The good points are that most of the nurses are caring and responsive and do the best they can, with the exception of one head nurse who seemed constantly crabby and should probably retire. She brushed off my mother's pain and mentioned how all the residents complain and it's just arthritis and they always want to lie down. It was said with a snarky tone. The staff there seemed to resent my mother wanting to lie down after sitting up for a while as that required some work on their part. She was nicknamed "The Up and Down Girl". I guess they thought this was cute, but I found it condescending. I found my mother sitting in a wheelchair, more than once, in tears, because she was in pain but was made to sit for extended periods of time. Once I found her sitting, and in tears again, in the dining room right next to an activities person (I believe that's what her title was) who completely ignored my mother, which makes me think that brushing off how the residents feel is the norm there. I also did not care for the way the residents seemed to be treated as though they were toddlers--the language and tone used by many, but not all, of the staff was condescending. An elderly person is mentally the same person they were when they were vibrant and healthy--they do not deserve to be treated like little children because they are physically needy. I found it very demeaning. Although I tried to be open-minded and understanding about the call button, it is true that it often took a long time to get an aide to help. That said, many times the aides responded quickly, within a few minutes, and I always found them to be polite and competent. But there were too many times we were told "there is a shift change" or right after lunch is not a good time to get help. It did often take over ten minutes (once we waited 40 minutes) to get an aide to assist. This is not acceptable. The call button is a resident's emergency line for help--if a resident feels he or she is having a medical emergency or needs to use the bathroom NOW, then waiting more than five minutes is inexcusable and a "shift change" is not an excuse. There should be at least one or two aides floating, or some kind of arrangement made so no resident has to wait up to 40 minutes to get back in bed, use the bathroom, or be tended to in case of an emergency health issue. Families pay for 24-hour care and that's what they should get for their loved one. I also found the place very noisy with constant, loud beeping noises that never seemed to stop and some residents calling out things out of control. I know they can't help it, but they should be moved either to their rooms, or to a space where they aren't bothering other people; or those with dementia who are very vocal should be in a separate wing--it was that bad. I do not recommend this nursing home.