Overall sentiment across the reviews is highly mixed and polarized, with a clear pattern: earlier and numerous reviews describe serious, systemic problems with care quality, communication, and safety, while more recent reviews emphasize substantial improvements attributed to new ownership and leadership. Multiple reviewers detailed severe lapses in basic nursing care (missed baths, prolonged lack of bowel care, infrequent turning, inadequate hydration or toileting help), medication management failures (missed or delayed medications, antibiotics not sent to pharmacy), and failures in wound care (wound VACs not changed promptly). Several accounts describe critical adverse events — ambulance transfer delays, prolonged emergency room visits, sepsis, hospice transitions, and resident deaths — and families explicitly warned others to avoid the facility. There are also allegations of personal items disappearing and medications being stolen, which amplify concerns about safety and supervision.
Communication and administrative responsiveness emerge repeatedly as major problem areas. Many reviewers report unanswered phone calls, long hold times, unresponsive or uninformed social workers and management, and confusion around testing or medical histories. Discharge planning and coordination with home health were singled out as deficient in multiple complaints (examples include families saying home health was not arranged and residents were held past appropriate discharge). These communication failures often compound clinical problems because families cannot get timely updates or have confidence in plans of care.
Staffing and professionalism are another consistent theme with diverging experiences. Numerous negative reviews mention understaffing, heavy reliance on agency or temporary staff, apathetic or mean employees, lack of uniforms or IDs, and slow personal care (sometimes only weekend staffing). In contrast, several reviews praise individual nurses and CNAs as kind, nurturing, and attentive — some describing exemplary care such as hydration every 30 minutes, turning every two hours, staff knocking before entering, and a receptionist and CNA team that were prompt. This variability suggests staffing consistency and supervision have been uneven over time or by unit/shifts.
Notably, several recent reviews emphasize a turnaround under new leadership: renovated spaces, a new nursing administration team, elimination of agency nursing (reported by some since November 2021), improved cleanliness, deeper engagement by administrators, better dining, restored activities, and a more patient-focused culture. Positive clinical outcomes were reported in these accounts — for example, a resident regained the ability to walk after therapy — and reviewers explicitly praised specialty services such as podiatry, psychiatry, advanced wound care, and an NP/house provider. These improvements are substantial in tone and, if accurate and sustained, address many of the earlier criticisms.
Facility amenities and environment draw mixed but specific comments. Some reviewers describe the building as clean, with comfortable private rooms and meaningful activities. Others call the facility “disgusting” or “unprofessional,” and raise concerns about small bathrooms that are not ADA accessible. Dining received both praise and criticism — several positive comments about improved food, while others labeled meals as terrible or unable to accommodate dietary restrictions. COVID-related isolation and confusion about testing and ward status appeared in negative reports and were linked to poor communication and, in at least one case, an avoidable death according to the reviewer.
Patterns and reliability: the reviews indicate a bifurcated experience — some families experienced neglect, medical errors, and poor administration leading to serious harm, while other families report meaningful improvements, engaged leadership, and high-quality, attentive care. This suggests either substantial changes over time (with new leadership improving performance) or inconsistent care quality across shifts/units. Key recurring recommendations emerging from the reviews are to verify current leadership/staffing models, confirm how medications and wound care are managed, ask about discharge/home health coordination, and inspect unit cleanliness and accessibility if placing a loved one. Families should also ask for specific assurances about communication protocols (who will be the point of contact, phone responsiveness) and safety practices (staffing ratios, background checks, inventory procedures for personal items).
