I always thought the VNA was an honorable organisation doing honorable, necessary work, but if the VNA Assisted Living in Somerville is anything to judge the VNA as a whole by, then it is an organisation that needs serious introspection and a major overhaul in its mission. Sadly, I'm afraid that it's probably like many other assisted living facilities where they're only interested in the monthly draw on your bank account. If you're a fairly active, cognitively OK senior, then this place is okay for you, you'll probably be alright, but otherwise, move along.
Activities are nearly non-existent, so residents are never really stimulated or busy or active doing anything. You see people in the lobby or the living room areas or walking in circles not knowing where they are or what they're doing. They're just passing time wandering around. The activities they do have are literally for children, so there's this disconnect between being an assisted living facility for people who are still pretty with it and this trope that the elderly are children. If you're even remotely interested in anything cerebral or your parent was an avid reader, scientist, teacher, etc. find somewhere else or move their friends in with them.
If they decide that your relative is cognitively declining (i.e. dementia, falling, etc.) they will start a campaign to get you to move your relative because they have no legal grounds to evict them. They'll call Somerville-Cambridge Elder Services, they'll call your relative a "poor soul," and tell you that they need a higher level of care. (btw, good luck finding this higher level of care when there are waitlists 2-3 years long everywhere in the Boston-area).
The front desk people are okay during the week days. On the weekends, they have extraordinarily rude college students working who can't figure-out how "Hold" works on the phone when you call to inquire about your parent and, when you're moving a parent in, they ask you, "Are you almost done, because you're being disruptive and making the residents cold." Are you serious?
They do not know how to competently deal with the elderly, especially those with cognitive or physical issues like incontinence. If you bring up a concern about something a staff member said to your parent, you're told that staff have an impeccable record and that it's YOUR parent that's the problem, not the staff member. They are very protective of staff who have minimal training and no business being in eldercare.
This is a good option for seniors with a fixed income who can't afford the $15,000/month fees at other, fancier places, and it's clean, etc., but as soon as your relative needs more care or they find your relative burdensome or tiresome to deal with because of physical or mental decline, they will begin to pressure you to move them and it is very, very stressful and uncomfortable. They are not kind people, they are not generous people, none of these people should be in healthcare.