Overall sentiment across the reviews is mixed but leans positive for clinical rehabilitation and facility environment, with consistent praise for therapy services, certain nursing and wound-care staff, and the physical plant. The therapy department receives repeatedly strong endorsements — physical therapy, occupational therapy, speech therapy, and the broader rehab unit are described as "topnotch," "excellent," and helpful in tangible ways (for example, helping a husband walk). Wound care and several nurses are singled out for high-quality, attentive care. Multiple reviewers who required intensive rehab or skilled therapy reported very good outcomes and felt well cared for by therapists and some nursing staff.
The facility and amenities are another frequently positive theme. Reviewers mention clean rooms, attractive décor, large rooms (including shared room options), kitchenettes, a nice dining area, and extra features such as gardens, a chapel, cafés, lunchrooms, and a game room. Several reviewers describe the building as home-like and patient-focused, and they appreciated informative tours and friendly staff who allowed room decorating and social activities. Post-pandemic, activities were reported restarting, and residents noted making new friends and settling in well.
Despite these strengths, a clear and recurring set of concerns emerges around staffing consistency, communication, and management. Multiple reviews describe uneven care quality — "some nursing staff good and some not," and aides who "initially left something to be desired but improved." Understaffing was specifically called out and linked by some reviewers to lapses in care, infection events, and a sense that management may prioritize money over patient welfare. Several reviewers stated management-level concerns, including a Director of Nursing they would not trust with family members and promises that were not kept.
Administrative and communication problems are another consistent issue. Reviewers reported failures in notifying powers of attorney in a timely way, discharge planning confusion (including being told a resident could go home before they were ready), and insurance-related discharge pressures — notably forced discharges due to Medicare co-insurance or loss of insurance coverage. These failures led at least one reviewer to describe a near-hospital readmission risk because some issues were missed prior to discharge. Such problems suggest gaps in coordination between clinical teams, case management, and families.
Cleanliness feedback is mostly positive, but there are notable exceptions. While many reviews describe a very clean facility, a small number raised significant housekeeping concerns — specifically filthy overhead room filters and complaints that floors were never vacuumed or shampooed. These comments are isolated but important because they contrast sharply with the majority of cleanliness praise and point to possible inconsistencies in environmental services.
Dining and day-to-day life generally receive moderate praise: food quality is described as "okay" to "good," and the dining area is considered pleasant. Activity programming was negatively impacted by the pandemic according to several reviewers, but activities were reported to be restarting and contributing to social well-being for residents who remained or returned.
In summary, Larkspur appears to be strong in rehabilitation, therapy services, and certain nursing/wound-care areas, with an appealing physical environment and amenities that many residents and families appreciate. However, the facility shows recurring issues with staffing consistency, management communication, discharge planning, and occasional environmental service lapses. These negative themes are significant because they can affect safety and continuity of care — especially when paired with insurance-driven discharge pressures. Prospective residents and families should weigh the facility’s clear strengths in therapy and amenities against the risk of inconsistent nursing/aide care and administrative communication problems; asking specific questions about staffing ratios, discharge procedures, infection control, and family communication protocols during tours may help mitigate those risks.
