Overall sentiment across reviews for Old Dominion Rehabilitation and Nursing is highly mixed, with clear and recurring strengths clustered around rehabilitative services and certain individual staff members, and persistent, serious concerns centred on staffing, safety, basic care, and management consistency. Many reviewers praise the physical therapy, occupational therapy, and speech therapy teams—these departments are repeatedly described as excellent, professional, and instrumental in successful short-term rehabilitation outcomes. Multiple reviewers also singled out individual staff (administrators, unit managers, activities director, receptionists, and named nurses) who provided compassionate, efficient, and family-focused service. Respite stays and initial admissions are often described as smooth and positive, with admissions staff and social workers noted for responsiveness and clear communication.
However, an equally large and troubling body of reviews documents systemic problems that materially affect resident safety and daily quality of life. The most frequent and serious theme is understaffing: reviewers report long delays (often measured in hours) for responses to call bells, toileting assistance, and basic activities of daily living. This understaffing is described as worse on nights and weekends and is linked to examples of apparent neglect—patients left on the floor, unattended falls, bed-bound residents not turned or changed, soiled linens, and missed medications. Medication management problems (wrong medication given, doses delayed until late at night, and missed meds) are cited repeatedly and raise clinical safety concerns in several reviews. Documentation lapses (missing vital signs and medication records) and delays or failures in wound and ostomy care compound these clinical risks.
Facility, maintenance, and supply issues are recurring. Specific incidents include flooding and standing water, lack of hot water, heating/air-conditioning failures, snakes reported inside the building, and unsecured doors or inadequate security. Supply shortages—diapers, ostomy wipes, stool softeners, Valium, and bedside toileting equipment—are mentioned and in some cases left residents exposed and uncomfortable. Hygiene and housekeeping receive mixed marks: some reviewers praised clean rooms and daily linen changes, while many others reported dirty floors, soiled wheelchairs, spilled body fluids left uncleaned, and an overall gloomy or foul odor on certain shifts. Food service is another frequent pain point: numerous reviewers described the food as cold, poorly presented, inconsistent in timing, or outsourced and reheated rather than prepared on-site, though a smaller number of residents found meals acceptable.
Staff behavior and management consistency show sharp divergence across reviews. Several accounts praise compassionate, kind nurses, CNAs, and supportive administrators who are responsive, communicative, and resident-focused. Conversely, many reviewers describe unprofessional conduct—cell phone use during care, rudeness, shouting at residents, refusal to assist, and even alleged abusive behavior. High staff turnover and uneven training appear to be contributors: reviewers recount that care quality can change dramatically depending on the current crew. Management and communication receive criticism for being unresponsive, difficult to reach by phone, slow to act on complaints, and inconsistent in follow-up; yet a number of reviews do praise specific managers and indicate ownership/leadership changes are underway, suggesting partial efforts at improvement.
Safety themes are especially concerning: nonfunctional call systems, missing bed rails or bed alarms, delayed wound/ostomy care, and reports of patients found unattended or in dangerous positions (e.g., face down) are repeated. There are also reports of breaches in infection control and equipment misuse (incorrect water used in CPAP machines), though other reviewers state that CDC guidelines were followed and there were no known COVID cases. The variability in these accounts indicates that care quality is inconsistent and may be driven by staffing levels, shift, and unit.
Taken together, the reviews indicate a facility with strong rehabilitative capabilities and pockets of excellent, compassionate staff and leadership, but also with chronic operational problems—especially understaffing, inconsistent nursing/CNA performance, safety lapses, poor communication, and food/housekeeping issues. For families considering Old Dominion, the pattern suggests the facility can be a good choice for short-term rehab under the right staffing conditions and therapy teams, but there is a measurable risk for long-term residents or those with high nursing needs due to reported medication errors, delayed basic care, and safety incidents. The review set also shows that experiences can vary dramatically by unit, shift, and time, and that some reviewers observed management efforts and personnel who are working to improve care.
