My grandfather was placed in Nature Trail in Mt. Vernon to help facilitate his recovery from CHF. On my first visit, I had trouble getting in as the entrance system required someone "push the button" to open the door. Once inside, it took approximately ten minutes to find someone who could direct me. After finally getting into my grandfather's room, I found a very small, very cramped living area. My grandfather complained of the food, the roommate, the lack of nursing, the nursing that came every time he tried to rest, the smallness of his area. Understanding that he did not want to be in this situation, I was trying to overlook his complaints, but I witnessed first-hand some of the problems he complained of: his room was very small, and with a roomate and all the medical supplies, there was very little toom to move around. He is 6'5" so it was indeed a valid complaint. The room would have been sufficient, not overly so though, without two residents present. I also witnessed the shortage of staff first-hand. When he rang his buzzer it took about 20 minutes for someone to come. Obviously, had it been an emergency, I would have done what I could to find someone but apparently the short staff were busy elsewhere in the building. The shortage of staff would be the most important issue at Nature Trail.