Overall sentiment is mixed but polarized: many reviewers report excellent rehabilitation outcomes, compassionate individual caregivers, and a clean, modern appearance in some wings, while an equal or larger group of reviews describe systemic failures in nursing care, safety, cleanliness, and communication. The facility appears to produce two very different experiences depending on unit, shift, and particular staff on duty. Rehab services (PT/OT/speech) are the most consistently praised element, often described as excellent, attentive, and a key reason families recommend the facility. Multiple reviewers credited therapists with building rapport, driving functional improvement, and coordinating well around discharge needs.
Staff quality is highly inconsistent. Numerous reviews call out standout employees by name (for example Gloria, MaryAnn, Maritza, Diane D., Eli) and praise specific nurses, aides, social workers, and administrators for compassion, helpfulness, and strong communication. At the same time, a large number of reviews describe staff who are unresponsive, untrained, distracted, or outright neglectful. Common complaints include long waits for assistance after call bells, caregivers on cell phones, and aides or nurses who appear indifferent. Night and weekend coverage are repeatedly flagged as worse, with many reviewers reporting staffing gaps, agency aides unfamiliar with residents, and delayed responses to urgent needs.
Safety and clinical quality concerns are some of the most serious and recurring themes. Multiple reviewers report medication errors, delayed or incorrect prescriptions, and poor coordination with pharmacy; some say doctors and nurses did not follow prescribed medication lists. Reviewers detailed instances of wound care not being performed, missing daily weight checks, and documentation being mischaracterized as patient refusal. There are alarming allegations of residents being left on bathroom floors after falls, prolonged exposure to soiled diapers, UTIs, hypoxemia requiring hospitalization, and at least one report alleging death related to infections. Several families reported having to relocate loved ones or report concerns to the ombudsman. These accounts point to systemic clinical lapses rather than isolated interpersonal issues.
Cleanliness and environmental conditions vary sharply across reports. Many reviewers describe a recently remodeled, spotless wing with neat hallways, clean rooms, and a pleasant courtyard; others describe strong odors of urine and feces, unmopped floors, crowded memory care spaces, limited bathing resources (only one shower stall), and cramped therapy or OT/PT rooms. Some families noted a turnaround over time where initial odor/cleanliness issues were remediated; others consistently experienced unacceptable hygiene. Facility layout and resource limitations (small rooms, poor wheelchair maneuverability, and limited shower availability) are recurring operational complaints.
Dining and nutrition are also inconsistent. Several reviewers praise the meals, note accommodating kitchen staff, and describe improvements under a new chef. Conversely, many report skipped meals, inconsistent meal service, difficulty accommodating special diets, bland flavors, and occasions where residents refused meals or were not fed. A few families reported concerning timing of medications around meals and problems with diet orders not being followed.
Communication and management responsiveness show a split pattern. Some families praised attentive administrators, social workers, and the business office for handling insurance, discharge planning, and answering questions. Others describe near-total breakdowns in communication: nurses and doctors not returning calls, social workers unreachable, and families forced to visit the facility in person to get updates. Where management intervened, reviewers often reported an improvement; where it did not, serious safety issues persisted.
Notable patterns and takeaways: therapy and rehabilitation care are reliable strengths and likely the facility's best-known asset. However, basic nursing care, medication management, cleanliness, and night staffing are significant, recurring concerns that have led to hospitalizations and, in at least one review, death-related allegations. Experiences appear to depend heavily on which wing, shift, or individuals are involved; some areas operate like a well-run rehab center while others resemble a neglected long-term care unit. Several reviewers describe a partial turnaround—initial problems that were corrected—while a distinct subset reports ongoing and severe neglect.
For prospective families: weigh the strong therapy offerings and the potential for excellent individual caregivers against repeated reports of understaffing, safety lapses, and poor communication. If considering this facility, ask specific questions before admission: which wing and nursing unit will the resident be placed in, staffing ratios for nights and weekends, how medication administration and documentation are audited, the process for handling falls and wound care, steps management takes to prevent missed meals and call bell delays, and how complaints are escalated. Visiting at different times (day, evening, weekend) and speaking directly with nurses and the therapy team can help assess consistency. The reviews indicate meaningful variability: when skilled therapists and engaged nurses are present, outcomes and family satisfaction can be high; when staffing and clinical processes fail, the consequences can be severe.
