Overall sentiment is mixed but contains two clear and contrasting themes: a consistently strong therapy program (PT/OT) and uneven, sometimes seriously deficient, basic nursing and personal-care services. Multiple reviews praise the rehabilitation therapy team — therapists are described as phenomenal, well-informed, responsive, and effective in producing improvement. Several reviewers explicitly stated that physical and occupational therapy was beneficial and that therapy staff communicated well and were helpful. For families whose primary concern was rehab progress, the facility frequently meets or exceeds expectations.
In contrast, a large portion of the feedback highlights significant problems with day-to-day caregiving and clinical practices. Reviewers report inconsistent care quality between staff members and between shifts: some aides and the daytime nurse receive strong positive comments, while other aides are described as rude, poorly screened, or neglectful. Night shift coverage is repeatedly called out as weaker, with mentions of poor supervision. Concrete failures noted include long wait times for assistance, bathroom delays, residents remaining in the same clothes for days, showers only being provided after complaints, and lost personal equipment (walker and boots). These recurring issues point to staffing, supervision, and training problems rather than isolated incidents.
Safety and clinical concerns appear in several reviews. There are direct mentions of inappropriate medication administration and instances where patients refused medications, suggesting either administration errors or loss of trust in staff. Gastrointestinal issues (constipation and diarrhea) were reported by reviewers, which can be a sign of inadequate monitoring, medication side effects, or poor nutrition/hydration care. Taken together, concerns about meds, hygiene neglect, and poor supervision could represent meaningful risks to residents' health and comfort.
Management responsiveness is a noteworthy nuance. Some reviewers say that when they raised issues with administration, the situation improved; this indicates the management is at least somewhat responsive and capable of addressing problems. However, the need for families to intervene to obtain basic hygiene or fix staffing lapses is itself a negative pattern. Dining receives generally mild praise — meals were described as "alright" or reviewers said they were happy with the menu — suggesting food service is not a major problem relative to clinical and personal-care areas. Therapy access can be limited by quarantine rules, which was mentioned as restricting rehab for some residents.
In summary, Cadia Rehabilitation Silverside appears to offer a strong rehabilitative program with skilled therapists who often deliver positive outcomes and good communication. At the same time, the facility exhibits inconsistent performance in nursing and aide care, with frequent reports of neglect, rude staff, medication concerns, poor night supervision, long waits, and lost belongings. Management can be effective when alerted, but the recurring nature of complaints suggests systemic staffing and protocol issues that prospective residents and families should probe further (shift coverage, medication administration procedures, personal-care policies, and lost-item handling) before making placement decisions.
