My mom had two separate stays at Manor Care, one in spring 2014 and the last at the end of 2014 after bariatric surgery. Very different experiences and the last resulted in my mom being hospitalized for severe UTI, kidney failure, MRSA, and dehydration. There is a very different quality of care for individuals who are there for short-term care like physical rehabilitation and those that are there for illness and long-term. My mom fell a couple of weeks after her arrival and bruised her face pretty severely. All tests and exams requested after that were for that injury and that injury alone. During the course of her stay, her thyroid medication needed adjustment and she became infected with another UTI. All requests for tests were requested by me. Communication between staff and therapists is poor. Therapists don't seem to be aware of patient conditions because they don't read notes. Input of orders or changes to orders is slow. The kitchen has zero clue how to feed bariatric patients and actually refused to give my mom food when requested. I had to contact their administrator to deal with the problem because the nurse was unable to get the kitchen to cooperate.
After my mom was admitted to the hospital, I was not informed of any ability to hold her bed and received no paperwork to the effect. In addition, they declined to take my mom back from the hospital. Their reasoning was she was still a fall risk and was nearing the end of her 100 days covered under Medicare and were concerned that if she was not well enough to return home at the end of that 100 days, I would basically dump her on their doorstep. They never bothered to contact anyone at the hospital or me to find out her condition or what she had been admitted for. Social workers from the hospital attempted several times to let them know she was not a fall risk and did not need a special room near the nurses station. This was repeatedly stated by the administrator as the reason they could not take her back.
I want to say the majority of people working there are good, hard-working people doing the best they can with limited resources and minimal staffing. It is a systematic breakdown of communication and fear of liability that seems to drive their day-to-day operations. Unless you have an advocate and you are there for strictly physical rehab (and it's for a short stay), I would not recommend placing your loved one in this facility.