The Haven in the Summit
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3 Summit Terrace, Columbia, SC 29229
For more information about senior living options: (844) 490-3973
The Haven in the Summit offers competitive pricing for its residents, with monthly costs that reflect the premium services and accommodations provided. For a semi-private room, residents can expect a rate of $3,830, which is slightly higher than the average in Richland County at $3,443 and significantly above the state average of $3,243. This price point underscores the facility's commitment to quality care and amenities. In addition, for those preferring a studio apartment, the cost rises to $4,550; this too positions The Haven above both Richland County's average of $3,263 and South Carolina's state average of $3,649. While these costs may be higher than some competitors in the area, they reflect The Haven's dedication to providing an enriched living environment tailored to meet the needs of its residents.
| Floor plans | The Haven in the Summit | Richland County | South Carolina |
|---|---|---|---|
| Semi-Private | $3,830 | $3,443 | $3,243 |
| Studio | $4,550 | $3,263 | $3,649 |
The Haven in the Summit features a beautiful Alzheimer's-Dementia community with engaging neighborhoods and amenities, like an ice cream parlor and craft areas. Visitors have noted the cleanliness and neatness of the facility, creating a welcoming environment. Staff members are described as friendly, professional, and attentive to residents, contributing to a positive atmosphere. The layout of the building is praised for being well-designed for individuals with memory loss, allowing residents the freedom to walk safely within the community. Some visitors enjoyed meals at The Haven, such as a delicious lasagna lunch that added to their overall positive experience during their visit. The Program Director has been recognized for her energy and love for the residents, enhancing the care experience at The Haven. Overall impressions indicate that many residents appear happy and engaged in activities within the facility.
The staff appeared to be lazy and unorganized, leading to a negative experience for residents and visitors alike. The facility was criticized for being short-staffed, resulting in inadequate care for residents. There were numerous issues with medication management, including lost orders and the administration of medications not suitable for the resident's needs. Residents experienced neglect, with staff failing to check on them or provide necessary assistance in a timely manner. Management was described as terrible, with the director being dismissive and unresponsive to concerns raised by family members. There was significant dissatisfaction with the overall quality of care provided during stays at The Haven. One reviewer expressed regret about placing their loved one in the facility and vowed never to recommend it to others. Despite initial impressions of cleanliness and amenities, many felt that the actual care environment fell short of expectations.Review of The Haven @ The Summit: A Mixed Experience
The Haven @ The Summit has garnered a range of opinions from families and loved ones of residents, particularly concerning the quality of care given to those suffering from dementia and requiring memory care. Several reviewers expressed significant disappointment with the facility's management and staff efficiency. A common theme among the negative reviews was a lack of communication and organization, which often led to deteriorating conditions for residents. One family's experience highlighted their loved one’s drastic decline during a respite stay, noting that he had to be wheeled out in a wheelchair upon discharge—quite different from his ability to walk with assistance when admitted. This alarming deterioration led them to reconsider their initial decision to use the facility’s services in the future.
Many reviewers echoed similar sentiments about staffing shortages impacting resident care at The Haven. Instances of neglect were reported, such as situations where family members felt compelled to intervene due to inadequate attention given by staff members. For example, one reviewer recounted how they found their mother unattended for hours despite her needing assistance with basic hygiene needs—a situation compounded by staff dismissiveness when they attempted to raise concerns. Furthermore, issues like medication mismanagement were not uncommon; other families noted instances where doctors at the facility made changes without proper reference to patient history, endangering their loved ones’ health.
Despite these severe critiques, some visitors had positive interactions during tours and meetings at The Haven. Many described the physical environment as clean and well-maintained, praising certain elements such as an ice cream parlor and various engaging activities designed for memory care residents. Visitors applauded specific staff members for their kindness and welcoming demeanor, suggesting that there are pockets of dedication among the team working at The Haven.
The contrasting experiences have left family members feeling conflicted about recommending the facility widely. Positive observations regarding cleanliness and engagement opportunities were overshadowed by significant complaints regarding overall care quality and staffing issues, leading several families to question whether their loved ones would receive adequate attention within this community setting. One family noted that although amenities appeared impressive initially, what truly mattered—the attentive care required for seniors with complex needs—was sorely lacking.
Another poignant point raised by caregivers involved frustrations surrounding communication between administration and family members. Reviewers indicated that attempts to address grievances were often met with dismissive responses or lackluster follow-ups from directors or management personnel who seemed overwhelmed or uninterested in addressing concerns raised during visits. This disconnect only exacerbated feelings of mistrust among families entrusting their loved ones’ well-being into the hands of this supposed 'memory care' environment.
In summary, while The Haven @ The Summit offers appealing facilities and friendly encounters during tours or initial meetings—elements that can undoubtedly attract potential new residents—the underlying issues regarding disorganization in caregiving practices cannot be overlooked. Families looking for long-term placements may find themselves reconsidering after witnessing firsthand experiences akin to those shared in reviews detailing neglectful circumstances compared starkly against promises made prior to admission. Thus far, it seems clear that for many deciding on memory care options for aging relatives battling dementia or similar conditions, The Haven may fall short despite its surface attractiveness.
60 resident community capacity
Memory CareMemory care is crucial for seniors as it provides specialized support and services for individuals with dementia or Alzheimer's disease. These programs offer a safe and secure environment where residents receive personalized care, cognitive stimulation, and help with daily activities. Memory care helps seniors maintain their independence, quality of life, and dignity while also providing peace of mind for their families.
Respite CareRespite care provides temporary relief for caregivers, allowing them to recharge and attend to their own needs. It also gives seniors the opportunity to socialize, receive professional care, and experience a change of scenery, promoting overall well-being and reducing feelings of isolation.
Cats allowed"Pet friendly" senior living communities are important for seniors because pets provide companionship, reduce feelings of loneliness and depression, promote physical activity and mental stimulation, and offer a sense of purpose and responsibility. Pets can improve overall well-being and quality of life for seniors in many ways.
Dogs allowed"Pet friendly" senior living communities are important for seniors because pets provide companionship, reduce feelings of loneliness and depression, promote physical activity and mental stimulation, and offer a sense of purpose and responsibility. Pets can improve overall well-being and quality of life for seniors in many ways.
Activities off-siteEngaging in off-site activities is crucial for seniors to maintain social connections, stay active, and stimulate their minds. It promotes overall well-being and helps combat feelings of isolation and loneliness. Activities on-siteActivities on-site are important for seniors because they provide opportunities for socialization, mental stimulation, physical activity, and overall well-being. Engaging in activities can help seniors stay active, maintain their independence, and improve their quality of life.
Air-conditioningAir conditioning is important for seniors as they are more vulnerable to heat-related illnesses and may have underlying health conditions that make it difficult for them to regulate their body temperature. It helps to keep them comfortable, safe, and healthy in hot weather.
Bath tubsBath tubs are important for seniors because they provide a safe and relaxing way to bathe, helping to prevent slips and falls while promoting independence and overall well-being.
Beautician on-siteHaving a beautician on-site at a senior living community is important for seniors as it allows them to easily access grooming and personal care services, boosting their self-esteem and overall well-being. It also provides convenience and helps seniors maintain their sense of independence and personal style. Beauty salonBeauty salons are important for seniors because they provide a space for them to feel pampered, socialize, and maintain their personal grooming and hygiene. Regular visits to a beauty salon can help boost seniors' self-esteem and overall well-being.
Cable or satellite TVCable or satellite TV is important for seniors because it provides entertainment, news, and companionship, helping to combat loneliness and boredom. It also offers a wide range of programming options tailored to different interests and preferences.
Computer centerA computer center is essential for seniors as it provides access to technology, communication tools, and resources that can enhance their daily lives. It allows them to stay connected with loved ones, engage in online activities, and learn new skills, ultimately promoting socialization and mental stimulation.
Devotional services on-siteDevotional services on-site provide seniors with spiritual support and a sense of community, as well as an opportunity for reflection and guidance during their senior living experience. This can promote emotional well-being and connection to others, leading to a more fulfilling and enriching lifestyle in their later years.
Dining roomDining rooms are important for seniors as they provide a space for socialization, connection, and nutritious meals. They offer opportunities for residents to bond over shared meals, foster a sense of community, and promote healthy eating habits. Dining rooms also ensure that seniors have access to well-balanced meals tailored to their dietary needs and preferences.
Fitness roomHaving a fitness room in a senior living community is essential for seniors to stay active, maintain their physical health, and improve their overall well-being. Regular exercise can help prevent falls, reduce the risk of chronic diseases, and promote mental sharpness. It also provides social opportunities for residents to connect with others and enjoy a sense of community.
Fully furnishedFully furnished senior living communities are important for seniors because they provide convenience, comfort, and a hassle-free moving experience. Seniors can easily settle into their new living space without the stress of having to buy and move furniture. This allows them to focus on enjoying their new home and community.
Gaming roomGaming rooms are important for seniors as they provide a fun and engaging environment for socializing, cognitive stimulation, and physical activity. Games can improve memory, problem-solving skills, and overall mental well-being while fostering friendships and reducing feelings of isolation.
GardenGardens are important for seniors as they provide a peaceful and therapeutic environment for relaxation, physical activity, and socialization. Being in nature has been shown to reduce stress, improve mood, and promote overall well-being. Gardens also offer opportunities for seniors to engage in gardening activities, which can improve mobility, flexibility, and cognitive function. Additionally, gardens create a sense of community and connection with others who share a passion for plants and outdoor spaces.
Housekeeping servicesHousekeeping services are important for seniors because they help maintain a clean and safe living environment, promote independence, and reduce the risk of accidents or illnesses. Additionally, having assistance with household chores can alleviate physical strain and allow seniors to focus on other aspects of their well-being.
Indoor common areasIndoor common areas are crucial for seniors as they provide a space for socialization, recreation, and community engagement, promoting overall well-being and reducing feelings of isolation and loneliness.
KitchenetteKitchenettes are important for seniors living in senior living communities because they provide the convenience and independence of being able to prepare simple meals and snacks in the comfort of their own living space. This can help promote a sense of autonomy and well-being for seniors, allowing them to maintain some level of control over their dietary choices and daily routines.
Move-in coordinationMove-in coordination is important for seniors because it helps ease the transition into their new living environment. It ensures that all logistics, such as packing, organizing movers, and setting up utilities are taken care of, allowing seniors to focus on settling in and adjusting to their new home. Having a smooth move-in process can alleviate stress and anxiety, making the transition smoother and more enjoyable for seniors.
Outdoor common areasOutdoor common areas are important for seniors as they provide a space for socialization, physical activity, and relaxation. Being outside in nature can improve mood and overall well-being, while also encouraging movement and engagement with others. These spaces can help combat feelings of isolation and promote a sense of community among residents. Outdoor spaceOutdoor spaces are important for seniors as they provide opportunities for physical activity, social interaction, exposure to natural light and fresh air, and a sense of connection to nature. Having access to outdoor spaces can improve overall well-being and quality of life for older adults living in senior communities.
Private bathroomsPrivate bathrooms are important for seniors in senior living communities because they provide independence, dignity, and comfort. Having a private bathroom allows seniors to maintain their personal hygiene routines without the need for assistance, promoting a sense of autonomy and privacy. Additionally, private bathrooms help prevent the spread of infections and provide a safe and clean environment for seniors to navigate safely. Respite or short term stays offeredRespite or short term stays provide seniors with a temporary solution when their regular caregiver is unavailable, offering them the opportunity to receive additional care and support during times of need, while also giving caregivers a chance to rest and recharge.
Restaurant-style diningRestaurant-style dining is important for seniors because it allows them to enjoy delicious, nutritious meals in a social and upscale setting. This enhances their dining experience, promotes healthy eating habits, and fosters socialization with fellow residents, ultimately contributing to their overall well-being and quality of life.
Small librarySmall libraries are important for seniors as they provide access to a variety of reading materials, including books, newspapers, and magazines. This can help stimulate their minds, keep them engaged, and provide a sense of community through book clubs and other social activities. Additionally, reading has been shown to improve cognitive function and overall mental well-being in older adults.
TelephoneTelephones are important for seniors as they provide a lifeline for communication with loved ones, emergency services, and healthcare providers. They offer a sense of security and independence, enabling seniors to stay connected and access assistance when needed.
Wellness centerWellness centers are important for seniors because they offer a variety of programs and services that promote physical, mental, and emotional well-being. These centers provide opportunities for exercise, socialization, education, and relaxation, helping seniors maintain their overall health and quality of life.
Wheelchair accessible showersWheelchair accessible showers are crucial for seniors as they provide a safe and independent bathing option for those with mobility challenges. These showers help prevent falls and allow seniors to maintain their dignity and autonomy while ensuring they can bathe comfortably.
Wi-Fi/high-speed internet availableWi-Fi/high-speed internet is important for seniors to stay connected with loved ones, access online resources, and participate in virtual activities to combat feelings of loneliness and isolation. It also allows them to easily manage healthcare needs, access entertainment, and engage in lifelong learning opportunities.
Columbia Metropolitan (19 miles away)
Community operated transportationCommunity operated transportation is crucial for seniors as it provides them with the means to access essential services, social activities, and medical appointments. It allows seniors to maintain their independence and quality of life by ensuring they can participate in activities outside of their homes. Additionally, community-operated transportation services offer a safe and reliable way for seniors to travel without having to rely on family or friends for assistance. Transportation arrangementTransportation arrangements are crucial for seniors as they may face challenges with driving, mobility, or access to public transportation. Having reliable transportation services ensures that seniors can easily attend appointments, social activities, and maintain their independence and quality of life. Transportation arrangement (non-medical)Transportation arrangements are essential for seniors as they provide access to essential services, activities, and social interactions outside the home. This service helps maintain independence, mobility, and overall well-being for seniors who may have limited transportation options. Transportation to doctors appointmentsTransportation to doctors appointments is crucial for seniors as it ensures they have access to necessary medical care and support, promoting their health and well-being. It allows them to receive timely treatment, monitor existing conditions, and address any new health concerns efficiently. Additionally, transportation services can help seniors maintain their independence and quality of life by enabling them to stay connected with their healthcare providers.
12-16 hour nursing12-16 hour nursing care is crucial for seniors in order to ensure around-the-clock monitoring, timely medication administration, and prompt response to any health concerns or emergencies. This level of care helps to promote the overall well-being and safety of seniors living in senior living communities.
24-hour call system24-hour call systems are important for seniors because they provide peace of mind and immediate assistance in case of emergencies. This technology ensures that help is always available, promoting safety and security for elderly individuals living alone or in assisted living facilities. 24-hour supervision24-hour supervision is important for seniors to ensure their safety, well-being, and access to immediate assistance in case of emergencies or health issues. This constant support provides peace of mind for both seniors and their loved ones, allowing them to age in place with dignity and security. Activities of daily living assistanceActivities of daily living assistance are important for seniors because they provide essential support with tasks such as eating, bathing, dressing, and mobility. This assistance helps seniors maintain their independence, dignity, and overall quality of life as they age.
Ambulatory care"Ambulatory care services provide essential medical support and treatment to seniors without requiring hospitalization, allowing them to maintain their independence and quality of life while managing chronic conditions or receiving routine medical care."
Assistance with bathingAssistance with bathing is crucial for seniors as it helps maintain personal hygiene, prevents infections, and ensures their overall well-being and comfort. It also provides a sense of dignity and independence for seniors who may struggle with this task on their own.
Assistance with dressingAssistance with dressing is important for seniors because it helps maintain their independence, promotes personal hygiene, prevents accidents and injuries, and improves overall quality of life. This service ensures that seniors can continue to dress comfortably and confidently, despite any physical limitations they may have.
Assistance with transfersAssistance with transfers is crucial for seniors as it helps prevent falls and injuries, maintains their independence, and ensures they can safely navigate their living environment. It also provides peace of mind for both seniors and their loved ones.
Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life.
Diabetic careDiabetic care is crucial for seniors as they are more susceptible to developing diabetes due to aging and other health conditions. Proper management of diabetes can help prevent complications such as heart disease, vision loss, and nerve damage, improving the overall quality of life for seniors in senior living communities.
Incontinence careIncontinence care is essential for seniors to maintain their dignity, hygiene, and overall quality of life. By addressing incontinence issues promptly and effectively, seniors can enjoy a sense of independence and comfort in their daily activities. Meal preparation and serviceMeal preparation and service are crucial for seniors as they may have limited mobility or energy to cook nutritious meals. Having access to healthy and convenient food options can ensure they are getting the proper nutrition needed to maintain their overall health and well-being.
Medication managementMedication management is crucial for seniors to ensure they are taking the right medications at the correct dosages and times. This helps prevent adverse drug interactions, reduces the risk of medication errors, and promotes overall health and well-being. Proactive management also allows for adjustments as needed based on changing health conditions or new prescriptions.
Mental wellness programMental wellness programs are essential for seniors as they promote cognitive stimulation, emotional support, and social engagement. These programs help prevent isolation, depression, and cognitive decline, ultimately enhancing the overall quality of life for older adults. Mild cognitive impairment"Mild cognitive impairment" is important for seniors because it is an early stage of cognitive decline that can potentially progress to more severe conditions such as dementia. Recognizing and addressing mild cognitive impairment can help seniors receive appropriate care and support to maintain their quality of life and independence for as long as possible.
Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications. Specialized memory care programmingSpecialized memory care programming is crucial for seniors with cognitive impairments such as dementia or Alzheimer's disease. These programs provide a safe and supportive environment tailored to the unique needs of individuals with memory loss, helping them maintain their independence, dignity, and quality of life. Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life. Low / no sodiumLow/no sodium options are important for seniors because excessive sodium intake can lead to high blood pressure, heart disease, and other health issues commonly experienced by older adults. By choosing low/no sodium foods, seniors can better manage their health and reduce their risk of developing these conditions. Low fatLow fat diets are important for seniors because they can help reduce the risk of heart disease, stroke, and other health issues commonly faced by older adults. Consuming less fat can also help manage weight and improve overall health and well-being in the senior population. Meals provided"Meals provided" are crucial for seniors in assisted living communities as it ensures they have access to nutritious, balanced meals without the stress of meal planning and preparation. This can help promote overall health and well-being for seniors who may have limited mobility or cognitive abilities. Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications. Activities off-siteEngaging in off-site activities is crucial for seniors to maintain social connections, stay active, and stimulate their minds. It promotes overall well-being and helps combat feelings of isolation and loneliness. Activities on-siteActivities on-site are important for seniors because they provide opportunities for socialization, mental stimulation, physical activity, and overall well-being. Engaging in activities can help seniors stay active, maintain their independence, and improve their quality of life. Community-sponsored activitiesCommunity-sponsored activities are important for seniors as they provide opportunities for social interaction, mental stimulation, and physical activity. These activities can help improve overall well-being, combat loneliness and isolation, and promote a sense of belonging and purpose among older adults.
Concierge servicesConcierge services are essential for seniors as they provide assistance with daily tasks and errands, enhance their quality of life by offering convenience and personalized care, and promote a sense of safety and security. Devotional activities on-siteDevotional activities on-site provide seniors with a sense of community, spiritual fulfillment, and emotional support, promoting overall well-being and a positive sense of purpose in their lives. Fitness programsFitness programs are crucial for seniors as they help improve strength, flexibility, balance, and overall well-being. Staying active can reduce the risk of chronic diseases, improve mental health, and enhance quality of life in older adults.
Planned day tripsPlanned day trips are important for seniors because they offer opportunities for socialization, mental stimulation, and physical activity. They provide a change of scenery and help seniors stay engaged and connected to their community, promoting overall well-being and quality of life. Resident-run activitiesResident-run activities are important for seniors as they encourage social interaction, creativity, and a sense of autonomy. These activities empower seniors to stay engaged and active in their community while fostering meaningful connections with their peers. Scheduled daily activitiesScheduled daily activities are important for seniors because they provide structure, socialization, mental stimulation, and physical activity. Engaging in regular activities can improve overall well-being and quality of life for seniors living in a community setting.
EnglishEnglish is important for seniors as it allows them to communicate effectively with healthcare providers, understand important information related to their health and medications, stay connected with loved ones, and engage in social activities within their communities. It also opens up opportunities for lifelong learning and intellectual stimulation.The Haven in the Summit is an assisted living community located in Columbia, SC. We offer respite care to provide temporary relief to caregivers who may need a break or assistance for their loved ones. Our community features a wide range of amenities and care services to ensure that our residents' needs are met.
Our residents can enjoy various activities on-site, such as gaming and fitness rooms, a small library, and community-operated transportation for outings. They can also take advantage of our beautician and beauty salon services, computer center, and wellness center. Our dining room offers restaurant-style dining with meals prepared according to special dietary restrictions, including low or no sodium and low-fat options.
We prioritize the wellbeing of our residents by providing 24-hour call systems and supervision for their safety. Our dedicated staff assists with daily living activities like bathing, dressing, transfers, and medication management. We also offer specialized memory care programming for those with mild cognitive impairment or dementia.
With nearby cafes, parks, pharmacies, physicians, restaurants, places of worship, and hospitals within close proximity to our community, residents have access to essential amenities and services. Whether it's participating in activities on-site or exploring the surrounding area, our assisted living community provides a comfortable and enriching environment for seniors in Columbia, SC.
The area of Columbia, South Carolina surrounding Sandhills Pediatrics Northeast offers a variety of amenities that may be appealing for senior living. With multiple physicians and pharmacies within close proximity, residents have easy access to healthcare services. Additionally, there are several places of worship nearby for spiritual fulfillment. Cafes such as Starbucks provide opportunities for socializing and enjoying a cup of coffee. Various dining options, including Five Guys Burgers & Fries and Cracker Barrel, offer dining convenience. For outdoor recreation, Lake Carolina Properties Harborside Village Green provides a serene setting for leisurely walks or picnics. With U HS Pruitt Hospital located just a short distance away, residents can feel confident in the availability of medical care in the area. Overall, this neighborhood presents a well-rounded environment with convenient amenities for senior living.
The Haven in the Summit offers competitive pricing for its residents, with monthly costs that reflect the premium services and accommodations provided. For a semi-private room, residents can expect a rate of $3,830, which is slightly higher than the average in Richland County at $3,443 and significantly above the state average of $3,243. This price point underscores the facility's commitment to quality care and amenities. In addition, for those preferring a studio apartment, the cost rises to $4,550; this too positions The Haven above both Richland County's average of $3,263 and South Carolina's state average of $3,649. While these costs may be higher than some competitors in the area, they reflect The Haven's dedication to providing an enriched living environment tailored to meet the needs of its residents.
The Haven in the Summit is located at 3 Summit Terrace, Columbia, SC 29229 in Richland County, South Carolina
The Haven in the Summit offers a comprehensive range of features designed to support residents with dementia or Alzheimer's disease, ensuring their safety and enhancing their quality of life. Around-the-clock supervision provides constant monitoring, reducing anxiety for both residents and families while promoting a secure environment. Personalized assistance with activities of daily living, including bathing, dressing, and transfers, empowers residents to maintain dignity and independence despite cognitive challenges. Incontinence care is handled compassionately, addressing a common concern among individuals with memory impairments. Meal preparation and service are tailored to individual dietary needs and preferences, encouraging proper nutrition that can positively impact cognitive function. Medication management ensures adherence to prescribed regimens, minimizing potential health complications. The mental wellness program and specialized memory care programming engage residents cognitively and emotionally while addressing mild cognitive impairment through structured activities that promote reminiscence and social interaction. Together, these services create a nurturing atmosphere conducive to sustaining residents' well-being throughout their journey with memory-related conditions.
Yes, The Haven in the Summit allows both dogs and cats.
The Haven in the Summit on seniors.fyi includes 19 photos including images showing interior, decor, bedroom, windows, living room, dining, painting, office, and more.
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Interior
Decor
Living Room
Building
Bedroom
Windows
Dining
Entrance
Artwork
Seating Area
Lobby
Exterior
Painting
Bright Lighting
8 Key Indicators That Suggest It May Be Time to Transition from Assisted Living to Skilled Nursing Care