What I've come to understand about hospice orgs is that they seem to attract nurses who may be…read moreburned out from other jobs. This results in transactional care, checking off boxes to comply with Medicare but a lack of genuine compassion for the patient. (hospice enrollment recommendations below) Hospice affords more normal hours than working at a hospital. However, the trade off is probably that the nurses may have to drive 100 miles a day all over the county to serve patients. It's a crap shoot when it comes to the nurse case manager (weekly nurse) you get based on when you enroll in hospice care. And it's a crap shoot for the nurses too, who gets assigned to them. (see #4 below) Transitions was recommended to me by someone I trusted. I didn't know what I didn't know but my initial instinct during the first transaction with the intake nurse seemed off to me. She didn't listen, was not paying attention to what I said (about my Mom's care needs) and not educating us on how we should be looking at the whole hospice experience, especially medication management. We lasted a month and a half before I went to another company. The whole point of hospice is having continuity of care. The nurse case manager kept scheduling other nurses to come in her place which consequently caused us to have to orient a new nurse almost every week. Recommendations for Hospice Enrollment and Ongoing Management 1) Trust your instincts if your first interactions with the hospice org aren't stellar. Unless your family member is very close to death you probably have time to interview another company. 2) How medication is administration is explained and distributed (by mail or pharmacy pick up) is critical. 3) Understand that the first several intake people who call or visit may not be the regular providers you will be seeing. They have to check boxes for Medicare so they may only be marginally helpful. 4) The Clinical Manager who manages schedules and nurse performance is THE most critical role in the process. This person MUST be a great problem-solver, compassionate, caring, understanding and a good listener. Spend time up front describing your loved one's personality, likes and dislikes to hopefully get the best match possible nurse case manager (weekly nurse). 5) Once you get through the initial process, if you don't like the hospice care you're getting it's fairly easy to transition to another company (assuming you have POA for your loved one). 6) Make sure your POA and Healthcare POA are updated. If you had documents drafted years ago, they may not be specific enough for today's requirements. 7) If you have a life alert system you can give the hospice company number to the life alert system company so 9-1-1 won't get called in an emergency. 8) LPN's have more authority with medications than RN's but Medicare requires RN's to visit at least once every other week. 9) Hospice nurses understand that the closer to the end of life someone is, the less interested in eating they will be. Also, people at the end of life will sleep more. So keep track of eating and sleeping because the nurses will be most interested in that in addition to pain management. 10) Document changes in health in advance of nurse visits even if it's jotting small notes on a calendar because over time all the days blend together.

My mom passed away at Transitions. Everyone we worked with was kind and compassionate. Volunteers…read morecame in with a dog, to sing, and one even offered a Reiki session, which was something my mom had offered to others years ago. My mom's passing was gentle and peaceful. The staff was kind and respectful.

My visit to Magnolia Glen was great. My mother lives there and I enjoy going to visit her…read more Thank you for taking care of my mom! Meri Sherson

I visited to do a Catholic Communion service. The residents who participated seemed to be grateful…read moreto be there and told me there was always help when they needed it. The areas I was in appeared clean and safe and well maintained. i would consider Magnolia Glen for my own future needs.

I cannot say enough positive things about Kelley's Family Care Home. Kelley and her staff go above…read moreand beyond daily. They make sure mom is comfortable and engaged. The level of personal care mom receives is exceptional. Our family has complete peace of mind knowing our mom is receiving such compassionate, high-quality care. The house is lovely and Kelley and her staff are true gems! We're so grateful for everything they do.

One word: Outstanding. We had navigated the gamut of care for our dear "Grams" suffering from…read moreDementia subsequently progressing to Alzheimer's. Our experience with the "institutional" type facilities was horrific; they focus their care on putting out "fires of fits" and less on a holistic care approach. Anyone familiar with the disease progression evident with Dementia and Alzheimer's understands there is no standard "glide path" of decent so there are as many states of debilitation as there are people in the facility. The institutional facilities work with the worst and leave the others to fend for themselves. After constant research we found a new model of care: that done in a home environment, in a residential neighborhood. Kelley's Family Care Home quickly rose to the top of our list and we felt fortunate to be one of the "charter" families to place our loved one. Grams quickly adjusted and the care offered was absolutely outstanding. From the cleanliness of the home to the home cooked meals and the caring employees, we knew we were in the right place. We can not say enough good about Kelley--her knowledge as a nurse and compassion as a caregiver is unmatched and a rare find indeed. Do not waste another minute searching if you are considering a loving home for your dear family member; give Kelley's Family Care Home a call now.

My mother has been taking my father here for approximately six months. My father has Alzheimer's,…read moreand has done really well there as they are so welcoming. They are warm and loving and go out of their way make it fun for the people there. My mom has absolutely loved it. I highly recommend this facility for your loved ones.

This franchise in Raleigh NC address 2245 Gateway place 27607 she is a phony she looks for the…read moreworst in some of the employees and favor others, she never turn down a client no matter the sisuation with them being that it is bed ridden, psychotic, as some has been, some have diseases and mental impairments that the caregiver and PCA are not equipped nor trained medically to handle, the owner Marshall throws her workers under the bus and sticks them with any clients to deal with as long as it mean that she gets to make more money by not turning down a single client no matter their medical sisuation, there has been so many injuries at that facility Sarah care Lake boon trail and The owner Marshall covers it all up and ask that her workers do the same oh yes she tells them what to say and how to handle these injuries with the family members, There have been many family members removing their relatives out the care of Sarah care Lake Boone trails because of all the cover up and injuries sustained in the facility, even the workers at the facility gets fed up and not take care of the clients as necessary like they should, it even becomes too much for then at times to the point where they say to one another that they will leave the clients with poop on them, and that's what happens some of the clients go home poop and smelly like urine, The owner Marshall only cares about money the more clients she can keep squeezing in the door the better for her, the place has been over Crowed a lot so much so that she comes down hard on the workers to do everything becomes too much to do and tend to all at once, exspecially when it comes to toilets and changing diapers, This is one place would not recommend my friends nor family to bring their relatives to, i see too much go on here at this place and it is not a pretty site in fact it discussing, and a disgrace

My aunt was in here for a period of time. One thing she wanted to do was get one of those assisted…read morestanding chairs. BellaRose stated that the chair had to be factory new, and shipped directly to the facility. That means that you can't go to Rooms to Go, or Ashley furniture, and throw it in the back of the truck and take it straight there. You have to go buy it, pay extra for shipping, and wait a few days for them to schedule delivery. They do have WiFi for families to use while visiting. The issue was that I had to give them my personal device so so they could enter the password. Now we all know some of us have sensitive work information on our devices, and can't let anybody holing our unlocked devices. And sometimes we don't trust how) clean a person's hands might be. (I know I see adults digging for gold nuggets in their nose) But for the overall care to patients, they do have decent care, and a nice facility. 2024-13 #542

Early May transferred from wake med Cary to rehab. scared to death as I arrived. Staff so…read morewelcoming, was there two weeks regaining strength recovering from many health problems. So clean, large private rooms , delightful atmosphere, but best part? Staff...they could not have been any better! always there to help you, their concern and exceptional care got me on my way to return home feeling secure and strong. the meals were exceptionally good, as I needed to put on weight, I looked forward to the variety of tasty food. Not the institutional hospital food bland! I am an extremely active aquatic instructor and retired healthcare worker. always tried to give my best to patients...God blessed me sending me to Bella Rosa...thank you all again for healing me physically and mentally. I called it The Ritz Carlton of rehabs ...beautiful and bright ! Best care anywhere.

My mom is a resident in assisted living, after leaving a different independent living facility. My…read moremom is ambulatory and can usually take care of her physical needs but has a very poor memory due to dementia. The staff have been kind and helpful. They are always receptive to requests. My mom has made friends and enjoys herself and the activities they provide. The little apartments are very nice, and I am happy that they have cleaning and laundry service. The staff in the dining room are good at accommodating individual preferences, and the residents really enjoy their meals. I have no hesitation at recommending Woodland Terrace.

Great facility and staff. I was impressed by the cleanliness and attentiveness of the staff.read more

My mother-in-law stayed at Spring Arbor, Raleigh NC from 2012 to 2014. Now, my mother is in the…read moreplace that my wife's mother was as far as mentally when we decided to place her mother here. My mother has Alzheimer's disease and we want to transport her from her home in Southern Pines to where we live here in Raleigh. I immediately thought of Spring Arbor as the place for her to go. My mother-in-law got such great treatment and loving care and that's what I want my mother to receive. It's hard enough making that hard decision to place her in a facility. I just want her to go to a place that I know will care for her the same way that I would.

The staff at spring arbor--particularly those in the memory care unit--are some of the nicest, most…read morecompassionate people I have met. My family had experience with three different facilities and the care, concern, and communication that I saw from spring arbor staff was top notch. The facilities are clean and the staff is incredibly professional. My grandmother recently passed and the staff went to extraordinary measures to provide her comfort and showed such generosity of time and spirit to my family in a very difficult time. Truly, they made our experience as positive and low stress as it possibly could have been--I am so thankful my family was able to entrust my grandmother to their care.

We moved here from Seattle in May 2021 and after a brief adjustment, we've been very pleased…read more Housekeeping alternates from changing our bed linens, to a thorough cleaning of floors, dusting and cleaning both bathrooms. Employees are well trained, friendly and efficient! Initially, the dining and kitchen staff had vacancies, but that has changed. Daily continental breakfasts are provided, with Wednesday offering a variable of scrambled eggs, bacon and sausage. Every other Sunday a hearty brunch is provided and is excellent! The evening dinner is also provided in the Dining Room. Depending upon personal preference, a menu is completed the day before and returns to the kitchen. Staffing can alter whether it will be a buffet style or seated dining. Soup, salad, entrèe, and a variety of sides and a dessert is included as a part of the monthly rent. Access to Doctors Making House Calls, Legacy Physical Therapy, a gym and a heated pool are also available on site. Clubs range from Book Clubs, Veteran's group, off campus events, etc. all add to create a thriving environment!

My dad was a resident in the independent living community at Waltonwood for six months, until he…read morepassed away. He loved it. The staff is exceptional, always friendly, always treating the residents with courtesy, respect and affection. The residents go out of their way to welcome newcomers and help them acclimate through an ambassador program. I often joined dad on Friday afternoons for "happy hour" in the cafe. Although he didn't drink, he enjoyed a glass of cider and socializing with other residents. I made as many friends as he did and really enjoyed visiting, especially for concerts, special events and dinner. Highly recommended.