There is much needed work to be done with this facility. First step...staffing and the appearance of the entrance and surroundings as a whole. The place seems more like an insane asylum than a senior living home...The nursing station is behind iron bars and iron security doors..which creates a very unpleasant atmosphere when visiting your relative. It is so easy for anyone to enter the building if the person wanted to cause harm to the residents or staff member during the day and especially during the evening/nights which is so dangerous you can never find a nurse on the floor because the nursing station is behind a security door and bars, they wouldn't even know if someone entered the building because there is never anyone on the floor who is outside of the security door at the nursing station. The dining area is old and grimy and the food appearance is not appetizing. Forget about a receptionist desk, if its your first time visiting or returning visiting there's no sign in and you will have to walk around to find an onsite nurse on the floor yourself. I know at some point in time there will be smells during changing of the residents who are unable to change themselves, but should the smell linger forever, even walking up the the door entrance of the building you can smell the center from the outside! The residents look sad and depressed, not clean, lying in the beds all the time- this is a depressing facility for seniors who want to enjoy their senior years, just a sad place - I wish I could just take all the elderly living in the place-out to a new place where they would be cared for with love. The outside...dirt spots where there should be grass grounds are not manicured, sidewalk under the awning is dirty and needs to be cleaned from debris and smells. The administrative staff i.e Director of Administration, Director of Nursing and Head Nurse - not good people for this type of business-trust me. The CNA's, Medical Asst, Activities and LPN's are great people, but I feel so sad at the conditions in which they must work...so unpleasant, and I pray that they all find themselves a better place to work, a place that appreciate them as great employees. Wow, I could go on and on, but this should be enough for you to understand how this place is operating and make a better decision before signing your loved one into the place. The owners should be ashamed with how their center and certain staff members treats the elderly people living at East Lake Arbor.