Overall sentiment across the reviews is highly mixed, with a clear split between reviewers who experienced excellent, compassionate, and effective care (particularly in rehabilitation and therapy) and those who reported serious safety, staffing, and management failures. Many families and residents praise the skilled therapy teams (PT/OT), social work, case management, housekeeping, and food service. Several accounts describe the facility as clean, attractive, and welcoming, with staff who treated residents like family and produced strong functional recovery and discharge outcomes. Repeat stays and recommendations from veterans and families underscore that, in many cases, Hempfield Manor delivers high-quality, attentive skilled nursing and rehab care.
Counterbalancing these positive reports are numerous and potentially serious negative themes centered on understaffing and inconsistent clinical oversight. Multiple reviews describe aides who are overworked and often left to work alone, long wait times for call bells (one review noted a 46-minute wait), and examples of vitals either not documented or not acted upon (including a cited low blood pressure of 111/44). More alarmingly, several reviews allege oxygen management failures: oxygen outages, episodes of oxygen deprivation during rehab, family-notified failures to be informed about oxygen incidents, and a health department report that oxygen levels were in the 60s–70s. Those safety-related complaints were compounded by reports of incident documentation being poor or absent, prompting state health department complaints in some cases.
Management and administrative issues appear as a recurring pattern. Reviewers mention a new administrator (named Cindy in one summary) but also report unfulfilled promises, bookkeeping errors, petty charges, and perceived prioritization of profit over resident and staff safety. Staffing structure concerns include single charge nurses covering multiple halls and inadequate nurse presence to support aides. These operational deficits are cited as contributing to poor clinical outcomes in some cases — for example, a serious brain infection with rapid decline and repeated hospital transfers that families attribute, at least in part, to lapses in monitoring and communication. There are also reports of PPE non-compliance, lost personal items (clothing, glasses), COVID-19 positive cases, air conditioning problems, and canceled appointments (haircuts), which together paint a picture of inconsistent reliability in some areas of nonclinical operations.
Behavioral and interpersonal issues among staff are mixed in the reviews. Many accounts praise individual employees by name (e.g., Linda) and describe nurses, aides, therapists, and other disciplines as compassionate, professional, and deeply engaged. Conversely, other reviews detail unprofessional behavior — nurses on phones during shifts, rude receptionists, disrespectful interactions, and neglectful actions such as leaving a tray of food on the floor or a resident sitting in feces overnight. Incontinence care and hygiene are recurring concerns for those who had negative experiences. These variations suggest uneven performance by staff or inconsistencies across shifts and units rather than uniformly poor or excellent culture.
Service scope and suitability are another discernible theme. Several reviewers state that the facility provides excellent skilled nursing and rehab services for post-acute recovery, with the therapy team frequently credited for progress and safe discharges home. Yet other reviewers say Hempfield Manor is not equipped for higher-acuity patients or those with dementia, noting insufficient therapy duration for some patients (reports of only one hour per day), cancellations of planned procedures, and poor outcomes like lack of mobility recovery. This suggests variable appropriateness of the facility depending on the resident’s acuity and specific care needs.
In summary, the reviews reflect a facility capable of delivering excellent, person-centered rehab and skilled nursing care when staffing, communication, and clinical oversight align, but also a facility experiencing significant operational and safety challenges that have led to serious incidents and strong negative experiences for some families. The most actionable, recurrent concerns are understaffing, long call-bell response times, poor documentation/communication (especially around vitals and oxygen), and inconsistent management follow-through. Prospective residents and families should weigh the strong positive reports about therapy and compassionate staff against the documented safety and staffing complaints and may want to ask targeted questions about nurse staffing ratios, oxygen safety protocols, incident reporting, and recent health department findings when evaluating the facility.
