Pricing ranges from
    $6,436 – 8,366/month

    Tall Oaks Assisted Living

    12052 N Shore Dr, Reston, VA, 20190
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    3.0

    Warm staff but staffing concerns

    I moved my mother here and overall I'm impressed: the staff are warm, long-tenured and genuinely caring (Mel and Silvia went above and beyond), the activities and memory-care model keep residents engaged, meals are restaurant-style, and the community feels homey and well-maintained. That said, the building is dated, rooms are small, parking/access can be awkward, and there are recurring staffing/communication issues - call-button delays, inconsistent nursing, and a few serious neglect reports - which make the cost feel high. I'd recommend touring in person, asking pointed questions about staffing, med management and recent leadership, and watching the daily routine before deciding.

    Pricing

    $6,436+/moSemi-privateAssisted Living
    $7,723+/mo1 BedroomAssisted Living
    $8,366+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.96 · 103 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.0
    • Meals

      3.9
    • Amenities

      3.5
    • Value

      3.3

    Pros

    • Many caring, personable and long‑tenured staff and aides
    • Strong, well‑staffed memory care/Alzheimer’s unit with activities
    • Abundant daily activities and entertainment (music, outings, arts)
    • On‑site medical services including doctors, psychiatrists, dental and podiatry visits
    • Good to excellent dining options reported by many (trained chef, buffet)
    • Clean and well‑maintained common areas and homelike décor
    • Private and semi‑private apartment options with natural light and views
    • Rehab and therapy services praised (PT/OT) and effective short‑term rehab
    • Sunroom, solarium, patios and garden areas with pleasant views
    • 24‑hour nursing presence reported by some reviewers
    • Family‑style atmosphere and strong community sense for many residents
    • Reasonable pricing/value compared with higher‑end alternatives
    • Active volunteer program and frequent entertainers/guest programs
    • Some responsive and communicative management and individualized care examples
    • Shuttle service and convenient location near shops

    Cons

    • Frequent understaffing, especially nights and weekends
    • Slow or inconsistent responses to call buttons and nurse requests
    • Inconsistent nursing/RN coverage and variable staff competency
    • Multiple reports of neglect, poor hygiene care and missed bathing
    • Serious safety incidents reported (wandering, ER visits, bruising, infections)
    • High staff turnover and repeated leadership/management changes
    • Poor or inconsistent family communication about medical events
    • Unexpected/abrupt increases in billing and extra fees (e.g., call button charge)
    • Dated/outdated building and small apartment sizes
    • Mixed food reports — some find meals bland, repetitive or cold
    • Medication errors or timing inconsistencies; swallowing/dietary accommodations missed
    • Allegations of staff mistreatment, teasing, theft and privacy violations
    • Limited parking and accessibility issues at times
    • Inconsistent infection control (C. diff, norovirus outbreaks noted)
    • Activity or amenity odors reported (moldy activity room, unwelcoming memory floor smell)

    Summary review

    Overall sentiment across the reviews for Tall Oaks Assisted Living is strongly mixed, with a large number of reviewers praising the staff, activities, memory care model, and community feel, while a substantial minority report serious quality and safety problems, inconsistent care, and management/communication failures. Many families and residents describe a warm, home‑like atmosphere driven by committed long‑tenured caregivers, engaging activities, and on‑site medical resources. At the same time, multiple accounts describe understaffing, slow call responses, neglectful incidents, and billing/administrative issues that raise significant safety and trust concerns.

    Care quality and staffing: One of the clearest patterns is wide variability in staff performance and staffing levels. Numerous reviews praise individual aides, nurses, and managers as attentive, compassionate, and knowledgeable. Several reviewers specifically call out strong memory‑care staff, an effective Alzheimer’s unit, and dependable daytime nurses. Conversely, many other reviews report understaffing—particularly at night and on weekends—long wait times for assistance or for medication, and inconsistent RN coverage. These staffing deficits are tied in the narratives to safety risks: residents left unattended, unattended toileting needs, delayed responses after falls, missed baths, dehydration and related infections. A small but serious subset of reviews alleges neglect leading to emergency room visits, unexplained bruising, wandering incidents, and even claims of teasing, theft, or abusive behavior by staff. The result is a bifurcated picture where some residents thrive under attentive staff while others experience dangerous lapses in care.

    Management, communication and administration: Reviews repeatedly mention mixed experiences with management and administrative responsiveness. Some reviewers praise personable and transparent leaders (by name in some cases), good financial clarity, and proactive communication after incidents. Others describe frequent leadership changes, poor communication about medical events or doctor visits, unanswered calls from worried family members, abrupt fee increases, and confusing or non‑refunded administrative fees. These administrative inconsistencies amplify the perceived risk when clinical care is also reported as uneven, and several families moved residents out because of declining care or lack of responsiveness.

    Facilities and environment: Physical plant impressions are similarly split. Many reviewers appreciate the homelike décor, clean and bright common areas, sunrooms, patios, and garden spaces. The memory care floor and certain activity spaces are praised for design and programing that reduce isolation. At the same time the building is often described as older and dated, with small rooms/apartments and some maintenance issues (broken mattresses, noisy doors, non‑closing doors). A few reports note unpleasant odors in certain areas (moldy activity room, unwelcome smells on memory floor). Parking and access concerns are frequently mentioned: limited parking with towing, awkward access, and issues in snowy conditions.

    Dining and activities: Activities programming is one of Tall Oaks’ most consistent strengths. Reviews describe a robust calendar (music, live entertainers, outings, bingo, theater, crafts), individualized activity attention, and an active volunteer program. Many residents appear engaged and busy. Dining receives mixed but substantial praise: some reviewers report exceptional meals from a trained chef and restaurant‑style dining with good options, while others complain of bland, cold or repetitive food and poor accommodation of dietary restrictions (e.g., diabetics given sugary options, non‑pureed foods for those with swallowing problems). Overall, food and activities are often highlighted as reasons families choose or stay at Tall Oaks, but quality can vary by shift or time period.

    Medical and rehab services: On‑site medical teams, including physicians, psychiatrists, podiatrists, and dental visits, are cited as a major plus by many families. Rehabilitation and therapy services are praised in numerous reviews, with specific calls of “excellent rehab” or helpful PT/OT outcomes. However, medication management and clinical follow‑through receive criticism in a number of reports—missed medication timing, inadequate explanation of medications to families, lapses in lab monitoring, and failure to promptly act on clinical concerns.

    Safety, infection control and systemic concerns: Several reviews raise serious safety and quality‑of‑care red flags: documented instances of wandering, infection outbreaks (norovirus, C. difficile), residents getting to emergency rooms due to alleged neglect, bruising that went unaddressed, and inconsistent infection control processes early in the COVID era. While some reviewers say the facility communicated proactively about outbreaks and used PPE appropriately, others recount shortages, delayed testing, and insufficient isolation measures. These patterns suggest that while procedures may exist, their consistent implementation is variable.

    Costs, policies and miscellaneous issues: Reviewers note generally reasonable pricing relative to higher‑end competitors and praise value for money in many cases. Nonetheless, unexpected billing increases, extra monthly charges (for items like call buttons) and non‑refundable administrative fees appear in complaints. Practical issues—residents required to supply linens or arrange their own laundry, small and sometimes sparsely furnished rooms, and occasional construction noise—also appear in multiple comments.

    Overall assessment: Tall Oaks appears to offer a strong program for many residents—particularly those benefiting from the memory care model, active programming, on‑site medical support, and a family‑style culture led by devoted staff. For other residents, particularly those requiring reliable overnight and weekend assistance, closer clinical oversight, or stricter infection control, the facility’s performance has been inconsistent; reports of neglect, safety incidents, and poor communication have led families to relocate loved ones. Prospective residents and families should weigh the facility’s clear strengths (activities, some excellent staff and medical services, community feel, and value) against the recurring concerns: staffing variability, potential safety and hygiene lapses, administrative inconsistencies, and an older physical plant. When considering Tall Oaks, an on‑site visit during evenings and weekends, detailed questions about overnight staffing, response times, medication management, and written policies on billing and infection control would be advisable to determine whether the facility’s positive experiences match the individual resident’s needs.

    Location

    Map showing location of Tall Oaks Assisted Living

    About Tall Oaks Assisted Living

    Tall Oaks Assisted Living sits in a quiet, wooded area of Reston, Virginia, just a mile from the Wiehle Avenue Metro Station and behind a small shopping center, so it's easy to find and quite peaceful at the same time, with lots of greenspace, patios, and raised garden beds for folks to enjoy. Since opening in 1988, the community's been managed by CSM Senior Living Management and has a stable team of licensed nurses available 24/7, never using agency staff, and the front desk is open from 7am to 8pm which makes things feel pretty steady and organized when you come or go. Tall Oaks offers various apartment styles-furnished or private studio, one-bedroom, and two-bedroom options, many with good views, and there's always a month-to-month lease arrangement without long-term contracts, while both long-term care insurance and private funds are accepted.

    The place takes a straightforward approach to care-assisted living, respite care, rehabilitation, and memory care-including a unique Reflections Memory Care Program for Alzheimer's and dementia, plus transitional care for those moving between care levels or returning from the hospital, and hospice services are available. Residents get help with bathing, dressing, grooming, eating, housekeeping, and taking medicine when they need it, and Tall Oaks even provides clinical treatments, cardiac rehab, on-site lab services, and emergency or nuclear medicine if someone's health requires it, all without the need to leave the community. Therapy classes-speech, occupational, physical, or language-happen on-site, and plenty of medical equipment is available for rent for those who need a bit of extra support after rehab or an unexpected change. Licensed and registered nurses provide home health assistance, and the building has controlled entry, an emergency response system, and 24-hour security to help keep residents safe.

    Living at Tall Oaks, folks get three daily chef-prepared meals, and there are many amenities like a beauty salon and spa, on-site theater, a library, and handy transportation services to help with errands or outings. Activities and events are regular features-arts classes, happenings, a strong volunteer program, and fun excursions to D.C.-area spots or air and space museums, plus there's a pet-friendly policy for those who want to bring their companions. The new outdoor plaza gives residents, families, and visitors a relaxing place for time together, and there are plenty of quiet lounges and reading rooms to retreat to when a bit of peace is needed.

    With its organized crisis response and dedication to dignity, choice, and understanding, Tall Oaks makes it a priority to create a welcoming, homelike atmosphere where health, nutrition, and a vibrant community life get attention without too much fuss. Meals, personalized support, and a balance of social events with quiet spaces combine to help each person feel comfortable, respected, and engaged however they choose to spend their day.

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