Mom was admitted to the hospital for several days and, upon her discharge, was admitted to East Harbor's skilled nursing residence to rehabilitate. She was there for approximately a week before her Medicare benefits stopped due to a plateau in her progress. (When it became necessary for Mom to remain there a few days after benefits ceased, the charge was $290 per day.) The facility's nursing section is considerably different than their independant and assisted sections.
First, there is that disturbing "nursing home smell" that often indicates an inattention to dirty linens, insufficient clean up after incontenence in common areas, etc. The general appearance of this side of the building is old and worn. The dressers are scuffed, the window blinds missing a rib or two, and the curtains around each resident's bed clinical and plain. There usually seemed to be an adequate number of staff, although they were somewhat detached and cool. The lower we got on the hierarchy of employees, the kinder and more attentive they became. The food was good, but the aides assisting residents with eating were stretched thin and often residents sat in wheelchairs for an hour before being attended to with assistance.
My biggest concern was the "rehabilitation" end of things. I never saw Mom "walked". Granted, I wasn't there until after 3:00 in the afternoon, but there was neven an indication that the residents did anything but sit in their wheelchairs. Unless I was doing it, Mom wasn't encouraged to eat by herself (she was always left to wait for assistance, and when an assistance came, she was simply fed instead of encouraged to do it herself.) I realize this facility has many residents and that it's difficult to attend to so many at once, but it certainly seemed that they tried to do the expedient thing instead of the thing that would most benefit the resident. Nursing staff administered meds to my mom during meals without bothering to explain to me what was being given unless I asked. Mom never saw a doc while there - only nurses, aides and one therapist for a short period of time - and the one medical event that occured during her stay was addressed by ER docs when she was sent back to the hospital (she had a small anal fissure that the staff at East Harbor led me to believe was much more serious).
Don't misunderstand me: This isn't a BAD facility. Your loved one won't be mistreated here. However, if you are looking for warm staff, plenty of direct assistance, and personal care, you may want to look elsewhere.