Overall impression: The reviews for Presidential Post Acute are highly polarized, with many families and residents describing either notably positive experiences—especially in therapy/rehab and compassionate bedside care—or deeply concerning problems involving safety, staffing, and administration. Positive reviews consistently praise the facility's rehabilitation outcomes, compassionate individual caregivers, active social programming, and the physical appearance of the building (recent remodels, scenic views, private-suite options). Negative reviews repeatedly raise alarms about understaffing, rude or apathetic employees, serious safety incidents, medication and documentation errors, and poor communication from management.
Care quality and safety: A major theme is inconsistency in the quality of clinical care. Several reviewers report exceptional, timely, and effective rehab and nursing care that resulted in successful recoveries. Conversely, a substantial number of accounts describe dangerous lapses: a patient dropped during a shower without an incident report; delays or lack of response to call buttons; neglect during a code blue; alleged withholding or double-dosing of medications; and an unresponsive nurse in an emergency who reportedly said, "If you want her to go, then you call." There are even reports associating these lapses with severe outcomes, including patient death. These safety-related complaints suggest systemic problems in staffing levels, training, supervision, and incident documentation that warrant attention.
Staffing, professionalism, and variability: Staffing levels and staff demeanor are highly inconsistent from one review to another. Multiple reviewers cite chronic understaffing and not enough aides, which contributes to delayed care, missed checks, and overworked staff. Many families praise individual caregivers as compassionate and willing to "go above and beyond," while others describe staff as rude, apathetic, or unprofessional (including yelling, harassment, and threats of legal action). This mix indicates variability between shifts, departments, or time periods—some teams perform very well, while others fall short. The disparity is especially apparent in accounts about the rehab department: some describe it as "amazing" and instrumental to recovery, while others call rehab staff "arrogant" and ineffective.
Administration, communication, and billing: Several reviews describe poor communication and unresponsiveness from administrative staff—unanswered phone lines, an allegedly rude front desk, and social services that are difficult to reach. There are also serious administrative complaints including lost personal belongings and laundry mismanagement, billing disputes where residents were billed despite partial payments, and reports of harassment or legal threats related to financial issues. Some reviewers allege misleading advertising or restricted family visitation that does not match expectations given prior information. These administrative failures amplify family frustration, especially when coupled with clinical concerns.
Facilities, dining, and activities: The facility's physical environment is frequently praised: recently remodeled spaces, scenic views, and private-suite options with TVs and WiFi are positive points. At the same time, rooms are described as small or cramped by multiple reviewers. Dining receives mixed feedback—some reviewers love the food and choice menus, while others report cold, burnt, or undercooked meals and that menu selections were not honored. Social programming and activities receive strong, generally positive mentions: daily activities, frequent bingo, movies, crafts, cooking classes, and off-site outings (picnics, trips) contribute to a lively atmosphere for many residents.
Notable patterns and red flags: The most worrying recurring items are understaffing and reports of critical safety failures (falls/drops, delayed emergency responses, medication issues). Repeated reports of lost property and poor laundry handling suggest deficiencies in operations and resident dignity protections. The polarized nature of reviews—some glowing, some alarmed—points to inconsistent standards across personnel or time periods; a family may encounter excellent care from some teams and severe neglect from others. Mention of CMS 5-star status and successful rehab stories demonstrates real strengths, but the frequency and severity of negative safety and administrative reports are substantial enough to merit caution and further inquiry.
Recommendations for prospective families and management: Prospective families should conduct in-person visits (including unannounced or off-shift visits if possible), ask specific questions about nurse-to-resident ratios, emergency response protocols, incident reporting procedures, medication administration safeguards, and how lost property is handled. Request recent staffing schedules and ask to speak with the therapy leadership and nursing supervisor. Management should investigate the recurring safety and communication complaints, audit incident reporting and medication administration records, address staffing shortages, improve laundry/property tracking, and work to standardize staff training and professional behavior across shifts. Transparent communication and visible corrective actions would help reconcile the mixed perceptions and protect resident safety and family trust.
Bottom line: Presidential Post Acute appears to offer strong rehabilitation services, compassionate caregivers in many cases, attractive facilities and active programming. However, persistent and serious concerns—chiefly understaffing, inconsistent staff professionalism, emergency response failures, medication and property handling issues, and administrative unresponsiveness—create a mixed overall picture. These issues are significant and actionable; families should weigh the facility's reported strengths against the documented risks and ask targeted questions and seek recent, specific performance and safety information before making placement decisions.
