The Gardens of Mount Pleasant

    6101 16th St, Mount Pleasant, WI, 53406
    3.0 · 8 reviews
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Attractive facility but unsafe care

    I placed my mom here for a short stay - the facility is attractive and well-kept, her roomy private room has a huge window, the food was good, and she loved the activities and bingo. However the care was inconsistent and at times unsafe: many staff were unhelpful/indifferent, missed appointments, delayed emergency care for six days, a nurse administered an incorrect blood-thinner injection, pills were dropped/kicked under the bed, there was no reachable call button or glass of water and the room was around 85°F. One kind staffer stood out, but overall it was a negative experience and not appropriate for a vulnerable cancer patient.

    Pricing

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    Amenities

    3.00 · 8 reviews

    Overall rating

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

      2.2
    • Staff

      2.4
    • Meals

      3.5
    • Amenities

      4.5
    • Value

      3.0

    Pros

    • attentive staff (in some cases)
    • proactive care with regular rounds and vitals
    • early illness detection
    • good meals/food liked by residents
    • well-kept facility
    • attractive interior and exterior
    • hand sanitizer available
    • private rooms with window views
    • yard/outdoor space
    • daily activities and bingo
    • full activity itinerary/social recreation
    • large/new facility and rooms
    • suitable for temporary stays

    Cons

    • inconsistent staff behavior (some unhelpful/indifferent)
    • no constant on-site nurse
    • call button not within reach
    • basic needs sometimes unmet (no glass of water)
    • high room temperature reported (85 degrees)
    • medication administration errors (incorrect blood thinner injection)
    • improper injection technique
    • pills dropped and not retrieved (kicked under bed)
    • neglectful care reported
    • missed appointments
    • delayed emergency care (up to 6 days in one report)
    • restricted or no family visitation
    • safety concerns for high-acuity patients (e.g., cancer patients)
    • roommate issues

    Summary review

    Overall impression: The reviews present a mixed but strongly polarized picture of The Gardens of Mount Pleasant. Several reviewers highlight positive aspects such as a well-maintained and attractive facility, pleasant dining, engaging activities, private rooms with large windows, and staff who make regular rounds and monitor vitals. At the same time, other reviews describe serious care-quality and safety problems — including medication errors, neglectful behavior, missed appointments, and delayed emergency responses — that substantially undermine confidence in the community for some families. The pattern is one of inconsistent performance: the physical environment and programming are often praised, while execution of nursing care and frontline staff responsiveness varies widely.

    Care quality and safety: The most consequential concerns relate to clinical care and patient safety. Positive comments describe proactive care, regular rounding, early detection of illness, and situations in which staff appeared attentive. Conversely, multiple reviews allege critical lapses: an incorrect blood thinner injection, improper injection technique, pills dropped on the floor and kicked under the bed, missed appointments, and a report of delayed emergency care for six days. These latter accounts point to potentially serious medication- and emergency-response failures. Several reviewers explicitly stated that the community felt unsafe for medically complex or high-acuity residents (for example, a cancer patient). The presence of both attentive monitoring in some cases and severe errors in others suggests inconsistency in clinical practice and supervision.

    Staffing and behavior: Staff behavior is described as mixed. Some reviewers singled out kind, helpful employees and praised staff who provided good care. However, other reviews describe staff as unhelpful, indifferent, or neglectful. Reported problems include lack of on-site nursing at all times, failure to provide basic assistance (no glass of water, no call button in reach), and rushed or inadequate responses that resulted in ER transfers. This variability suggests uneven training, staffing levels, or management oversight. Several negative accounts imply that certain shifts or individual caregivers may not meet expected standards, while other staff members perform well.

    Facilities, rooms, and environment: The facility itself receives consistent positive remarks. Multiple reviewers described the building as new, well-kept, and attractive both inside and out. Rooms are frequently described as large, with private rooms and big windows that residents appreciate. Hand sanitizer was noted as available, and outdoor space/yards are mentioned positively. One reviewer noted high room temperatures (around 85 degrees), indicating possible climate control issues in at least one unit. Roommate situations were noted in the context of temporary stays, which may affect privacy or comfort for some residents.

    Dining and activities: Dining and programming are clear strengths for many residents. Several reviewers reported that their family members liked the meals and that food quality was good. Social and recreational programming — daily activities, bingo, and a full itinerary — are commonly cited and appear to contribute to resident satisfaction, especially for those who say their relatives 'love it' and appreciate having plenty to do.

    Management and patterns: The most notable pattern is inconsistency across similar domains: clinical care, staff responsiveness, and basic resident supports. Where the facility shines — environment, dining, and activities — it generally receives positive feedback. Where it struggles — medication administration, urgent care responsiveness, and staff dependability — reviewers report significant and potentially dangerous lapses. These problems are not isolated to minor grievances but include medically significant events (medication errors and delayed emergency care). The coexistence of welcoming physical amenities and troubling care incidents suggests that management may be focusing successfully on appearance, programming, and hospitality while needing to strengthen clinical oversight, staff training, protocols for medications and emergencies, and mechanisms for family communication and visitation.

    Bottom line: The Gardens of Mount Pleasant offers many of the nonclinical strengths families look for in senior living (new, attractive facility; private rooms with views; robust activities and good dining). However, multiple reviews raise serious red flags about clinical reliability and staff consistency. Prospective residents and families should weigh the importance of the facility's environment and programming against the reported variability in clinical care, and if considering the community, ask direct questions about nurse staffing patterns, medication administration protocols, emergency response procedures, staff training, and how management investigates and resolves reported incidents.

    Location

    Map showing location of The Gardens of Mount Pleasant

    About The Gardens of Mount Pleasant

    The Gardens of Mount Pleasant is a senior care community at 6101 16th St. in Racine, WI, that accepts Medicaid and offers many different types of senior living, so if someone needs assisted living, memory care for Alzheimer's or dementia, independent living, or even short-term respite stays, there's likely an option, and there's even support for people who want care at home or need nursing services, and they'll make sure to create a custom plan after their team carefully does an assessment, plus there are licensed staff, nurses, and caregivers who offer medication help, health monitoring, and round-the-clock supervision when someone needs it, and folks can expect personal assistance with daily tasks if that's called for, but there's also a focus on independence and privacy, as most residents do get their own apartments or bedrooms, and some units have a kitchenette, which means a little more freedom, which seems to work for many. The Gardens has secured neighborhoods for memory care, and their staff get trained to help those with dementia, and they have safety technology that lets staff know if someone who shouldn't goes outside, while secure outdoor areas mean residents can still enjoy the fresh air safely, which always helps. Meals get served, and amenities like a general store, library, and computer lab keep people connected and active, and folks can bring their pets along, which makes things feel more like home most days. There are community rooms for meals and activities, outdoor spaces to enjoy, and accessible layouts with emergency response systems and a 24-hour security system, so people feel safer, especially at night, and the caregiving team works to boost quality of life through activities, social programs, and learning about how to care for the body and mind, which often makes the days go by better and keeps spirits up. There's advice and guidance available when families need help with long-term care options or insurance questions, and for those looking ahead, this place operates as a continuing care retirement community, and since payment options and floor plans are available after contacting them, families usually find what they need without too much trouble. The Gardens of Mount Pleasant brings senior living together by offering both health and social support in one place, and the focus stays on comfort, simple living, and respect for each person's choices while still giving care and attention, which seems to matter most for many in these later years.

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