Overall sentiment: The reviews present a highly mixed but predominantly negative picture with some pockets of positive experiences. Several reviewers praise specific staff members (business office, social services lead, and an administrator named Celia) and report effective short-term rehab outcomes, but a large number of reviews describe systemic problems that materially affect resident safety, hygiene, dignity, and care quality. The facility appears to have inconsistent performance: while a few visitors say the building and staff are clean, quiet, and competent, many others report serious and recurring deficiencies.
Care quality and clinical concerns: A central theme is inconsistent and often poor clinical care. Multiple accounts describe neglect — residents left in bed all day, not showered, without water, or with soiled diapers — and delayed or missed responses to call bells. Medication management is another frequent issue: reports include meds given late or missed entirely, overmedication leading to excessive sedation, and pharmacy or medication stockouts causing delays. Several reviewers state that after transfer to another facility, residents improved, implying inadequate clinical oversight here. There are also repeated complaints about a perceived lack of regular physician visits and delayed medical assessments, and several reviewers explicitly question nursing leadership and caseworker competency.
Staffing, culture, and communication: Understaffing is a pervasive complaint, noted especially on weekends and nights, and cited as a root cause for many failures in care and responsiveness. Reviewers describe CNAs and nurses who are rude, uncaring, or disengaged; some praise individual staff members, but many describe a culture of neglect, frequent smoke breaks, and improper infection-control behavior (e.g., not washing hands, improper mask-wearing). Communication problems are frequent: families report difficulty reaching staff and leadership, long waits for information, ignored requests (such as for doctor visits), and delays in paperwork or medication reorders. Several reviews mention escalating concerns to administrators, ombudsmen, or the state health department without satisfactory resolution.
Facility, cleanliness, and safety issues: Numerous reports cite severe cleanliness and pest-control problems including mice, rats, cockroaches, and bed bugs. Complaints include vomit and fecal matter on floors or residents, unpleasant/horrific smells, and inconsistent housekeeping. Maintenance failures are also common — nonworking nurse call bell, sink not hooked up, broken beds, and problematic heating/AC (rooms reported both too cold and too hot). Safety incidents are described, such as falls where residents lay on the floor for hours, improper transfers, overcrowded tiny rooms with beds only inches apart, and alleged theft of belongings.
Dining, activities, and environment: Food quality is often criticized as inedible or incorrect for prescribed diets. Many reviewers note a lack of resident activities or engagement, leading to concerns about social and emotional well-being. Environmental complaints include loud hallway noise or disruptive music, outdated décor, and general unattractiveness, though some reviews say the facility was quieter or cleaner than in the past.
Management, improvements, and positive notes: Despite the prevalence of negative reports, there are consistent mentions of certain positive elements: an effective business office for billing/insurance, a strong head of social services who resolves issues, individual staff members (including an administrator named Celia) who are responsive and helpful, and several accounts of successful short-term rehab stays with staff who did a “wonderful job.” A few reviewers explicitly note improvements over the last year or during certain visits. The presence of a three-star Medicare rating and multiple positive rehab reports indicate that quality is not uniformly poor, but rather highly variable depending on time, shift, unit, or staff present.
Patterns and recommendations for readers: The dominant pattern is variability — some residents receive good care, while many experience neglect, safety risks, and poor living conditions. Problems cluster around staffing shortages, inadequate infection/pest control, poor maintenance, medication management lapses, and weak communication. Prospective residents and families should weigh the facility’s proximity, bed availability, and occasional strong staff members against the risk of inconsistent care. If considering placement, strongly recommend in-person visits at different times and shifts, direct discussions with social services and administration about staffing and infection control, checking recent state health inspections, and arranging clear, documented care plans and escalation protocols. Families currently with residents should closely monitor medication administration, hygiene, housekeeping, and response times to call bells, and escalate concerns promptly to administration, ombudsman, and state agencies if issues persist.
