The review set for Signature HealthCARE of Elizabethton Rehab & Wellness Center is highly mixed, with strong, repeated praise for clinical rehabilitation and many frontline caregivers, contrasted with sharp criticisms centered on management, inconsistent staff behavior, and operational problems. On the positive side multiple reviewers highlight excellent physical therapy and rehab outcomes — therapists are repeatedly described as high-quality, engaging, and effective at helping residents regain mobility and return home. Several families credited the therapy team and nursing staff with successful discharges and wound healing. Many reviewers also describe compassionate, attentive CNAs and nurses who provide individualized care, treat residents with dignity, and add a personal touch that makes loved ones feel special. The facility itself is often described as welcoming, quiet, and clean, and some families call it the best option in the Elizabethton area, noting a comprehensive multidisciplinary team including administration, dietary, nursing, and rehab working well together.
However, a significant portion of reviews report negative experiences that are not isolated. Recurring themes include hostile or rude behavior from certain staff members and troubling management practices. Specific names appear in complaints (Autumn described as refusing to talk; Brenda described as unfit to work with patients), and there are claims of staff being lazy, threats to call police, and managers focusing on finances over care. Reviewers gave examples of neglect at vulnerable times, such as residents being left unattended during mealtimes, special dietary orders not being followed, and requests for help being ignored. These operational lapses raise safety concerns, especially for frail elderly residents and those with cognitive impairment.
Communication and leadership gaps are another consistent concern. Multiple reviewers reported poor communication with families, including being hung up on and breaches of privacy when private information was shared inappropriately. Some noted there is no supervisory presence on weekends or inconsistent on-site leadership, which can exacerbate problems when urgent issues arise (for example, family concerns about a loved one’s safety after a fall). There are also operational issues such as overcrowded shared rooms that feel cramped, blocked access to sinks, and a report that one person controls heating and air — details that suggest gaps in policies or enforcement that affect resident comfort and dignity.
Dining and amenities receive mixed feedback: while several reviewers praise dietary staff and say residents are well fed, others describe the food as "disgusting." Therapy capacity is also an issue for some — a few reviews mention therapy availability being full, which could limit access for new or returning residents in need of rehab services. Safety-specific allegations — such as unsafe driving by staff and an accusation that leadership covered for a driver — are serious and were raised by multiple reviewers, as were statements about potential management instability (firing of valued staff, focus on money, and even suggestions the facility could be at risk of shutdown). These reports point to items families should verify directly with facility leadership and regulators if concerned.
Overall sentiment is polarized: many reviewers are strongly positive about the clinical teams, therapy outcomes, and the compassionate care provided by a number of staff members, while a substantial minority report troubling issues tied primarily to management, communication, and inconsistent caregiver behavior. For prospective families, the reviews suggest the facility can deliver high-quality rehab and excellent individualized care, but due diligence is warranted — ask to meet therapy and nursing leaders, request specifics about weekend supervision, policies for mealtime assistance and special diets, rooming arrangements, privacy practices, incident reporting and investigation (falls, driving incidents), and staff turnover/retention. For current families, raising documented concerns with administration, requesting meetings with the Director of Nursing or facility leadership, and involving ombudsman or state survey agencies if safety or rights are at risk would be appropriate next steps.
In short: this facility demonstrates strong clinical and rehabilitative capabilities with many caring employees and successful outcomes, but it also shows patterns of management and operational problems that have led to serious family complaints. The choice to use this facility should weigh the positive rehab track record and standout staff against reported inconsistencies in leadership, communication, mealtime care, rooming conditions, and occasional safety-related allegations.
