The reviews of Burleson Nursing & Rehabilitation Center are highly mixed but show two consistent and contrasting themes: many reviewers praise individual caregivers and the therapy department, while numerous others report serious, systemic facility, cleanliness, staffing, and safety problems. Positive comments repeatedly highlight compassionate, respectful staff who create a family-like, homey atmosphere and provide attentive one-on-one care. Several reviewers singled out specific nurses (for example, "Karen" and "Shiniqia Davis") and described dedicated CNAs and therapists who go above and beyond. The rehabilitation and therapy services receive multiple strong endorsements, with several residents and family members stating they would return for post-operative rehab. Activities such as bingo and card games are offered and some families report frequent health updates and friendly greetings on arrival, which contributes to peace of mind for those families.
Contrasting sharply with the praise for staff are persistent reports of major facility and operational deficiencies. Multiple reviewers described the building as very run-down: rusted beds, scuffed floors, missing paint, walls in disrepair, and a transport van that looks neglected. Cleanliness and hygiene issues are a major concern — reviewers reported urine and moldy smells, dirty restrooms with feces on seats and floors, flies, and instances where rooms or linens were unclean. HVAC and maintenance lapses were noted (dirty air filters, poor air conditioning, stuffy rooms), which compound the discomfort for residents. Some reviewers reported no private showers and limited amenities (no cable), further reflecting infrastructure and amenity shortcomings.
Staffing and care-delivery problems are another recurring and serious theme. Many reviews state the facility is chronically understaffed: long call-light response times, delayed or missed medications (including long pain-medication delays), inconsistent assignment of rehab therapists, and examples of only one RN (the Director of Nursing) on duty. These staffing shortages are linked by reviewers to direct clinical harms: perineal care neglect, skin irritations, bedsores that worsened into infections and sepsis, patient falls, and in one report a rushed hospital transfer after a fall. Families also recount medication errors, chaotic internal communication, and pending care requests that were not promptly handled. These accounts illustrate operational and safety vulnerabilities that some reviewers found alarming.
Communication and management emerged as mixed. Some reviewers praised organized nursing stations and caregivers who track residents and provide financial/state-planning orientation. Others described unresponsive phone lines, unanswered calls, chaotic communication during shift/ownership transitions, and grievances that appeared ignored. Several reviewers noted administration/ownership changes that coincided with increased communication problems or inconsistent practices. Staff morale and workplace issues are also reported — CNAs described as overworked and underpaid, and some incidents of staff yelling or poor behavior — which likely affect continuity and quality of care.
Dining and daily living receive mixed remarks: some reviewers described bland food but noted recent improvements and availability of social activities; others reported inappropriate post-surgery food being served, indicating lapses in dietary oversight. Cost was described inconsistently — one reviewer called the facility expensive while another suggested it was recommended for Medicaid — suggesting variability in payment experience or perceived value.
Overall impression: the facility appears to provide genuinely caring, skilled, and compassionate individual-level care in many cases, especially in therapy and among certain staff members. However, this is offset by frequent and serious systemic problems: inadequate building maintenance and cleanliness, significant understaffing leading to delayed or missed care, communication breakdowns, and documented safety incidents (bedsores, infections, falls). The pattern suggests that outcomes and experiences are highly dependent on staffing levels, specific shifts, and individual caregivers. Families seeking short-term rehab may find the therapy and some nursing staff excellent, but any long-term placement or medically complex resident should weigh the reports of hygiene, maintenance, staffing, and safety concerns carefully. Immediate priorities implied by the reviews would be improvements in cleanliness and infection control, consistent staffing (especially nursing coverage), timely medication and call-light response, clearer family communication, and building/maintenance upgrades to address odor, HVAC, and structural deficits.
