My mother was a resident at Pine Ridge for 6 months. She was diagnosed with end stage dementia prior to going there. She had a poor appetite and was prone to falls prior to admission. She was mentally alert intermittently. She needed help with daily activities. Her first fall occurred within the first 2 weeks of her being there, bending her glasses and causing multiple facial abrasions. A few weeks later she fell out of bed which resulted in a fractured arm. At this point she was placed in a wheelchair during the day, after prolonged sitting she developed a large pressure sore on her upper spine, I was never informed about the sore but discovered it on my own. My mom was always thirsty, we provided her with her own water bottle, they never offered her drinks despite daily requests to do so. Her teeth were never brushed, her hearing aids were seldom charged or were missing, her glasses were frequently missing only to be replaced with someone else’s , they were always dirty ,her eyes were crusted over on a daily basis, she had dried nasal drainage and food on her face and her clothes were only changed when the hospice aid bathed her twice a week. She was continent and was good about letting them know when she needed to use the restroom, instead of respecting her dignity they insisted on keeping her in a diaper. The experience my mom had at Pine Ridge was a nightmare. I talked with family members of other residents who were pleased with the care their family member received but those residents were able to walk, feed themselves and participate in activities.