2138 San Vicente Road, Ramona, CA 92065
For more information about senior living options: (844) 490-3973
The collection of voices about Rose Gardens paints a troubling, frequently disturbing portrait of care that many families say falls far short of what they expect for loved ones with dementia and other serious needs. Taken together, the reviews present a shared core of concerns: overwhelmed staff and ongoing shortages, inconsistent attention to basic hygiene and safety, and a sense that residents' personal belongings and dignity are not reliably protected. Yet nestled within the same messages are sporadic bursts of praise about exterior grounds or, in a few cases, seemingly positive experiences with some staff members. The overall impression for most readers is one of serious caution, with a strong warning not to rely on the facility without independent verification and careful scrutiny.
Several reviews recount harrowing, firsthand encounters that begin with disorganization and distress. One visitor described a 10-minute search to locate their best friend's mother, only to discover her in another patient's room, with a room that reeked of waste and was cluttered with dirty diapers. The family could clearly observe from the doorway that the person they were visiting had not bathed in a long time, had unwashed hair, dirty clothes, and poor oral care. The broader environment in that wing echoed the neglect: several patients in a crowded dining or activity area with only a limited number of staff to supervise. The rooms themselves varied in condition, but the sense of systemic understaffing and inadequate care persisted across observations.
A recurring thread is the claim that personal care for residents with dementia or other disabilities is inconsistent at best. One reviewer stated the mother "stunk so bad" that hugging her caused a gag reflex, a visceral description that underscores perceived neglect in basic hygiene. The same account mentions missing personal items and a sense that while some parts of the facility looked marginally better, the underlying care remained poor. The reviewer explicitly warned others not to consider the facility for someone they love, underscoring the emotional impact of witnessing chronic lapses in cleanliness, routine hygiene, and respect for residents' dignity.
There are even more explicit and sharper accusations about neglect and theft. In one lengthy narrative, a family asserts that their mother, who had dementia, was subjected to personal neglect - no underwear, frequent exposure to urine, a painful rash, and even persistent delays in basic care. The family recounts that valuables, including a grandmother's blanket, and other clothing were taken, and medications were mishandled or improperly managed, with the pharmacy failing to process prescriptions correctly. That reviewer urged others to "save your 6k a month" and seek a nicer facility, painting a picture of a place where harm, not care, seemed to come first. The breadth and intensity of these claims contribute to a perception that residents' safety and property are at risk in ways that go beyond typical complaints about senior care.
The issue is not limited to isolated incidents. Several reviewers criticize the leadership and staffing structures as fundamental weaknesses. One account highlights frequent changes in executive leadership - "they change Executive Director every 90 days" - and points to Virginia, described as having only one caregiver for 57 residents, with perhaps two on a good day. This description of chronic understaffing and unstable management is framed as a core problem that undermines any attempt to provide consistent, attentive, resident-centered care. The implication is that systemic, ongoing staffing shortages and leadership turnover create an environment where basic care slips through the cracks, and families feel they must remain vigilant at every visit.
Against the chorus of concerns, there are scattered, more positive notes. One reviewer described "loving and caring staff" and praised the grounds as beautiful and open, suggesting that for some residents or families, the atmosphere and staff interactions could be positive in certain contexts. Another account called the facility an "amazing environment" for someone with Alzheimer's/Dementia, emphasizing that the setup can support independence with additional supervision. These strokes of praise contrast with the more widespread complaints, indicating that experiences can vary dramatically from one person to the next and from one shift to another, depending on who is present and how the day unfolds.
Separately, a reviewer focused on a highly negative portrayal of management, specifically naming an administrator as rude, unhelpful, and dishonest, claiming the facility is going downhill and characterized by dirtier conditions and a lack of care. The tone here is accusatory and personal, portraying a pattern of behavior that families feel cannot be trusted and that further erodes confidence in the care environment. Taken with other accounts of staff shortages and inconsistent policies, this depiction reinforces the sense that residents may be exposed to risk and neglect when leadership fails to uphold standards.
A deeply troubling narrative centers on a family member with memory impairment who faced significant barriers to visitation, lack of basic care, and retaliatory actions after complaints were raised. The account details a fight to obtain access for visits during a time when infection controls or policy restrictions were in place, followed by reports from ombudsmen and subsequent escalation. The story includes severe deterioration in the resident's condition - weight loss, incontinence, and untreated hygienic needs - and alleges retaliation, including police involvement and even a troubling encounter with the legal system that left family members feeling powerless and distressed. The reviewer claims that the facility's neglect and mismanagement extended to stolen belongings, denial of proper care, and a breakdown of communication, culminating in a prolonged period of loss and grief.
In closing, the collective impression left by these accounts is one of significant concern about Rose Gardens. A strong undercurrent across multiple reviews is that basic standards of care - hygiene, timely assistance with activities of daily living, medication management, and safeguarding residents' personal belongings - are not consistently met. Staff shortages, leadership turnover, and uneven experiences across shifts appear to exacerbate these problems, leaving families to worry about safety, dignity, and the possibility of harm to their loved ones. While a minority of reviewers offer positive notes about grounds, atmosphere, or occasional staff kindness, the predominant message is caution: verify, ask tough questions, and consider exploring multiple options before making a decision about placing someone you love in Rose Gardens. If you are evaluating this facility for a loved one, it would be wise to gather contemporary, independent assessments, consult with ombudsman services, and observe several shift changes to get a clear, current sense of how care is actually delivered day to day.
Rose Garden Senior Care in Ramona, CA is a welcoming and comfortable board and care home that provides exceptional senior care services. Our community is fully furnished and offers a beautiful garden and outdoor space for residents to enjoy. We understand the importance of maintaining an active social life, which is why we offer scheduled daily activities to keep our residents engaged and entertained.
At Rose Garden Senior Care, we provide a range of care services to support our residents' needs. Our dedicated staff provides assistance with activities of daily living such as bathing, dressing, and transfers. We also coordinate with health care providers to ensure that our residents receive the necessary medical attention. Medication management is another vital aspect of our care services.
We prioritize the dietary requirements of our residents, offering specialized meal preparation and service. Our community accommodates special dietary restrictions, including diabetes diets. In addition, we arrange transportation for medical purposes as well as for doctors' appointments.
Our dining room ensures that residents can enjoy their meals in a comfortable setting while adhering to any specific dietary restrictions they may have. Housekeeping services are provided regularly to maintain a clean and organized environment.
Rose Garden Senior Care is conveniently located near two pharmacies, allowing easy access to medications and other healthcare supplies. Additionally, there are two physicians nearby who provide medical care to our residents when needed.
With its prime location, residents also have the convenience of having a restaurant nearby for occasional outings or visits from friends and family.
Overall, Rose Garden Senior Care in Ramona offers a compassionate and supportive environment where seniors can receive personalized care while enjoying the comforts of home.
Rose Garden Senior Care is located at 2138 San Vicente Road, Ramona, CA 92065 in San Diego County, California
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