Overall sentiment across these reviews is highly mixed but leans toward serious concern. While a minority of reviewers report excellent rehab outcomes, courteous clinicians, clean rooms, and satisfactory meals and activities, a substantial number of reviews describe critical failures in basic nursing care, cleanliness, safety, and communications. The pattern is one of inconsistency: some patients appear to receive attentive, effective rehabilitation and supportive social services, while others experience neglect, medical complications, and breakdowns in fundamental systems.
Care quality and patient safety are the most commonly raised issues. Multiple reviews report long medication delays (including pain medications delayed by 8–10 hours), ignored nurse call lights, and failures to assist with transfers, toileting, dressing, and feeding. These lapses are described as contributing to adverse outcomes including severe dehydration, untreated wounds (stage 2 pressure sores), postoperative infections, emergency hospitalizations, and in at least one account, septic shock and death. There are also allegations of medication errors and incorrect dispensing. A recurring theme is that staffing appears inadequate at times or inconsistently managed, with reviewers noting slow responses, ignored calls, and staff who are perceived as lazy or incompetent—particularly on certain shifts (night CNAs are mentioned explicitly).
Infection control, cleanliness, and supplies are another major concern. Several reviewers describe rooms and linens as dirty, soiled bedding left in place, unsanitary cleanup of bowel incidents, and a general rundown or filthy facility that appears to need a health inspection. Families report bringing basic supplies (paper towels, wipes, bed mats, toilet paper) because the facility lacked them. There are also repeated reports of missing personal items and alleged theft, which amplifies family distrust. At the same time, at least a few reviewers specifically praised clean rooms and spotless bathrooms, reinforcing the pattern of unevenness between units or time periods.
Facilities and amenities receive mixed feedback. Some residents experienced dismal rooms with thin mattresses, no dressers, and nonworking TVs or missing remotes; others described hospital‑like rooms and dining areas and access to books and games. The transport van was criticized for smelling of nicotine. Meals are another inconsistent area: some reviewers enjoyed three quality meals and beverage service, while others called the food inedible (“pig slop”). These inconsistent reports suggest that experience could vary significantly by unit, shift, or individual staff members.
Activities and specialized care show positive pockets. Several reviews highlight meaningful activities (puzzles, cards, books), compassionate activities staff, and a well‑regarded Alzheimer’s/memory care unit. Rehab services—particularly physical and speech therapy—are the most consistently praised aspect of the facility. Multiple accounts credit therapy staff with enabling significant recovery (standing up after weeks, discharge home), often noting kindness combined with professional firmness. Social services staff were also credited in some cases with arranging in‑home care and facilitating transitions.
Communication, management, and administrative processes are frequent sources of frustration. Reviewers report poor communication with families and power‑of‑attorney contacts, difficulty reaching staff by phone, unclear or conflicting discharge and rehab plans, attempted discharge holds, and insurance or paperwork problems. There are even allegations of Medicare fraud and unexplained holds on patients without informing families—serious administrative red flags that compound clinical concerns. When management and communication work well, families note courteous nursing staff and helpful social services; when they fail, families describe opaque processes and distressing surprises.
Taken together, these reviews paint a picture of a facility capable of providing excellent rehabilitation and supportive programming in some circumstances, but also prone to serious lapses in basic nursing care, cleanliness, and communication. The variability suggests systemic issues (staffing, equipment maintenance, supply management, leadership/oversight) that lead to markedly different experiences depending on unit, shift, or patient. For families considering this facility, the reviews recommend caution: verify staffing levels, check the functioning of call systems and room amenities, ask about infection control and supply availability, and monitor medication administration and wound care closely. If possible, speak directly with therapy, nursing leadership, and social services to clarify discharge plans and ensure clear communication protocols are in place.
