This facility, which offers memory care and rehab, is located in an affluent area"”with easy access off two major freeways. Parking is a challenge, however; there are two small lots, but they don't hold the overflow"”especially because it's a rehab place, which has a lot of traffic in and out.
Visually, this is the most aesthetically pleasing building in the area"”nicely landscaped and nestled amid oak trees and evergreens. It's in a residential area, but far enough off the freeway to feel private, sort of a suburban feel.
There is a waterfall feature near the entryway"”and a covered entrance to shelter during the rains so common in this part of the country.
The individual rooms look rather like an upscale hotel. There are some shared rooms, no more than two per room, with good-sized bathrooms and living spaces. In between the wings is a courtyard that allows memory care residents outside access.
The number of beds for memory care was just cut by 30% to make more room for more rehab patients. All the memory care residents are grouped together"”although those with more challenging behavioral issues are in a separate area.
The food is pretty good, and some choices are available daily; the kitchen seems attuned to residents' needs and preferences and work to accommodate wishes. Meals are also available for visiting family or friends.
There is an onsite beauty parlor, as well as a nice chapel.
They are really good at bringing in animals for pet therapy"”even a llama, and the place is also pet friendly. Most of the residents become quite joyful when they see them. There are also volunteers who are invited in to perform music and such, and are amenable to requests. There are also some exercise activities, especially for the wheelchair-bound, and arts and crafts and outings for those able to participate. They also have a colorful fish tank that engages residents.
The environment is very friendly"”and the caregivers make a real effort to get to know the residents personally. They do well with off-the-cuff redirecting, diverting behavior in a comforting way. There is a director of nursing onsite, who is primarily dedicated to the memory care unit, although visitors must work to seek her out, since she seems a but frantic. There is also an LPN and medications aid on each shift. There are 4 to 6 caregivers for the 25 to 30 residents; lately, with staff cuts, it doesn't always seem adequately staffed. They also tend to hire very young people without much experience and elevate them quickly.
These staffing concerns are the main drawback. The Avamere Company that manages this facility is pretty much a corporate machine, so there is not likely to be any change in staffing, despite complaints and concerns.
Another disturbing aspect: They are often take high-level acuity residents, who need a lot of care, and then bring in hospice for crisis intervention. These residents might be better cared for in other types of facilities with more skilled nursing.
The cost is on the high end for the area"”about $7,000 per month, with increases if more care is needed.