Best care I could ever have expected for my Mom. She was in the Skilled Nursing section for a few…read moreweeks before she passed. Everyone was kind and the staff to resident ratio was superb.

My mother was at Franke Tobey Jones, first in an apartment, then assisted living and finally the…read morenursing home part of the facility. She enjoyed going for her daily walks participating in classes. She developed a deep friendship with one of the other residents. Staff were kind to her. The beginning of the tragic turmoil began during her transfer to the HCC. She was shocked. She was excluded from having any part in decision making for the HCC. When I took her to see her new room she sat down and cried, "Please don't let them put me here". I told the nurse, but they went forth with placing her in the HCC against her will. FTJ has a history of not disclosing that the nursing home (HCC) is far more restrictive and that the resident may not need this level of medical care. In the age bracket of my mother, residents are transferred to nursing homes, in order to access nursing home insurance. Through rapid transfer, isolation, immobility and restricting communication, my mother lost her level of functioning rapidly into the parameters of the insurance. The transfer to HCC, was over $10,000 per month. My mother was sent to live in a constricted small room along a dark hallway. When she looked out her windows she saw parked cars right in front of her room. After placement in the HCC, FTJ could then rent out the beautiful assisted living unit she had lived in with views of Mt. Rainier over the fountain. One of the administrators informed me that residents are often transferred before they need that level of care. A direct care provider told me how residents are placed with no contact with friends or family for two weeks. When I came to visit and support my mother two days after her move, I was told to leave immediately or they would call the 'authorities'. I asked to speak to the CEO, who was a compassionate man. I was told he was not available and I must leave. There was no consideration for our mother's needs for support from the family. She later told me she thought she would never get to see me again in her lifetime. Another staff member told me how residents are transferred and cry for a few days. She went on to say that staff give them lots of attention and gradually they adapt. After transferring from assisted living to the HCC I observed that residents were no longer looking up and engaging with others, like they did before. From my perspective the move against my mother's will, isolation, restraint to wheelchair is 'kidnapping'. I never would have believed before that FTJ would do this to her. My mother grieved, with her loss of freedom, choice and respect. She had been a social activist for equal rights of minorities in Tacoma and president of the YWCA. She trusted the medical system, as a professional in the field herself. How ironic that a citizen who fought for equal rights would have these taken from her when she became an elder. My mother had been promised with the move that she would get to eat with her friends. Never again. She was no longer allowed to get up and walk on her own with her walker. She was placed in a transport wheelchair, with footrests. My mother was restrained through taking away her means of mobility, unplugging her telephone, not allowing her to eat or visit with her friends in assisted living. My mother told me, "I am imprisoned. I have no more rights. I cannot speak at a deep level. I must be superficial in my conversation or they will confine me even more." "When I die I want you to be free. To go where you are loved and never have to come back". The new Nursing Supervisor, Jenny Dooley, RN, had been my mother's Nursing Care Coordinator from Sound Options. She put further restrictions in place. My mother could no longer eat with anyone from outside FTJ staff, including healthcare professionals specializing in this field. My mother wanted to go out with her sister to eat and go with myself to her beach cabin. This right was withdrawn, even with accommodations including adaptive equipment and care providers. As a retired ARNP, who was a rehabilitation disability specialist, it was so hard to simply stand back and watch it all happen. FTJ lacked the knowledge and provided unsafe behaviors in eating and drinking, toileting, transfers, and working collaboratively with family. When the struggle impaired my health I had to give up on trying to support my mother's duration of life. I needed to adapt her quality of life needs to simply visitation in her room, and never again to go visit family or even go to her own home. I even needed to get an attorney to quote the Washington state laws in order to be with my mother as much as SHE wanted 24/7 for her last month of life. FTJ had requested no more than 2 hours a day, which was devastating for my mother. FTJ forgets how one's life expectancy is significantly reduced when opportunity to be with loved ones is restricted. My mother felt trapped and at FTJ's mercy until she passed. Then she was free.

My husband was there for 10 days after a hospital stay. There are pros and cons…read more Pros Building is clean with no institutional smell. Staff is attentive and very pleasant PT and OT were very good and made sure they gave my husband the attention needed to regain his strength Cons Parking is horrible. I spoke to the Administrator about when I saw at least six staff members parking in front rather than around the back so there was no room for visitors, He was almost rude and pretty much stated it wasn't his problem. Food was less than stellar. They were supposed to take orders so you didn't have to eat the meal of the day, sometimes that happened and sometimes not. Way over salted but when my husband mentioned that he was told they didn't salt anything. Might want change who the food is sourced from. Beds were so uncomfortable according to my husband. Activities were not something most would want to participate in, It was better than some but there is still room for improvement and if the higher staff members don't see a problem then nothing changes

The only reason I am giving one star is because a zero or negative rating is not an option…read more My 94-year-old mother was admitted to Avamere Transitional Care of Puget Sound on a Saturday evening with casts on both arms extending from her fingers to above her elbows. Upon arrival, she was served a meal consisting of a hoagie roll with two very thin slices of turkey, a piece of Kraft cheese cut in half, cold fries, and fruit that was unrecognizable. This raised immediate concerns about basic care and nutrition. The goal of short term rehabilitation is to help patients regain strength, improve their health, and return home to their normal activities. Unfortunately, our experience was the opposite. My mother became weaker with each passing day. Given her condition, it should have been immediately clear that she required assistance with basic tasks. However, it took until the following day for staff to recognize that she was unable to feed herself. When assistance was requested for toileting, a CNA stated in front of me that my mother could use her diaper and would be cleaned later. This appeared to be standard practice, as she was frequently left in bed until the afternoon and not regularly assisted to the restroom. As a result, her hygiene declined significantly. A physical therapist later expressed concern about her condition, noting that at 3:30 PM she was still in bed and had not been properly cared for. Communication throughout her stay was extremely poor. There were constant staff changes, and no clear continuity of care. Nursing and physical therapy appeared to operate in separate systems with little coordination. Despite multiple requests, we were never able to speak with a physician at any point during her stay. During this time, my mother developed pneumonia. We have since moved her to another facility. Within the first 30 minutes of her arrival at Orchard Park, she received more care and attention than she did during the entire two weeks at Avamere. I fear for patients who do not have an advocate, as they may be left with little to no care. Overall, the level of care, communication, and coordination fell well below expectations.

Tried to get a hold of someone regarding my mom's care. But either no one answered the phone and…read moreeven though I left messages no calls back

First off the care staff is fantastic. they are worked too much and there are too few of them. But…read morehave always taken care of my parents. The kitchen is a joke. A facility like this should not run out the dinner special. Today both were out before dinner was over. they often run out of stuff. bread? butter? tarter sauce? Who wants fish and chips with out tarter or any thing. They show all this fancy food on the website but that is a joke also. The chef can not figure out how to cook for this type of place. This kitchen things is on going. Residents should never be turned away when they show up just before 6. Stupid.

The minute I stepped into Garden Terrace Rehab I had really good vibes. Decorated nicely. Food isnt…read moretoo bad, better than hospital food. All the staff are wonderful. Positive attitudes. They don't make you feel like you're bothering them when you need something. No matter what you are having them do. Cleaning you up, getting ice water, or just opening the blinds. There is 1 nurse on the night shift which is very grouchy and rude. She gets off at 10:30pm and i called to be changed and she said "Your couldn't wait for 10 minutes to push your button. Excuse me if I dont know your schedule and I can't control my bowels. Maybe she shouldn't be taking care of elderly patients.

I spent 12 days here recently. It was clean, the room was good and the food wasn't bad. The staff…read morewas responsive during the day. The night staff was inconsistent. Caregivers Melinda, Kara and Nurse Stella were great. I expected that as a health service provider, it would be perfume free. However an unusual number of them wore perfume, some very strong. I am allergic to most perfume, so discussed it with the supervisor. She apparently thought I was the only person who was reactive and did nothing. A couple of days later, I smelled her wearing perfume. I was also disappointed there was no decaff coffee. I can't be the only one with high blood pressure. It seems that a healthcare facility should always have decaff for patients.

I have been using signature in home health care for about 6 weeks now. They had an occupational…read moretherapist come to my home to make sure I was completely safe and had everything I needed. They had a physical therapist come to my home to see if there was anything they could do to help me. I have a RN nurse that comes to check on me once a week. Now they are in the process of trying to see if I could get IV medication help at home instead of having to stay in the hospital like I have had to do twice. They have bent over backwards to help me. I have used three in-home health care providers. Signature is at the top of the list. Thank you.

I wish I could give a zero - I was discharged Tuesday afternoon- they finally called my husband…read moreduring the afternoon on Thursday- I called back three times trying to call them back - all I got was voicemail- left messages with no response!!! I will be calling the hospital and letting them know how poor their customer service is!!!

I think it's a great place everyone is so nice and caring, I especially love the rehab girls they…read moreare so helpful, caring, considerate, and to put it simple I b think they are all awesome.I always try to do my part too I can see first hand how hard they work at try to help people and make everyone feel so great. I like to think I have made all of them feel and see how greatful I am for being do helpful, kind and awesome I hope they can tell how grateful I am and how much I care about all of them. I like to think I made a few friends here and I hope they fill the same way. Anyway I will definitely recommend this place for sure. Thank you all so much

Loved it at first. Some staff are amazing, some aren't. Night time they have significant less…read morestaff. Broke out in a full body rash after a bed bath, left for 4hrs begging to use a bed pan, my things went missing after I was hospitalized (all my personal items were labeled and my low blood pressure was ignored for days until I became unresponsive

Shirley's Senior Services are the most amazing caregivers ever. I expected professionalism, when I…read morehired them to care for my senior Dad. But I didn't expect to also get personal, caring, honest, integrity, kind, genuine, great communicators, and SO MUCH MORE. The best part is, not only do we (myself and my siblings) love them, but my Dad couldn't be happier. He looks forward to their visits and asks when they're coming and tells me all the ways they help him every time I talk to him. I think he's happier when they visit than when I do! If you are in need of caregivers for your senior loved one, these guys are it. I think the world of them. If I could give them more than 5 stars I would. They are beyond amazing.