Overall sentiment across these reviews is highly mixed but skews strongly negative, with repeated and serious complaints about cleanliness, safety, and management. A substantial portion of reviewers describe unsanitary conditions (urine, feces and cigarette odors throughout, garbage in the parking lot, stained bathroom floors, mold, grime, holes in walls and broken drywall) and an outdated, poorly maintained building that appears to lack the renovations and upkeep advertised in marketing photos. These environmental problems are frequently tied to concerns about resident safety and basic hygiene.
Care quality reports are inconsistent. Many reviewers praise individual caregivers—particularly aides—who are described as kind, attentive and caring. Several people single out pleasant physical therapy staff, a helpful social worker, an engaged activity director, and examples of clean, well-appointed rooms with freshly made beds and occasional grooming services. Conversely, other reviewers report serious neglect: residents not bathed regularly, soiled or urine-filled diapers left unchanged, dirty linens, missed medications, and inadequate assistance. There are multiple accounts of belongings going missing (clothes, socks, eyeglasses) and staff members appearing disengaged or distracted while providing care.
Safety and clinical concerns are among the most alarming themes. Reviews reference significant medical incidents including sepsis, pressure sores, ICU admissions, hospital transfers and at least one death that families connect to facility care. There are reports of abusive or improper restraint practices, including a state citation related to abusing a resident with bed sheets and accounts of residents being tied. Reviewers also describe medication administration problems and management failures that led to medical transfers. Numerous comments about residents wandering unsupervised, shouting, or being otherwise uncontrolled point to serious staffing and supervision deficiencies.
Staffing, professionalism, and management are cited as major problem areas. Short staffing and apparent understaffing are repeatedly called out; reviewers describe times when no staff are visible while residents wander or call for help. Some nurses and administrative staff are characterized as rude, dismissive, or abrupt; others describe positive interactions with specific staff or leadership. Several reviews indicate high turnover or that previously competent staff left, followed by a decline in care quality. Management and corporate responsiveness are often described as inadequate or unresponsive—families say complaints were only acknowledged after pushing, emails bounced, or no meaningful corrective action was taken. At least one reviewer notes leadership improvements and a new director of nursing making progress, suggesting situational variability or recent changes.
Activities and quality-of-life programming are a relative bright spot in the reviews. Multiple families note good weekly activities, outings (to the lake and restaurants), an active activity director, and moments when residents seemed engaged and well-cared-for. Some reviews also mention good COVID safety measures and proactive communication with families during the pandemic. These positives, however, coexist with the facility condition and safety concerns and do not negate the more serious pattern of neglect reported by many.
A consistent pattern is variability: some reviewers report a clean, supportive, home-like environment with professional staff, while many others report severe deficits in hygiene, safety, and communication. That variability may reflect differences in time (improvement or decline over time), differences between units or rooms, or inconsistent staffing and management. Given the frequency and severity of allegations—especially those involving medical harm, abuse citations, unsanitary conditions, and missing personal items—prospective residents and families should exercise caution.
Recommendations for anyone considering this facility: conduct a thorough, unannounced in-person visit at different times of day (to observe staffing and resident supervision), ask directly about state inspection reports and any citations, review recent hospital transfer and clinical incident records, inquire about current staffing levels and turnover rates, verify infection control and housekeeping protocols, and confirm how the facility handles missing personal items and family complaints. Also request to see recent renovation plans or proof that advertised photos reflect current reality. The reviews indicate there are caring staff and positive programs present at times, but the repeated reports of neglect, unsafe practices, and management unresponsiveness are serious and should be thoroughly investigated before placement.
