Overall sentiment: Reviews for The Oaks at Timberline are highly polarized. A substantial portion of reviewers praise the staff—nurses, CNAs, therapists, front desk, and kitchen personnel—and report strong rehabilitation outcomes, compassionate care, and a family-like culture. At the same time, multiple reviewers describe serious, recurring facility, safety, and management problems including filth, maintenance issues, delays in care, medication and oxygen errors, and inconsistent communication. The result is a mixture of glowing endorsements (frequent statements that families would recommend the facility) and urgent warnings (direct advice to look elsewhere). The strongest cross-cutting theme is that care quality and experience appear to vary dramatically depending on unit, staff on duty, or recent managerial changes.
Care quality and clinical safety: Many reviewers credit the PT and OT teams with excellent therapy, rapid recovery, and meaningful functional gains—some describe returning home quickly after hip or spinal surgery and praise early mobility efforts. Several short-term rehabilitation patients and families report attentive nursing and aides who check on residents and prioritize dignity during care (shower staff protecting dignity, CNAs praised). Conversely, multiple accounts describe severe lapses: ignored call lights, delayed responses leading to patients wetting themselves for extended periods, oxygen equipment turned off or monitored improperly, medication delays or reductions that precipitated decline and hospital transfer, and poor wound care resulting in pressure wounds. These issues imply inconsistent adherence to basic nursing standards and occasional safety-critical incidents. Multiple reviewers explicitly warn others to avoid the facility due to risk to life or deterioration.
Staff, culture, and teamwork: A large set of reviews acclaim individual staff members as kind, compassionate, and engaged—many reviewers called staff “amazing,” “caring,” or “like family.” Admissions staff and some nurses are singled out for advocacy and quick coordination (fast medication coordination, supportive admissions director). Several reviewers mention strong teamwork and good communication among certain teams, especially therapy. However, other reviewers report systemic personnel problems: apathetic or uncaring aides, alleged management retaliation and at-will employment culture, the need for nurse retraining, and apparent morale issues. This split suggests that while many front-line caregivers are competent and invested, organizational issues and variable staffing practices diminish reliability.
Facilities, cleanliness, and maintenance: Reviews strongly diverge on physical plant conditions. Numerous complaints detail filthy and unkept areas—dirty bathrooms, urine odor, stained caulking, rust, mold, active leaks, and excrement visible in toilets. Some residents were left in filth for hours. At the same time, other reviewers praise recent renovations and note parts of the building look pretty, modern, and clean, with two therapy gyms and upgraded therapy spaces. This indicates uneven facility conditions: some wings or units may have been remodeled and well-maintained while others remain rundown. Accessibility concerns are noted (shared or locked bathrooms, lack of wheelchair accessibility, unlit areas, high beds or unsafe motel-style rooms), which have significant implications for resident dignity and safety.
Dining and activities: Many reviews commend the kitchen staff for nutritious, accommodating meals and willingness to handle picky diets. Others cite inconsistent meals or dairy served against dietary needs. The activity director is frequently praised for improving resident engagement and reducing depression; reviewers attribute faster healing and better morale to available activities and rehab-focused recreation. Overall, dining and activities are generally reported positively but with occasional inconsistencies.
Management, communication, and administration: Communication and managerial responsiveness are recurrent concerns. Several reviewers describe poor communication, conflicting information about admission, authorization and bed availability, failure to provide reports to powers of attorney, and unreturned phone calls. Others specifically accuse administration of failing to act on ongoing problems or of retaliating against staff. Positive notes include reports of better organization and quicker discharges under new ownership or management improvements; multiple reviewers explicitly mention perceived improvements since ownership changes. The pattern suggests that leadership and process reliability are uneven and that recent management turnover may be influencing care quality—some changes appear beneficial for certain aspects (renovations, new pharmacy), but persistent operational problems remain.
Belongings, privacy, and logistics: There are several incidents of lost or mismanaged personal items (lost clothes, lost car keys not returned), inconsistent HIPAA/privacy practices vary but some reviewers noted good attention to privacy. Parking and external logistics were also flagged—staff parking blocking the driveway and resulting parking nuisances were cited as a recurring annoyance.
Patterns and recommendations: The reviews point to a facility with strong human assets—many devoted caregivers and therapists who produce excellent rehabilitation outcomes—but also systemic weaknesses in cleanliness, maintenance, staffing reliability, communication, and safety practices. Positive experiences tend to emphasize therapy and compassionate staff; negative experiences tend to center on sanitation, delayed or neglected care, and managerial unresponsiveness. There is evidence of recent improvements in some areas (renovations, new ownership/management, therapy spaces), but also persistent and serious complaints that suggest quality and safety are inconsistent across shifts or units.
For prospective residents and families: If considering The Oaks at Timberline, visit multiple times and at different hours (including evenings/weekends) to assess cleanliness, staffing responsiveness, and unit-specific conditions. Ask specific questions about fall prevention, wound care protocols, medication safety, oxygen monitoring, bathroom accessibility, housekeeping schedules, and communication/reporting to POA. Inquire about recent ownership or management changes and request documentation of staff training, incident reports, and infection control measures. For short-term rehab, evaluate the therapy gyms and speak with therapists about individualized plans; for long-term placement, verify routine housekeeping, bathroom access, and responsiveness. The mixed reviews make it essential to verify current conditions and get detailed, written commitments on care practices before admission.
