Overall sentiment across the reviews is highly mixed but leans strongly negative with numerous, serious concerns. While a minority of reviewers describe compassionate caregivers, effective physical therapy, a kind administrator, functional activities, and proximity to a hospital, a much larger and more severe pattern emerges around cleanliness, safety, staffing, medication and equipment errors, and poor communication. Several reviewers explicitly advise against the facility and describe incidents that suggest systemic problems rather than isolated events.
Care quality and resident safety: The reviews contain multiple accounts of serious clinical and safety failures. Common themes include patients falling repeatedly, falls occurring without adequate fall-precautions (no mats, no push-button call access), delayed responses to calls for help, and residents being left soiled or soaked for long periods. Several reports tie these lapses to hospital readmissions, ER transfers, hematoma formation after falls, and seizure concerns. There are also multiple reports of infections (urinary tract infections) and other complications. Medication management problems are frequent and varied: late or missed doses (including an antibiotic), medication administration confusion (liquid meds left where they could be mistaken for water), and at least one report of controlled-substance mishandling or denial. Critical clinical safety lapses are also described—uncapped IV lines, IV trash left in beds or on the floor, and one alarming report that an oxygen tank malfunctioned, popped and caught fire. Those latter incidents, plus mention of reports to the state, indicate potentially reportable safety violations.
Facility condition and maintenance: Numerous reviewers describe the physical plant as dirty, run-down, and in disrepair. Complaints include filthy rooms and beds, second beds smelling of urine, lack of cleaning or disinfection, presence of pests (cockroaches, gnats), and general infestation. Maintenance problems are repeatedly mentioned: broken beds and footboards, ceiling leaks, torn flooring, and elevators out of service for extended periods (one report of no elevator service for six months, with only a freight elevator functioning). Environmental control problems are also serious — heat outages and rooms reported extremely hot. The combination of hygiene issues and poor maintenance increases infection risk and contributes to overall negative impressions and safety concerns.
Staffing, behavior, and communication: Staffing levels and staff behavior are recurring problems. Many reviews say the facility is understaffed or short-staffed, and associates this with delayed care, missed meals, and poor resident oversight. Staff demeanor is often described as rude, unprofessional, uncaring, or indifferent, while a minority of reviews praise particular employees or say staff are ‘‘doing their best.’’ Specific staff were named positively (Iesha and Kelliyah) and one reviewer called out a kind administrator. Communication problems are frequent: families describe difficulty contacting the facility, missed communications, unresponsiveness regarding hospital transfers, and frustration with management follow-through. There are also claims of theft (snacks) and disciplinary actions requested by families (refunds, firing employees), suggesting trust and accountability issues.
Dining, activities, and daily life: Dining and activity offerings appear inconsistent. Several reviewers complain of cold or poor-quality meals and missed or delayed meal delivery, sometimes leaving residents with long gaps between meals. In contrast, others found the food ‘‘OK’’ and report a variety of activities (bingo, karaoke, checkers). The facility reportedly offers secure entry and certain programs (stepping stones/locked setting) which some families view negatively (restricted freedom), while others appreciate the security measures (ankle monitors for runaways). Weekend medical/therapy access is a noted gap for some reviewers.
Management and outcomes: Management impressions are mixed. Some mention a caring, helpful administrator and measurable resident improvement under therapy. Others report systemic failures, complaints to state authorities, and requests for refunds or personnel changes. Several reviews explicitly state that incidents were reported to state agencies. A few reviewers observed that the facility had improved over time but still ‘‘needs work.’’
Patterns and severity: The recurring, specific failures — falls with inadequate precautions, delayed response to call buttons, missed or incorrect medication administration, uncapped IVs, pest infestations, and at least one reported oxygen-tank fire — are red flags that point to serious lapses in both clinical oversight and basic housekeeping/maintenance. While some positive reports about individual staff and therapy outcomes show pockets of competent care and staff commitment, the volume and severity of negative reports suggest systemic issues in staffing, training, infection control, maintenance, and incident reporting.
Recommendation and next steps for families considering this facility: Given the frequency and seriousness of the negative reports, families should perform careful, specific, and documented due diligence before choosing this facility. Recommended steps include: request the facility’s most recent state inspection reports and any corrective action plans; ask about staffing ratios, recent staff turnover, and clinical leadership coverage (particularly on weekends); tour multiple resident rooms at different times (mealtimes, shift changes) to observe cleanliness and staffing; ask about fall-prevention protocols and response times to call buttons; request written policies on medication administration, IV/oxygen safety, and infection control; and verify whether any incidents were reported to the state and what corrective actions followed. If any of the issues reported here (infestation, uncapped IVs, oxygen safety incidents, repeated falls) are corroborated during inquiry, families should consider alternate placements where clinical safety and cleanliness are verifiably better.
In summary, the reviews show a bifurcated reality: some caregivers and therapy services are praised and produce positive outcomes for certain residents, but numerous and serious complaints about cleanliness, maintenance, medication and equipment safety, understaffing, and poor communication create substantial cause for concern. These concerns are concrete, repeated, and sometimes severe, and they should be investigated and resolved prior to entrusting vulnerable family members to the facility.
