Scott Burger
Jul 2026
Since 2024, I have observed a decline in the quality of care at Grace. The facility appears to prioritize financial concerns over resident well-being, which is reflected in several ongoing issues. These include recurring bed bug infestations, poorly prepared food, and a heating system that does not allow residents to control room temperatures during certain times of the year. There have also been instances of staff making inappropriate remarks to residents and their families, as well as frequent medication errors, such as lost medications, unfilled prescriptions, and unauthorized changes to prescriptions. Communication lapses have occurred, including staff failing to send test results to the correct physician and being unable to confirm my mother's residency to the ombudsman. Billing practices have also been unclear, with requests for full-month payments rather than prorated charges. Additionally, my mother has experienced a lack of transparency regarding her health information, unresponsiveness from the Director of Nursing, and staff not following physician orders for meals and medications. For example, her gabapentin dosage was recorded incorrectly, prescribed eye drops were not administered, and a daily stool softener was incorrectly listed as 'as needed,' resulting in a hospitalization for colitis. Rapid and frequent changes to her depression and anxiety medications in 2024-2025 also led to severe withdrawal symptoms. These concerns have significantly impacted my mother's health and well-being.
