I've worked in health care most of my life. I've never worked for a boss who cares more or tries…read moreharder to individualise the care of each client.

They really strive to be better than other agencies. They have staff that will take notes at Dr…read moreappts if I need and then relay the information to my family or sit down and explain it to me once I'm home so that I understand better. I have never had an agency provide that before.

synergy homecare has been taking good care of me at home and I am so grateful for their caring…read morecaregivers and office staff. I would highly recommend them anytime

Synergy provided home health aides for my dad who suffered from dementia and old age. They were the…read moreonly agency I could find that would provide 1 hour of care per day, which is all we needed (diaper change, towel bath, tooth brushing). I appreciated their flexibility and responsiveness. The caregivers were good as well. When we preferred someone different, they offered options. We used them for over a year. The only small negatives were a few miscommunications, but nothing major. I recommend them for home care!

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.

While my mother is no longer with us, I was so incredibly grateful for Elesio and her care team…read more The time was crazy difficult, she initially entered for skilled nursing rehab, later was medicaid bed, hospice, then, well passed. Every person we interacted with were amazing, kind, professional, compassionate. My mom was a high maintenance client, but they were firm but friendly. I will forever be grateful for the team at Elisio that made those months that were stressful and scary...for both of us, bearable. The receptionists upon entering the building, always bright and bubbly, always on point, juggling residents, visitors...all the things, with smiles and amazing energy. The NAC, CNA's RN's, rehab personnel, and the case managers, ....so kind and knowledgeable, I had incredible conversations with accounting - never a fun call, but they just worked with us, helped us, guided us, and were truly there every step of the way. Nobody wants their family member in long term nursing care. It's hard, but sometimes there are just no options, and Elisio was absolutely the best option.

My husband and I live in one of the six-plexes on the eliseo campus and just love it here. It is…read morealmost a year, and the friends, the amenities, the care and kindness are wonderful. We are so very glad we made the decision to move here, and so are our adult children, who feel confident that we are safe and well.

The staff are great! The Caregivers are experienced!…read more There are many branches through Washington Oregon and Idaho! Please reach out is your in need of home care! The owners are amazing!

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!!!

Caretaker and Friend…read more Serah Kariuki has been taking care of my husband for the past 8 months. Serah is a happy, generous caretaker who handles the routine faithfully and the unexpected with grace. My husband's symptoms and needs have been quite variable. Serah continually changes up the routine to accommodate the new. She serves as a friend and companion. I can't imagine better.

These people are awesome! I called, talked with the owner, Scott. He was very knowledgeable, kind…read moreand supportive. I had to urgently get my brother help at home. Scott walked me through the process, answered all my crazy questions and got a caregiver setup right away. My brother thinks the world of Daniel, his main caregiver. My brother is stubborn and super independent, but Daniel has the super power to help my brother without being too much or too little. Everyone has been great. Totally endorse them to help you or your loved ones. I especially think they are great as we have had to change to 24 hr care and these wonderful people came to the rescue. We now have a couple more caregivers to cover the overnight care and I couldn't be happier.

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.