMENTBUILDING SERVICE EQUIPMENT
    23 Apr 2024Construction
    Identified safety deficiencies involving fire safety equipment, the fire alarm system, oxygen storage, and a courtyard gate. These issues required corrective actions.
    • 10A NCAC 13G .0317BUILDING SERVICE EQUIPMENT
    • 10A NCAC 13G .0317BUILDING SERVICE EQUIPMENT
    • 10A NCAC 13G .0317BUILDING SERVICE EQUIPMENT
    • 10A NCAC 13G .0317BUILDING SERVICE EQUIPMENT
    23 Apr 2024Construction
    Found multiple safety and egress deficiencies, including fire protection components, alarm system fault, oxygen storage, and gate operation.
    • 10A NCAC 13G .0317BUILDING SERVICE EQUIPMENT
    23 Apr 2024Construction
    Found a deficiency in building equipment safety due to a TEL COM alert on the fire alarm control panel.
    • 10A NCAC 13G .0317 BUILDING SERVICE EQUIPMENTBUILDING SERVICE EQUIPMENT
    23 Apr 2024Construction
    Found no deficiencies. The survey indicated compliance with applicable rules.
    20 Jul 2023Construction
    Found a large hole in a fire-rated ceiling near the kitchen hood, indicating unsafe fire safety conditions.
    • 10A NCAC 13F .0311Other Requirements (Physical Plant)
    11 May 2023Follow-Up
    Investigated and identified multiple deficiencies in care, including LHPS competency validation, wound care management, timely assessments after significant changes, and incident reporting. Found violations of several regulatory requirements.
    • 10A NCAC 13F .0504(a & b)Competency Evaluation and Validation For LHPS Tasks
    • 10A NCAC 13F .0801(c)(1)Resident Assessment
    • Type B10A NCAC 13F .0902(c)(3-4)Health Care
    • Type A10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1212(a)Reporting of Accidents and Incidents
    11 May 2023Follow-Up
    Investigated issues showed inadequate wound care practices and missing LHPS competency validation for staff. Found failures to ensure proper dressing changes and required training for LHPS tasks.
    • —LHPS competency validation; wound care tasks
    27 Mar 2023Follow-Up
    Investigated an allegation of improper narcotic administration and documentation; found deficiencies in medication administration and record-keeping.
    • C 330Medication administration documentation (C 330)
    03 Feb 2023Complaint
    Investigation documented safety and care concerns, including frequent falls and inadequate supervision and follow-up, with multiple pages detailing ongoing issues and required actions.
    • 10A NCAC 13F .0901(b)Personal Care and Supervision
    03 Feb 2023Complaint
    Investigated findings showed multiple deficiencies across resident care, including unsafe hot water temperatures, inadequate supervision for falls, failures to notify physicians, missing health professional assessments, lapses in infection control, and medication administration problems.
    • 10A NCAC 13F .0311(d)Other Requirements
    • Type A10A NCAC 13F .0901(b)Personal Care and Supervision
    • Type B10A NCAC 13F .0902(b)Health Care
    • Type B10A NCAC 13F .0903(c)Licensed Health Professional Support
    • Type B10A NCAC 13F .0909Resident Rights
    • Type A10A NCAC 13F .1004(a)Medication Administration
    • Type A10A NCAC 13F .1009(a)(1)Pharmaceutical Care
    • Type B10A NCAC 13F .1212Reporting of Accidents and Incidents
    • Type B10A NCAC 13F .1801(b)Infection Prevention & Control Policies & Procedures
    24 Jan 2023Follow-Up
    Identified issues with diabetes care and medication ordering, including unclear insulin orders and related documentation gaps.
    • 10A NCAC 13G .0902(b)Health Care
    24 Jan 2023Follow-Up
    Investigated diabetes care and medication practices; documented failures to notify physicians for low finger-stick blood sugars, verify and clarify orders, and administer insulin per the prescribed parameters.
    • 10A NCAC 13G .0902(b)Health Care
    • 10A NCAC 13G .1002Medication Orders
    • Type B10A NCAC 13G .1004Medication Administration
    17 Nov 2022Inspection
    Investigated a medication administration deficiency involving insulin; found issues with insulin orders, monitoring, and documentation, including inconsistent entries and improper administration.
    • —Medication administration – insulin treatment and monitoring
    17 Nov 2022Inspection
    Found a deficiency in insulin administration where scheduled insulin orders were not followed and related documentation was inconsistent, risking resident safety.
    • Type B10A NCAC 13G .1004(a)Medication Administration
    23 Sept 2022Inspection
    Identified deficiencies in communication with the primary care provider and lack of documentation for a resident's blood pressure monitoring.
    • —
    23 Sept 2022Inspection
    Found that the PCP was not notified of blood pressure readings outside the parameter for a resident, and no documentation showed notification in the record.
    • 10A NCAC 13G .0902(c)(3)(4)Health Care
    22 Sept 2022Inspection
    Investigated deficiencies in documenting resident vitals and blood pressure checks; found missing entries for BP measurements and unclear responsibility for entering orders in the electronic system.
    • 10A NCAC 13G .0902(c)(3)(4) Health CareHealth Care
    22 Sept 2022Inspection
    Identified failure to implement physician orders for weekly blood pressure checks for one of three sampled residents.
    • 10A NCAC 13G .0902(c)(3)(4)Health Care - Documentation of physician orders and implementation
    28 Jan 2021Initial
    Found multiple deficiencies in resident care and safety, including inadequate fall investigations, gaps in care planning, and failure to provide prescribed nutrition. These issues involved supervision, health care, and dietary services.
    • 10A NCAC 13G .0901(b)Personal Care and Supervision
    • 10A NCAC 13G .0901(b); 10A NCAC 13G .0902(b)Care and Supervision; Health Care
    • 10A NCAC 13G .0904(e)(4) Nutrition and Food ServiceNutrition and Food Service
    28 Jan 2021Initial
    Found deficiencies in supervising a resident with falls, with gaps in fall management follow-up and in providing a prescribed nutritional supplement. The issues affected care continuity and safety.
    • 10A NCAC 13G .0901(b)Personal Care and Supervision
    • 10A NCAC 13G .0902(b)Health Care - Referral and Follow-up
    • 10A NCAC 13G .0904(e)(4)Nutrition and Food Service
    27 Jan 2021Initial
    Identified multiple deficiencies in care, including failure to implement orders for TED hose and OT, incomplete tuberculosis screening documentation, medication administration errors, and concerns about residents' rights.
    • 10A NCAC 13G .0405(a)(b)Test For Tuberculosis
    • Type B10A NCAC 13G .0902(c)(3)(4)Health Care
    • 10A NCAC 13G .1004(a)Medication Administration
    • G.S. 131D-21(2)Declaration of Residents' Rights
    27 Jan 2021Initial
    Identified deficiencies related to documentation of TB skin testing and medication administration, with additional concerns noted regarding resident rights oversight.
    • Type B10A NCAC 13G .0902Health Care
    • Type B10A NCAC 13G .1004(a)Medication Administration
    27 Jan 2021Initial
    Investigated an allegation of inadequate supervision and medication handling; found deficiencies in staff supervision, medication administration, and MAR documentation related to a resident with dementia.
    • Type B10A NCAC 13G .0601(d)Management and Other Staff
    • Type B10A NCAC 13G .1004(d)Medication Administration
    • Type BG.S. 131D-21(2)Declaration of Residents' Rights
    27 Jan 2021Initial
    Investigated and identified multiple deficiencies involving supervision, medication administration, and resident rights, showing gaps in staffing, documentation, and care delivery.
    • Type B10A NCAC 13G .0601(d)Management and Other Staff
    • Type B10A NCAC 13G .1004(a)Medication Administration
    • Type B10A NCAC 13G .1004(j)Medication Administration
    • Type BG.S. 131D-21(2)Declaration of Residents' Rights
    14 Jan 2021Initial
    Investigated a resident safety issue involving fall risk and supervision; the evaluation identified deficiencies in risk assessment and monitoring practices.
    • —Falls risk assessment and supervision deficiencies
    04 Jan 2021Initial
    Investigated found that supervision for a high-fall-risk resident was inadequate, leading to multiple unwitnessed falls and a related rights/care deficiency.
    • Type B10A NCAC 13G .0901(b)Personal Care And Supervision
    • G.S. 131D-21(2)Declaration of Residents' Rights

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    Mirador Living is not affiliated with the owner or operator(s) of The Reserve at Mills Farm. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Reserve at Mills Farm directly. There is no cost for this service. We are compensated by the community you select.

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