Overall sentiment across the reviews is highly polarized: many families describe Roxboro Assisted Living as a clean, welcoming, activity-rich community with compassionate caregivers, while a substantial number of reviews raise serious safety, communication, and management concerns. Positive reviewers repeatedly praise the facility’s atmosphere — private, spacious rooms with a home-like décor, fresh smells, and housekeeping that keeps the community tidy. Meals and dining are frequently complimented, and numerous structured activities (Bible Study, devotions, cards, bingo, music, singing, hair and nail services) are cited as reasons residents quickly adjusted and enjoy daily life. Several reviews specifically call out excellent medtechs, an attentive physician, and staff ranging from the director to concierge as professional, courteous, and genuinely caring. For many families, the facility feels like a "home away from home," with staff going above and beyond and administrators who address concerns promptly.
However, recurring negative themes are serious and consistent enough to warrant caution. Multiple reviews allege neglectful care practices (for example, failure to bathe or change residents), and several describe situations where residents were sent to the ER and not readmitted with little or no explanation. There are multiple reports of management deception — including alleged lies about a resident fall and failure to notify family — and claims that incidents were covered up. These accounts are compounded by reported poor communication around discharges and changes in care status, discharge paperwork provided without clear explanation, and families being left to navigate aftercare alone. Some reviewers explicitly state ongoing investigations or involvement of the state ombudsman, indicating unresolved compliance or quality-of-care concerns.
Management and leadership receive mixed reviews: in many accounts the administrator and director are praised for responsiveness and compassion (some reviewers single out staff like Jimmy Horton or mention an administrator who "kept her word"). In contrast, several others describe an uncaring or "hateful" administrator, rude staff (with one named: Angela), threats of illegal eviction, and a corporate, money-driven focus. This inconsistency suggests variability in leadership style and possibly staff turnover or management transitions; multiple reviews reference confusion caused by different companies or administrative changes. Financial pressure is a common worry: families report high monthly costs and situations where being behind on payments led to limited assistance in finding alternatives or threats of eviction.
Staffing and clinical capacity emerge as another key dividing line. Many reviewers celebrate compassionate, efficient caregivers and proactive activities staff; others report chronic understaffing, poor training (particularly for memory care or dementia residents), unreliable care, and difficulty obtaining appropriate clinical response. Several reviewers explicitly note that Roxboro is not a skilled nursing facility and warn that it may be unsuitable for residents with significant medical or memory-care needs. Reports of undernutrition and dehydration risk are particularly concerning — these are cited alongside inadequate monitoring and communication about health and nutrition status.
Patterns in the reviews point to a community that can provide an excellent assisted living experience under certain conditions — for residents with social needs who benefit from activities, companionship, and light-to-moderate assistance, the facility often excels. Conversely, for residents requiring higher-acuity medical oversight, skilled nursing, or specialized memory care, the facility appears inconsistent and at times inadequate. The mixed reports about management responsiveness suggest that individual administrators and staff play a major role in the quality families experience; where leadership is engaged and staff are supportive, outcomes and satisfaction are high, but where leadership is perceived as uncaring or deceitful, severe problems have been reported.
Recommendations for prospective families based on these reviews: (1) Verify the facility’s scope of care and confirm whether it meets the specific clinical needs of your loved one — Roxboro is repeatedly described as not being a skilled nursing facility and may lack memory-care training; (2) Visit multiple times, observe staff-resident interactions, dining, and activities, and speak directly with front-line medtechs and nurses about staffing ratios and clinical protocols; (3) Ask how the facility handles incidents (falls, hospital transfers), family notification procedures, readmission policies after ER visits, and how they document and communicate changes in condition; (4) Request references from current families and inquire about any state investigations or ombudsman reports; and (5) Clarify financial policies, eviction procedures, and what support is provided if payments become an issue. In summary, Roxboro shows many strengths in hospitality, activities, and some caregiving, but the frequency and seriousness of negative reports about safety, communication, and management inconsistency are significant and should be thoroughly explored before placement.
