Overall impression: The reviews show a strongly mixed but predominantly negative sentiment about Macclenny Nursing And Rehab Center. While several reviewers note bright spots — particularly in rehabilitation/physical therapy and occasional positive interactions with specific staff members — the dominant themes are persistent and serious concerns about cleanliness, safety, staffing, and fundamental standards of care. Multiple reviewers described conditions or events that caused them to remove residents from the facility quickly, indicating that the problems reported were severe enough to prompt immediate action by families.
Care quality and clinical concerns: Comments indicate inconsistent clinical care. Rehabilitation and physical therapy staff receive praise — described as "good" or "awesome" — suggesting that therapy services may be a relative strength. In contrast, general nursing and caregiving are repeatedly criticized: staff were described as inattentive, lacking training (specifically around dementia care), and prone to failures in basic duties. Specific clinical and safety failures reported include medications not being given, failure to assist residents to the bathroom (including being left locked out of bathrooms), and documented injuries such as a broken toe and residents being dropped. These are serious lapses that raise concerns about medication management, fall prevention and transfer protocols, staffing competency, and supervision.
Facilities, cleanliness, and infection/control concerns: Multiple reviews emphasize unacceptable environmental conditions. Complaints include filthy rooms, strong urine odors, deplorable bathrooms, and the presence of roaches in shared closets and bathrooms. These descriptions point to systemic problems with housekeeping, sanitation, and infection control. The combination of poor hygiene, pest sightings, and odors creates an environment that reviewers described as unsafe and unsanitary for vulnerable residents.
Staffing, management, and culture: Several reviews highlight understaffing and poor staffing quality as root causes of many problems. Reviewers used terms like "very poor staffing," "unacceptable staff attitude," and criticized ownership/management as being inadequate or worse. While some staff members were described as cooperative or willing to listen, that responsiveness appears inconsistent and insufficient to offset broader staffing shortages or cultural issues. Families reported emotional devastation and guilt after negative outcomes, and at least one review referenced a resident death associated with lapses; these reflect deep failures in oversight and accountability as perceived by families.
Dining, activities, and social environment: Food quality was criticized, with reports of cold or inedible meals. Activities are offered (crafts, karaoke), and social interaction was listed as a positive by some reviewers; however, some residents did not participate due to crowding or other barriers. Thus, while programming exists, it does not consistently translate into meaningful engagement for all residents.
Patterns and severity: The reviews show consistent patterns: (1) rehab/therapy staff are frequently praised, (2) routine nursing care and environmental services are frequently criticized, and (3) failures in basic care (medication administration, assistance with toileting, safe transfers) have led to injuries, rapid discharges, and serious emotional consequences for families. Complaints are not limited to a single isolated incident but recur across multiple reviewers, suggesting systemic rather than occasional problems.
Implications for prospective families: Based on these reviewer reports, prospective families should approach this facility with caution. Key areas to investigate directly include staffing ratios and turnover, dementia-specific training for staff, medication administration procedures and documentation, infection-control and housekeeping protocols, fall-prevention and transfer training, and management responsiveness to complaints. When visiting, inspect resident rooms and bathrooms for cleanliness and odors, observe mealtimes and activity participation, ask to speak with families of current residents, and request records or assurances about how the facility addresses reported incidents and pest control.
In summary, while Macclenny Nursing And Rehab Center appears to have strengths in rehabilitation and some individual staff interactions, the reviews indicate serious, recurring problems with cleanliness, staff training and attentiveness, medication and toileting assistance, and overall management. These issues have led to injuries, resident removals, and profound family distress. Any decision to place a loved one should be preceded by careful, targeted inquiry and direct observation of the specific concerns raised by reviewers.
