Horizon Health and Rehab

    811 Keylon St, Manchester, TN, 37355
    3.7 · 6 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Caring staff, poor facility care

    I had a mixed experience. Many staff were amazing, caring and created a true family-like rehab atmosphere - some people clearly love their work. But the building is dated, many LPNs seemed undertrained, meals were inconsistent, and I witnessed delayed medical attention, severe weight loss and a hospital transfer with pneumonia risk; complaints were ignored. Overall I cannot recommend this place.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.67 · 6 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      3.0
    • Meals

      1.5
    • Amenities

      3.7
    • Value

      3.7

    Pros

    • Caring and compassionate staff
    • Family-like atmosphere among staff and residents
    • Strong rehabilitation/therapy services
    • Many staff described as wonderful and supportive
    • Positive workplace culture reported by some employees

    Cons

    • Neglect and poor overall care quality
    • Delayed medical attention and rare RN presence
    • Reports of starvation and significant weight loss
    • Frequent hospital transfers and increased pneumonia risk
    • Complaints ignored by management
    • Undertrained or poorly trained nursing staff (LPNs)
    • Inconsistent and sometimes inadequate meals (about 50% acceptable)
    • Lack of on-site physicians or visible doctors
    • Unsafe facility conditions / dated building
    • Highly variable and polarized experiences across reviewers

    Summary review

    The reviews for Horizon Health and Rehab present a deeply mixed and polarized picture. Several reviews describe very serious quality-of-care failures — neglect, delayed medical attention, reports of starvation and weight loss, transfers to hospital, and elevated risk for pneumonia — indicating potentially systemic clinical and safety problems. At the same time, other reviewers emphasize compassionate, family-like staff, strong rehabilitation services, and a positive work environment for employees. These opposing themes suggest inconsistent experiences that vary greatly by time, unit, shift, or specific staff members.

    Care quality is the most critical and conflicted theme. Negative accounts accuse the facility of neglect and poor care overall, including delays in medical attention and an apparent scarcity of licensed nursing oversight (reviewers noted that an RN was rarely seen and there were “no real doctors” on site). Consequences described include weight loss, starvation, hospital transfers, and increased pneumonia risk. Those issues imply lapses in clinical monitoring, feeding/meal assistance, and timely escalation of medical concerns. Conversely, some reviews praised the rehabilitation outcomes and specifically called out “great rehab” and effective, caring hands-on caregiving. The juxtaposition of strong rehab results and alleged clinical neglect suggests unevenity in care delivery — therapy departments or particular caregiving teams may perform well while other clinical or nursing functions fall short.

    Staff-related comments are another major theme and are themselves split. Many reviewers repeatedly praise the staff as caring, compassionate, and creating a family atmosphere. Multiple comments call staff “amazing,” “wonderful,” and say the place feels like family, and some employees claim it is a great place to work and that they love it. Those statements indicate pockets of committed personnel who positively impact resident experience. However, other reviewers explicitly criticize staff training and competence — describing undertrained LPNs and poorly trained staff — and the apparent lack of visible, accountable clinical leadership (limited RN presence and no regular physicians). This suggests a potential mismatch between staff attitudes/commitment and the level of clinical training or oversight available to them.

    Facility, dining, and environment concerns are also present. The building is described as dated and unsafe by some reviewers, which can affect both perceived quality and actual safety. Dining experiences are inconsistent: one reviewer quantified meal acceptability at roughly 50%, implying that food service quality fluctuates and may contribute to incidents of weight loss or poor nutrition when combined with inadequate feeding assistance. Overall, environmental and dining issues appear to compound clinical and staffing challenges rather than being isolated complaints.

    Management responsiveness and complaint handling emerge as a notable problem. Several reviews state that complaints are ignored, which heightens risk because families and residents may not see corrective action even after raising serious concerns. This lack of responsiveness can contribute to the observed inconsistency in care and may explain why some negative incidents escalate to hospital transfers rather than being managed in-house.

    Taken together, the reviews point to a facility with significant internal variability: strong, compassionate caregivers and effective rehab programs exist alongside troubling reports of clinical neglect, poor training, insufficient nursing oversight, and inconsistent meals and facility conditions. The pattern suggests that experiences may depend heavily on specific staff members, shifts, or units. Families or prospective residents should treat the mixed reviews as a signal to investigate specific operational details before deciding: ask about RN coverage and physician availability, observe mealtimes, inquire about training and turnover, request references from recent families, and verify how complaints are handled. The contrast between very positive staff-related experiences and very serious clinical concerns makes clear that while there are strengths at Horizon Health and Rehab, there are also potentially dangerous weaknesses that warrant careful scrutiny.

    Location

    Map showing location of Horizon Health and Rehab

    About Horizon Health and Rehab

    Horizon Health and Rehab sits in Manchester, Tennessee, serving as a senior living community with many care choices, including independent living, assisted living, memory care, and skilled nursing. The place has a community capacity of about 72 residents, and you'll find a variety of room and apartment styles, all with private bathrooms, air-conditioning, and Wi-Fi. Residents get round-the-clock supervision from trained staff and nurses, who are on 12-16 hour shifts with a 24-hour call system to make sure help's always nearby. The facility focuses on health and rehabilitation, offering skilled nursing care with medical support, wound care, rehabilitation, and specialized memory care for people with dementia or Alzheimer's. Staff help with tasks like bathing, dressing, medication, and transfers, and pay close attention to special diets, like for people with diabetes or allergies. Dining is restaurant-style, with chef-prepared meals that follow dietary restrictions, and there's always a meal room where food's served.

    The community includes a wellness center, a fitness room, walking paths, a garden, an arts room, and outdoor spaces so residents can stay active. There's a beauty salon, a computer center, cable and satellite TV, a theater room for movies, game room, community library, and plenty of scheduled daily activities, including some run by residents themselves. Planned day trips, social activities, and community-sponsored events encourage everyone to stay involved, and there's transportation provided for both doctor visits and outings around town. Housekeeping, laundry, and concierge services keep the living spaces clean and comfortable, and the rooms come fully furnished but can be decorated to your liking for a homey feel. Horizon Health and Rehab also offers respite care for short-term stays, supporting both long-term residents and families who need a break from care duties. Medicaid and Medicare are accepted. The facility is designed to give support, comfort, and a focus on health, making sure each resident gets care that matches their personal needs, whether it's for a short rehab stay or for longer-term living.

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