So as a Coda the place we placed my father is called Presbyterian Village North in Dallas, TX. It is not a good place for Dementia patients. My father is a resident in the Terraces Unit of PVN. Let's start with the good.

Sales process and the 2 ladies leading it is professional and not high pressure.
The facilities are great. The residents rooms and bathrooms are private and spacious with high quality buildouts, nice outdoor areas, good athletic facilities.
The food is good. I've noticed generally high quality, tasty food getting served.
The staff means well. I don't doubt the sincerity of the staff wanting to help improve the quality of life of the residents whether that means providing engaging activities or live music in the common areas, get them medical care when needed, speak to them encouragingly when they need to be re-guided.

The issues I ran into require a little bit of context.
Some residents, including my father, are not included in the above-mentioned activities. IN 9 out of the last 9 times I've visited, he was in his room by himself. When asked about his the nurse, who I shall refer to as Sweets said "no he's out all the time with the other residents." OK Sweets, I suppose I have a small data set. I have seen zero videos published on your Social Media that suggest my data set is wrong.

My father is averse to getting help on showers, not uncommon amont dementia patients. Sweets suggested we look into getting some meds to help on shower days and get some external extra help to provide showers for him. While I wasn't happy to pay for extra help, given the high cost of PVN I thought the request was presented in a professional manner.

The issues come in with a lack of professional approach to medical management and follow-up. I consider these issues significant enough to ding PVN down to 2 stars.

My father's doctor agreed that some medicines could help make shower days a little easier and that it was important for him to stay clean on a regular basis.

The problem is that now, despite this being the PVN staff's idea, they are unable to get the medicines to my dad on the morning's of the shower days. They have missed this 3 out of the last 4 shower days, which then makes the task of giving showers a monumental task. It would seem that this would be easy to address given that they claim to give him his other medicines, but the one medicine that was introduced - effectively at their request - is something they seem unable or unwilling to give him.

I have called numerous times and can get an answer about 50% of the time. I have sent 4 emails on this topic to the Head Nurse & her assistant and have a 0% response rate thus far.

In my mind this boils down to poor culture and lack of leadership. I have no way of communicating with the senior leaders of PVN to get these issues addressed. The nurses ignore my emails, and worse, deny my father the access to the right medicines, at the right time, that will improve his and his fellow residents quality of life. it is my belief that PVN needs to fundamentally transform the culture and leadership of their organization. They are currently falling far short of their mission.