Overall sentiment across the reviews is mixed to strongly negative. Multiple reviewers praise the therapy teams and describe individual staff members as caring and dedicated; however, these positive notes are frequently outweighed by persistent and serious concerns about cleanliness, safety, communication, and management. While physical and occupational therapy are repeatedly called out as "awesome" and linked to measurable progress for patients, the broader care environment and facility operations appear to be inconsistent and, in many accounts, inadequate.
Care quality is polarized. Several reviewers specifically commend the physical and occupational therapy programs for producing progress, and some individual caregivers receive praise for being compassionate and committed despite limited resources. At the same time, numerous reports describe inattentive or incompetent clinical care: nurses are described as slow to respond, treatment delays are mentioned, and multiple safety lapses are reported (for example, missing bed rails and mattresses on the floor). These safety concerns are elevated for vulnerable populations — reviewers explicitly warn the facility is not suitable for stroke patients and cite heightened fall risk.
Staffing, attitude, and communication are recurring problem areas. Reviews indicate a split experience: administrative staff are sometimes responsive to questions, yet other staff members are described as unfriendly, defensive, or unhelpful when issues arise. Communication failures crop up repeatedly — missing or misplaced belongings (including a cell phone and a sentimental stuffed animal), delayed release of possessions, and unhelpful responses from staff and administration are commonly reported. There are also allegations of coercion and questionable practices around medical paperwork and power-of-attorney issues, with at least one reviewer reporting coerced signatures involving a nurse and another mentioning disputes that affected the release of belongings.
Facility condition and equipment problems are another dominant theme. Multiple reviewers mention a strong smell of urine, rundown rooms, broken furniture, and an overall poor appearance. Equipment and discharge processes appear unreliable: patients were reportedly discharged without needed equipment, provided with old or used items, or had essential items go missing during transitions of care. These material and environmental deficiencies, combined with staffing and communication issues, contribute to a perception of the facility as unsafe or poorly managed.
Serious incidents and legal/ethical concerns are raised in several reviews. Beyond property loss, reviewers mention a resident death and situations they describe as coercive or mishandled regarding medical paperwork and decision-making authority. While these are reviewer reports and not independently verified here, they represent major red flags in relatives' accounts and strongly influence overall negative sentiment.
Notably absent from the review summaries are detailed comments about dining, recreational activities, or a robust social program; thus, no conclusions can be drawn about those aspects. A consistent secondary theme is limited resources — reviewers acknowledge that some staff try hard despite constraints, suggesting that systemic resourcing and management issues may underlie many of the observed failures.
In summary, if you are evaluating Roanoke Landing Nursing and Rehabilitation Center, the reviews suggest that therapy teams (PT/OT) and some individual caregivers can deliver good outcomes, but the facility exhibits significant, repeated problems with cleanliness, safety, communication, belongings handling, equipment, and administrative conduct. These deficiencies pose real risks for residents — especially those with high-acuity needs such as stroke patients — and several reviewers explicitly advise against placing loved ones there. Prospective families should weigh the facility's effective therapy services against these substantial operational and safety concerns, ask targeted questions about staffing levels, fall prevention measures, property handling procedures, incident reporting, and legal/POA safeguards, and consider an in-person tour focused on cleanliness, equipment condition, and staff responsiveness before making placement decisions.
