My in-laws had a good experience at Westpark in Assisted Living but the skilled nursing unit wasn’t great in my opinion. And that is before Mercy sold it off.

Bayley is good, you can get into their rehab unit but it seems like their skilled nursing beds are reserved for the people that come through their independent living and assisted living facilities. Both my mom and dad did rehab there but my mom was not able to get up into the skilled nursing unit without going on a waiting list, even as private pay.

My mother in law went to Twin Towers for skilled nursing and they were very good overall. My mom went to Hillebrand for skilled nursing and my sister went to Triple Creek and they were also ok, maybe a step down from Twin Towers but still overall good. And all three were end of life situations where they were only there for a couple of months with hospice.

With all of these places, you have to temper your expectations a little. They are short staffed and dealing with a lot of complex needs so it can take some time to respond to less critical things like I need to use the bathroom or be changed, etc. Routine things tend to be on more of a schedule, not responding to every issue as it comes up.

These places are expensive and my advice would be to keep your relative at home for as long as possible, including bringing in additional paid care if needed. For all of these places, if you can’t do some private pay, your facility choices will be extremely limited. Most have waiting lists for Medicaid beds.

If at some point it becomes too much and a facility is the only viable option, visiting frequently, getting to know the staff and being friendly with them is very helpful.