Susan Hallmark
Jan 2026
This facility does not deserve one star.<br><br>My father resided here for approximately four months in the second half of 2025, and the level of care was unacceptable. The facility is severely understaffed, and as a result, residents are routinely neglected.<br><br>On multiple occasions, my father was left sitting in soiled diapers for extended periods of time—even after notifying staff that he needed assistance. He would call me from his cell phone asking if I could come change him because no one was available. We timed these delays on several occasions, often exceeding an hour. During his stay, he suffered repeated UTIs, which his physicians confirmed were caused by prolonged exposure to soiled diapers. I reported these issues to HHS due to the frequency and severity.<br><br>Bed linens were also frequently left soiled for most of the day. During visits, I often waited over an hour for staff to assist, and I ultimately had to locate clean sheets and supplies myself to clean his mattress and change his bed so he could lie down. I regularly had to change his diapers personally because staff was unavailable, and the unit was frequently short on basic supplies.<br><br>Hygiene care was routinely missed. My father often missed scheduled showers, and his wheelchair frequently smelled of urine and feces and was visibly soiled. I repeatedly requested that the wheelchair be properly cleaned and sanitized. When staff finally addressed it, they were only using soap and water, which is not adequate sanitation for bodily waste. I asked twice for proper wheelchair sanitation to be written into his care plan, but it never was.<br><br>Medical oversight was also deeply concerning. The physician who oversees this facility comes from out of town only once per week and often does not see all residents. Communication between the nursing staff and the physician was extremely poor. At one point, my father had persistent diarrhea for nearly three weeks. Staff suspected C. diff but were unable to obtain an adequate stool sample for testing and did not follow standard C. diff infection-control protocols. Despite repeated failures to obtain the sample, they refused to notify the physician that the requested testing had not been completed.<br><br>When my father began having blood in his diaper in addition to the ongoing diarrhea, the facility had no clear plan of action and still did not escalate the issue appropriately. At that point, I transported him to the emergency room myself because the staff was unable or unwilling to manage the situation safely. He ended up being negative for c-diff but did have an advanced UTI which nursing staff at the home never suspected or tested for.<br><br>Care plan management was another major issue. Despite multiple care plan meetings, changes discussed were often never documented. I had to repeatedly follow up just to obtain copies of the care plan, only to find that agreed-upon items were missing. When I requested updates, I was ignored for longer than the federally required timeline for updates and had to threaten to get HHS involved again just to hear back. The facility ultimately involved the state Ombudsman because they disagreed with my requested changes—yet the Ombudsman agreed with me, making the entire process unnecessary and prolonged.<br><br>Staff turnover was constant. There were multiple overnight shifts when only one CNA was present because scheduled staff failed to show up. Every visit confirmed the same issue: chronic understaffing. The administrator dismissed concerns by stating that “no one wants to work” and that all nursing homes are experiencing this. That has not been our experience. My father has been in two other nursing homes—both before and after this facility—and neither had staffing or care issues like this. His current facility is adequately staffed and meets his needs consistently.<br><br>Whether due to poor management or budget constraints, this facility fails its residents. No one should have to endure the neglect my father experienced here.
