Overall sentiment across the reviews is mixed but leans toward concern because of multiple serious safety and care-related complaints, even though several reviewers praise individual staff members and certain services. Positive comments center on personable staff, a professional administrative team, and useful clinical services like physical therapy, medication assistance, speech therapy, and physician visits. Ancillary amenities that were noted positively include a hairdresser twice weekly, a small garden area, on-site games and church services, and the facility's small size (about 45 residents), which some reviewers felt contributed to a more intimate, manageable environment. A few reviewers explicitly said they enjoyed their stay and would recommend or return, and specific staff (for example, an aide named Joyce) were called out as caring and attentive.
However, the negative reports are numerous and in several cases quite serious. The most frequently mentioned operational problems are understaffing, slow response times to calls, and particularly poor night-shift performance. Reviewers reported delayed nurse/aid responses and slow assistance with basic needs. Cleanliness and maintenance are inconsistent in the accounts: while some reviewers describe the facility as clean and brand new, others describe dirt buildup on floors, infrequent cleaning, and an outdated appearance that needs painting. Rooms were repeatedly described as small, and several reviewers noted shared rooms and limited privacy.
Clinical and safety concerns recur across reviews. Multiple accounts describe improper or uncomfortable personal care — including diaper changes performed by a male attendant that made family members uncomfortable, mispositioned transfer slings, and rough or unsafe transfers. There are reports of inadequate attention to injuries and wounds (an arm injury and bed sores), and at least one review mentions a resident becoming underweight with dietary concerns. More serious allegations include staff refusing to transport a resident to a VA hospital (leading a family to call 911), denial of pain medication reportedly based on the nurse's personal religious beliefs, and instances described as bullying or abusive behavior by staff. There is also an allegation of perceived racial bias in care. These types of reports indicate potential lapses in clinical judgment, protocols, and resident rights that warrant careful review by management and regulators.
Dining and nutrition receive mixed reviews but skew negative overall: several reviewers reported lukewarm or poor food and broader dietary concerns, which ties into the reports of residents being underweight. Activities and outings appear limited; while there are on-site options like games and church services, reviewers mentioned few organized trips or robust activities programming. Visitation was described as limited in at least one summary, which could affect family engagement and oversight.
Management and staffing present a mixed picture. Administrative staff are described as professional and informative in some reviews, which suggests competence at that level. Clinical and direct care staffing, however, is where the clearest divergence appears: some families praise individual aides and therapists and note good PT and speech therapy, while others report a majority of staff as unpleasant or even abusive and indicate that the facility is understaffed. This split suggests inconsistent training, variable staff performance, or uneven staffing levels across shifts.
In summary, reviewers identify real strengths—engaged administrative staff, helpful therapies, visiting physicians, and certain compassionate caregivers—but also critical weaknesses around cleanliness consistency, dining, staffing adequacy (especially at night), personal care practices, and serious clinical/safety incidents. The presence of both strong positive and troubling negative reports suggests inconsistent care quality: some residents receive good, attentive service, while others experience neglect, unsafe transfers, or worse. Families considering this facility should weigh the positive services and small-community feel against repeated and significant reports of understaffing, slow response times, hygiene and maintenance issues, poor nutrition, and several alarming allegations about abuse, refusal of emergency transport, and denial of medication. Those already involved with the facility should consider raising the specific incidents documented here with management, requesting a written plan to address safety and staffing issues, and maintaining close oversight during visits, especially on night shifts.







