Overall sentiment in these reviews is highly mixed but leans toward serious concern. Many reviewers report deeply troubling incidents of neglect and medical mismanagement, including urinary tract infections progressing to sepsis, catheter-related infections, severe dehydration, associated hospital readmissions, and at least a few reports of death attributed to substandard care. These reports describe prolonged waits for assistance, residents left in urine or feces, failure to perform basic hygiene such as daily showers or regular toileting assistance, and delayed responses to urgent safety hazards including a broken bed railing and falls. Several families say they were not informed of incidents or transfers to the hospital, increasing distress and undermining trust.
Staffing and staff behavior are central themes. Multiple reviews emphasize chronic understaffing: only two aides on the floor most days, long call-light delays, and nurses who are flustered or overstretched. This staffing shortage is frequently offered as an explanation for neglectful outcomes. At the same time, there is consistent mention of very positive individual caregivers: nurses described as smart, kind, patient, and loving; CNAs referred to as angels in some accounts; and frontline staff who go beyond the norm. This polarity suggests large variability by shift and by individual caregiver, producing widely different resident experiences within the same facility.
Medical oversight and medication management are recurrent problems in the negative reviews. Families describe antibiotics and other medications being administered without clear physician consultation, medications continued after apparent allergic reactions, and allegations of overmedication or inappropriate dosing. Several reviewers link poor clinical oversight to significant adverse outcomes, including allergic reactions, kidney failure, and severe weight loss. Catheter and wound care appear inconsistent: some reviewers praise terrific wound care while others describe improper catheter care that led to infection and hospitalization. These conflicting reports point to inconsistency in clinical practice and monitoring across cases.
Facility condition and cleanliness provoke mixed impressions. Multiple reports describe strong urine odor, dirty carpeting and walls, soiled linens, missing dentures and supplies, and overall run-down or disgusting conditions in parts of the building. Conversely, other reviewers call the facility very clean or hotel-like, and commend housekeeping and foodservice. This again underscores variability: some units, rooms, or shifts may be much better maintained than others. Dining is another area with split responses: the food is often described as pretty good with soups singled out positively, and foodservice staff receive praise; however, there are documented dietary mistakes such as inappropriate meals for diabetic residents and issues with food trays being inaccessible to some residents.
Administration, communication, and billing emerge repeatedly as areas of concern. Families report poor communication, absent or disengaged management, failure to proactively update family members on medical changes or hospital transfers, and privacy breaches. Multiple reviewers mention billing disputes, aggressive collection threats, confiscation of phones, and insurance conflicts, including a reported demand for a large sum from insurance. These administrative issues compound the clinical concerns and contribute substantially to family dissatisfaction.
Therapy, activities, and overall rehab experience are uneven. Several reviewers praise physical therapy when it is provided, but many note limited PT/OT availability or no therapy until the last week of a short-term stay. Activities are described as nonexistent by some residents or families. Combined with reported short staffing and limited on-site nurse hours, the rehabilitation value of a short-term stay appears inconsistent and dependent on timing, staffing levels, and assignment to particular units or therapists.
In summary, reviews present a facility with significant internal variability: pockets of excellent, compassionate care and strong services (dedicated nurses and CNAs, good food, effective wound care and PT in some cases) exist alongside serious systemic problems (understaffing, hygiene and infection control failures, medication errors, safety risks, poor communication, and billing/administrative misconduct). The most alarming and frequently cited issues — infections linked to catheter care, sepsis, dehydration, medication mismanagement, and reports of death — suggest that medically complex or vulnerable residents may face elevated risk. Prospective residents and families should treat the reviews as a warning to perform thorough due diligence: ask about current staffing ratios, infection-control practices, medication and physician oversight procedures, catheter care protocols, recent regulatory inspections or complaint histories, and how the facility communicates incidents and hospital transfers. If possible, visit multiple times, speak with nursing leadership, and request references from current residents or families to gauge how consistent the quality of care is across shifts and units.
