The reviews for Signature HealthCARE of Primacy show a pronounced polarization in experiences: while a substantial portion of reviewers praise the rehabilitation services and individual staff members, a large and vocal group reports serious safety, hygiene, staffing, and management failures. This creates an overall pattern of highly inconsistent care where outcomes and experiences depend heavily on which team, shift, or individual providers are involved.
Care quality and safety are the most common themes. Many reviewers highlight an outstanding physical and occupational therapy program that produces strong short-term rehab outcomes—patients walking again, regaining ADLs, and returning home. Numerous therapy staff and departments receive effusive praise, often identified by name, and are credited with making measurable improvements. At the same time, a large number of reviews describe neglectful nursing care: long delays answering call bells or non-working emergency call buttons, residents left in soiled diapers or feces for hours, lack of bathing, failure to change linens, unmonitored food intake, bedsores and open wounds, and missed or undocumented medications. These are not isolated complaints but recurring patterns across many reviews, indicating systemic issues tied to understaffing, training gaps, and inconsistent oversight.
Staff behavior and culture are described as highly variable. Several reviewers report compassionate, professional nurses, CNAs, social workers, admissions personnel, and leadership (with specific praise for names such as Felix, CJ, Kim, Liz, Jasmine, and others). These staff members are credited with attentive communication, dignity-preserving care, and helpful family interaction. Contrastingly, a significant volume of reviews accuse certain staff and managers of rudeness, dishonesty, poor bedside manner, ignoring residents, eating on duty, being distracted by cell phones, or even forging documents. Some families allege active mistreatment, racial profiling, and unsafe handling of patients. This contrast suggests pockets of strong personnel and leadership exist, but inconsistent application of standards produces widely divergent experiences.
Management, communication, and administrative practices are recurring complaint areas. Families report unanswered phones, no callbacks, dismissive or condescending administrators, and unresponsive Directors of Nursing when safety concerns are raised. There are multiple allegations of patients being discharged without necessary medications or adequate discharge planning, which in several accounts led to emergency hospital visits. Several reviewers cite misinformation from management, inconsistencies in records (meds marked as given but not administered), and even accusations of forged federal documents or insurance-related improprieties. These issues point to troubling failures in governance, documentation practices, and transparency.
Facility environment and housekeeping generate mixed feedback. Many reviewers note clean, well-maintained common areas, prompt maintenance, and a generally pleasant environment; housekeeping and front-desk staff receive praise in some accounts. However, equally frequent reports document filthy rooms, untreated odors (urine/faeces), pests or bed bugs, baseboards and floors not cleaned, and missing personal items or laundry. Dining attracts polarized commentary as well: some describe delicious, upscale meals with attentive dietary staff, while others complain of cold, unappealing food and missed supplements. The divergence suggests that cleanliness and food quality may vary by wing, shift, or over time, or that there are episodic lapses tied to staffing shortages.
Serious safety allegations appear repeatedly and must be emphasized: reports of falls without family notification, restraints used without clear justification, medication errors and possible tampering (late-night snacks suspected of drugging), infections (including staph) and COVID-related care transitions, and even claims of deaths or severe medical deterioration attributed to facility care. Several reviews explicitly call for regulatory intervention or suggest the facility should be shut down. While positive accounts exist, these safety-related complaints are significant because they indicate potential harm and systemic risk rather than mere dissatisfaction.
In sum, the reviews paint a complex picture: Signature HealthCARE of Primacy appears capable of delivering high-quality, effective rehab care with compassionate, skilled staff in many instances, and some families report excellent outcomes and responsive administrators. However, an equally strong and troubling thread of reviews documents neglect, unsafe practices, poor hygiene, inconsistent staffing, medication and documentation problems, and unprofessional management responses. The overall pattern is one of high variability — strong performance concentrated in specific departments or among particular staff members, coupled with serious systemic weaknesses that have led to harm or near-harm in multiple accounts.
For prospective residents and families, the aggregate message is cautious. If considering the facility for short-term rehabilitation, the facility’s therapy program appears to be a frequent strength. For long-term custodial care or medically complex patients who require consistent nursing vigilance, reviewers repeatedly recommend careful scrutiny: visit at different times and days (including weekends and evenings), ask about staffing ratios and shift coverage, check documentation practices for medications and wound care, and confirm discharge planning and medication handoff procedures. The prevalence of severe negative reports alongside strong positive ones suggests that individual experiences may vary widely; families should gather up-to-date, first-hand observations and ask management for concrete evidence of corrective measures around staffing, training, infection control, and incident reporting before committing to long-term placement.
