Overall sentiment across reviews is highly mixed but leans toward overall dissatisfaction driven by systemic problems. A recurring pattern is that clinical and therapy services (especially physical and occupational therapy) can be strong and even exemplary in many cases, with multiple reviews praising therapists, successful rehab outcomes, and staff who helped residents regain function. At the same time, numerous reviews highlight persistent, serious issues with direct nursing care, facility maintenance, cleanliness, and administration. This polarizing pattern often results in families having sharply different experiences depending on timing and which staff members were on shift.
Care quality and staffing are major dividing themes. Many reviewers singled out individual aides, CNAs, and nurses as compassionate, attentive, and protective of residents — these staff sometimes delivered exceptional, family-like care. However, an equally large group of reviews report understaffing, long response times to call bells, missed medication doses, medication errors, delayed pain control, and neglect (residents left in soiled diapers, not bathed, not turned). Several reports describe failures to follow medical orders, lack of mobility assistance, missing assistive devices, and even unsafe handling during transfers. These staff/shift inconsistencies contribute to significant safety concerns, including falls, pressure ulcers, infections, and in some cases hospitalization or death.
Therapy services are the most consistently positive element in the reviews. Multiple accounts praise PT and OT staff as knowledgeable, effective, and instrumental in helping residents recover mobility and return home sooner than expected. These accounts describe dedicated therapists and strong rehab programs. Conversely, some reviews state rehab was ineffective or hindered by lack of equipment (no walkers) or by staff shortages, highlighting that therapy quality can also vary by time and circumstance.
Facility condition and cleanliness are frequent and loud complaints. Many reviews describe peeling paint, holes in walls, moldy or unusable showers, cobwebs, flies, foul urine smells, dirty towels, and cluttered or poorly maintained rooms and bathrooms. There are repeated descriptions that kennel or dog-kennel conditions were cleaner than resident rooms — a striking image that indicates serious environmental lapses. Electrical issues, unsafe construction, and at least one report of an electrical fire or hazard were raised, amplifying concerns about the physical safety of the building. Even where some reviewers reported a clean building and no smell, a large and consistent subset describe the environment as run-down and unsanitary.
Dining and nutrition are also commonly criticized. Reviewers report cold meals, unappetizing items (cold sausage patties, hard-boiled eggs), lack of condiments or basic supplies (ketchup ran out), and insufficient portions or poor nutritional value. Several family members blamed dietary failures for weight loss and health decline. A few reviewers did note dietary coordination and blood sugar monitoring as positive, but overall food quality and meal service timing show up as an important area of complaint.
Safety and medical management concerns recur: delayed or incorrect medications, missed doses that elevated seizure risk, oxygen therapy problems, inadequate pain control, and poor infection/quarantine management. There are multiple accounts of bedsores developing or worsening during stays, suggesting lapses in repositioning and skin care. Some reviews recount serious outcomes including severe infection and death after perceived substandard care. These are among the most serious and alarming themes and are often tied to understaffing and poor adherence to orders.
Administration, communication, and family engagement are inconsistent. Positive notes include helpful social work, a compassionate admissions director, and a responsive business office in several reviews. Conversely, there are many accounts of poor communication: families not informed of clinical decline, discharges not adequately explained (including medications), long or chaotic admissions, and social workers who were rude or dismissive. Management is described as slow to solve complaints, and several reviewers felt problems were ignored until escalation. Some reviews mentioned union rules or management decisions that restricted care delivery, contributing to frustration.
Patterns of inconsistent shift-to-shift quality are notable. Multiple reviewers emphasize that care depends heavily on which shift or specific staff members are on duty. This creates unpredictability: the same facility is described by some as "the best rehab around" and by others as "terrible" or "disgusting." These disparities suggest systemic staffing, training, and supervisory problems rather than isolated individual issues. Several reviewers proposed solutions such as better orientation for families, client mentors or advocates, improved shift continuity, and stronger oversight to reduce variation in care.
In summary, this facility appears to offer strong rehab/therapy capability with a subset of very caring staff, social workers, and administrators who can provide excellent experiences. However, there are pervasive and repeated concerns about environmental cleanliness and maintenance, understaffing, medication and pain-management errors, neglectful nursing practices, poor communication, and administrative slowness. These issues have, according to reviewers, led to serious safety events, pressure injuries, infections, and even deaths in some cases. Prospective families should weigh the positive reports about therapy and certain compassionate staff members against the frequency and severity of the negative reports. If considering admission, ask for specifics about current staffing levels, medication administration protocols, supervision and infection control measures, cleaning/maintenance schedules, shift continuity, and direct references to recent family complaints and how they were resolved. Observing the facility in person during multiple shifts and securing written plans for supervision, fall prevention, wound care, and communication expectations would be prudent steps given the variability described.
