I have a family member there "recovering" from the flu and pneumonia. Though I have not seen any problems with things being unclean,there are many reasons for concern. First she is given food she is not eating, they do nothing but just come back later and take away the uneaten food. When the nurse call button is pressed it can take an hour or more for someone to come. The doctor only visits her twice a week. They seem woefully understaffed. When the doctor issues orders it can take 12 to18 hours to get implemented and that is only with family pressure. She injured her wrist there and it is very swollen and painful and they do nothing . When asked by a family member about it they say that they can do nothing without a doctors order -- which makes sense-- but in a quality caring establishment you think they should take the initiative to call the doctor or at least 911. Sitting there and allowing someone who can not care for themselves to be in pain is unacceptable. Family members should not have to sit vigil to get care and it is still a fight. I wonder how much they bill the taxpayer through Medicare for this kind of care? I hope my family member does not die there!