Overall sentiment across the reviews is highly mixed, with strong praise for certain frontline employees and a number of very serious, specific complaints about care, hygiene, safety, and management. Multiple reviewers describe compassionate CNAs and a small, family-like atmosphere in which some staff appear attentive and committed. At the same time, other reviewers report neglect and significant care failures — including missed personal care (showers, oral hygiene), worsening bedsores, and medical needs not being met — that have resulted in acute harm, weight changes, and even deaths. The coexistence of strongly positive and strongly negative experiences suggests uneven care quality and inconsistently enforced standards.
Care quality and clinical issues are among the most recurrent concerns. Several accounts allege neglectful care: residents reportedly went without showers for up to two weeks, had teeth that were not brushed, and developed or had worsening bedsores. Families reported that nurses were frequently too busy or stayed at the nurses' station rather than providing bedside care, and that medical issues were not consistently addressed. Problems with diagnostic testing were also raised: reviewers reported unclear explanations about tests, inconclusive results, and even contaminated lab samples. These clinical concerns are amplified by reports of deaths occurring while residents were under the facility’s care, prompting some reviewers to call for regulatory intervention or closure.
Staffing and communication show a bifurcated picture. On the positive side, many reviewers singled out CNAs and one maintenance employee by name (Eric) as friendly, caring, and responsive; some families described a warm, family-like environment and recommended the facility. Conversely, other reviewers said staff would tell families what they wanted to hear and advised constant vigilance — frequently questioning medications, lab results, and care plans. Nursing staff being too busy to answer questions or follow through on medical needs was a repeated theme, and several reviews point to staffing pressures (time-consuming, difficult patients) as a driver of inconsistent care.
Facility environment and operations contain further mixed signals. Multiple reviewers described unsanitary conditions such as dirty or flooded shared toilets, strong urine odors, and generally poor bathroom hygiene. Building maintenance issues were also flagged — most notably, recurrent high temperatures and nonfunctioning air conditioning leaving residents in hot interiors. While maintenance staff received positive mentions, environmental shortcomings have a direct effect on resident comfort and infection control risk. Dining and nutrition were another area of concern: several reviews described horrible meals and poor food quality, and some noted troubling weight fluctuations (gain then loss) that could reflect inconsistent nutrition or monitoring.
Management, transparency, and financial concerns emerge as additional red flags. Beyond communication problems about clinical tests, reviewers alleged dishonesty — staff “telling you what you want to hear” — and one review alleged theft by corporate/administration with money not returned after discharge. Such claims, together with calls to report the facility to state authorities, indicate deep distrust among some families toward leadership and oversight. At the same time, the existence of strongly positive testimonials suggests that managerial practices and quality oversight may vary by shift, unit, or over time.
In sum, these reviews paint a polarized portrait of the facility: there are clear strengths in individual caregivers (CNAs and certain maintenance staff) and in the small, family-like environment appreciated by some families, but there are also multiple, serious reports of neglect, inadequate clinical care, unsanitary conditions, environmental failures (heat/AC), poor food, and troubling management practices. The most concerning and recurring issues — neglect leading to bedsores, missed personal care, contaminated lab results, insufficient nurse responsiveness, unsanitary bathrooms, and deaths while in care — warrant immediate attention by facility leadership and regulatory bodies. Prospective residents and families should closely vet the facility, ask for documentation of staffing levels and incident reports, review care plans and lab/result policies, and consider inspections or regulatory complaints if problems are observed. Current leadership should prioritize transparent communication, remedial staffing and training, infection-control and hygiene improvements, functioning environmental systems (AC), and a clear process for addressing families’ financial and safety concerns.
