Overall sentiment across the review summaries is mixed, with a clear pattern: the facility is broadly appreciated for its physical environment, rehabilitation services, and many caring individual staff members, but it suffers from systemic operational and staffing problems that negatively affect basic nursing care, safety, and suitability for residents with dementia.
Positive themes are consistent and strong in certain areas. Multiple reviewers describe Holston Health And Rehabilitation Center as clean, well-maintained, and attractive — noting front-porch seating, courtyard spaces, artwork, and comfortable common areas like a library and activity rooms. Short-term rehabilitation and therapy services receive repeated praise: physical therapy and occupational therapy teams are called excellent, knowledgeable, and effective, with reviewers reporting rapid mobility recovery and successful outcomes. Admissions and administrative interactions are often described as professional and helpful, with specific staff members named positively. Several accounts highlight efficient online reservation and sign-in procedures, secure visitor processes, and staff who go out of their way to enable visitation and provide personalized attention. For families seeking a short rehabilitation stay, or residents with full mental capacity who need therapy-focused care, many reviewers would recommend this facility and even select it again.
However, substantial negative themes emerge around staffing, basic nursing care, and safety. Understaffing is the most frequent and consequential complaint: CNAs are reported as overloaded (one report cites 15–16 patients per CNA), nurses are stretched thin, and weekend/night coverage is inadequate. These staffing shortages are linked to slow responses to call lights, delays in toileting assistance, meals being left in rooms until the next meal, and even lengthy delays in medication delivery (one review cites a three-hour delay in prescribed pain medication). Several reviewers explicitly describe neglectful situations — patients left in waste, slow emergency responses, and reports of poor skin care culminating in bed sores — which raise safety concerns. The inconsistency is notable: while some staff and shifts are praised as caring and attentive, other shifts or days appear to provide minimal nursing care.
Dementia care stands out as a specific area of concern. Multiple reviewers state that staff are undertrained for Alzheimer’s/dementia residents, have difficulty redirecting residents, and in some instances use sedating medications to calm patients rather than behavioral redirection techniques. These accounts suggest the facility is not ideal for residents with significant cognitive impairment; several reviews explicitly recommend the facility only for residents with full mental capabilities. This contrasts with the strong rehabilitation focus and underscores a pattern of department-specific strengths (therapy) and weaknesses (long-term complex nursing and dementia care).
Dining and housekeeping show mixed responses. While the facility itself is often described as clean and presentable, food quality draws repeated criticism: reviewers mention awful food, poor presentation of pureed meals with limited variety, and unappetizing trays. There are also reports of meals left uneaten in rooms and smell issues associated with poorly managed food. Laundry and personal belongings security is another problem area, with reports of clothes being stolen. Administrative and supervisory staff receive both praise and criticism: some reviewers find administrators and supervisors professional and helpful, while others describe management as professional but not loving, or report confusing sign-in and appointment processes that waste time.
In summary, Holston Health And Rehabilitation Center appears to offer a high-quality environment and notably strong rehabilitation/therapy services delivered by caring and skilled therapists. Many families and patients have positive, even exceptional, short-term rehab experiences. However, recurring and serious concerns about understaffing, inconsistent nursing care, slow emergency/response times, inadequate dementia training, dining quality, and occasional incidents of neglect or bedsores point to systemic issues that affect long-term and high-dependency residents most acutely. Potential residents who need intensive nursing care, consistent 24/7 attention, or specialized dementia services should be cautious and seek detailed, current information about staffing levels and dementia-care protocols before choosing this facility. For those primarily seeking short-term rehab and therapy with a pleasant environment and supportive therapists, reviewers generally report very favorable outcomes.
