The reviews for Mansfield Nursing & Rehabilitation Center are highly polarized, with a mix of strong praise for individual staff and leadership alongside serious and recurring complaints about facility condition, safety, staffing, and care quality. A substantial portion of reviews describe dramatic improvements and positive resident outcomes under new management and specific leaders, while an equally large set of reviews detail neglectful care, poor hygiene, and safety incidents. This split creates an overall picture of inconsistency: some residents and families are very satisfied, while others experienced what they describe as unacceptable conditions and care.
Care quality and staffing is the most frequently mentioned theme. Positive comments highlight caring, empathetic direct care staff, teamwork, and some success stories where residents improved and were discharged home. Several reviews single out the administrator (named Kissy), the Director of Nursing, and the social worker as supportive and highly engaged, and some families say communication and responsiveness improved under the new leadership. Conversely, many reviews report serious staffing shortfalls, unresponsive nurses, missed assistance with toileting and hygiene, medication administration errors, and perceptions that staff are overwhelmed. Weekend therapy gaps were noted (no PT on weekends) and some reviewers contend the facility only functions well for largely self-sufficient residents. Several reviewers reported having to visit in person repeatedly to obtain help because phone lines and nursing call systems fail.
Facility condition, cleanliness, and infection/pest control are consistent pain points. Multiple reviewers describe a strong odor of urine in hallways and at the entrance, soiled rooms, towels left in hallways, and residents not being showered. Pest sightings including roaches and gnats—and even reports of roach particles found in drawers—were cited along with worn, damaged furniture, missing cabinet doors, and water-damaged ceiling tiles. Some reviews describe an atmosphere that is either overly disinfected or visibly neglected. While a few reviewers explicitly state the building is very clean despite age, the preponderance of complaints about smell, pests, and physical deterioration is notable and a major area of concern.
Safety, security, and allegations of abuse emerge as severe issues in several reviews. Allegations range from improper handling and neglect to a specific claim that a nurse threw a patient into a bathroom and that wheelchairs or equipment were improperly stored. Families reported instances of residents soiling themselves because staff did not respond, and some reviewers raised concerns about theft of residents’ possessions—calling for corporate investigation. There are also reports of unreliable front door alert systems and inadequate visitor monitoring. Several reviewers mention regulatory complaints, potential lawsuits, and requests that staff licenses be pulled, indicating that these concerns have escalated beyond typical family complaints in some cases.
Communication and management show mixed patterns. Several reviews praise visible, hands-on management who engage with staff and families and credit a recent leadership change with a turnaround in service and morale. Positive reviewers mention improved staff responsiveness, effective discharge planning, and enjoyable activities for residents. However, many others report inconsistent or poor communication between nurses, families, and outside providers, conflicting information from different staff members, calls that go unanswered or hang up, and HR-level complaints over unprofessional behavior. A few reviewers suspect that some positive ratings are employee-generated and may not reflect the resident/family experience.
Rehabilitation, activities, and resident experience are similarly split. Multiple reviewers appreciate activities like bingo and therapy offerings, and some attest to meaningful functional gains and “discharge home” successes. At the same time, others label the therapy as worthless or inadequate, cite lack of therapy coverage on weekends, and describe the facility as not a true rehab setting. Activities and a supportive social environment are strengths when staffing and leadership are stable, but these offerings appear to be inconsistent.
In sum, Mansfield Nursing & Rehabilitation Center appears to be a facility in transition with significant variability in resident experience. Strengths include compassionate and dedicated individual caregivers and some reportedly effective leaders who have positively influenced staff morale and resident programming. Major weaknesses—documented repeatedly—include facility cleanliness and pest control, substantiated safety and neglect allegations, unstable staffing levels, poor communication systems (phone/front door), and troubling reports of theft and abuse. Prospective residents and families should investigate current management practices, recent regulatory history, staffing ratios, and on-site cleanliness and security measures. If considering admission, an in-person visit, conversations with current residents and families, and confirmation of how the facility addresses complaints and corrective actions are strongly advised given the divergent reports.
