Vanco Manor in Goodlettsville, TN

Pros

• The environment is calm and peaceful.
• The staff are professional and helpful, meeting residents' needs.
• It's a great place to work, with staff who are supportive and caring.
• The facility has a wonderful atmosphere and a caring, friendly staff.
• CNAs are amazing at what they do, and the entire team works well together for the residents' best.
• The rehab team is knowledgeable, patient, and committed to helping residents recover.
• The nursing staff are attentive and kind, consistently going above and beyond to care for patients.
• The facility is clean, quiet, and well-maintained with spacious rooms.
• The rehab department is excellent and highly effective.
• Families feel confident and reassured by the staff's communication and care.

Cons

• The facility is understaffed, causing long wait times and a significant drop in quality care.
• The facility does not answer the phone and fails to provide adequate care, with missed medications and doctors not seen for days.
• The facility is described as the worst in the state, with preventable hospitalizations due to neglect.
• The staff are rude and unprofessional, and some say the facility should be shut down.
• The facility is filthy, with dirty rooms, worn equipment, and a strong odor.
• There are HIPAA violations and staff theft of patients' belongings.
• Night and weekend staff are incompetent and abusive, leaving residents neglected.
• Pain medications are delayed or not given, and call buttons are out of reach or nonfunctional.
• Residents' dignity is compromised, with belongings stolen and neglectful treatment.

Review

Vanco Manor in Goodlettsville is best suited for families seeking a calm, recovery-focused setting where therapy strength and a generally warm, attentive frontline staff are the priority. The community often feels serene and welcoming, with notable praise for the rehab team and CNAs who provide direct, hands-on care. It works best for residents entering short-term post-acute rehabilitation who rely on steady, compassionate therapists to drive progress and who value a clean, pleasant environment as a backdrop for recovery. Those who want a location that feels like a smaller, caring team atmosphere - where the bedside approach can be confident and personal - will find Vanco Manor appealing. It is not the right fit for families needing guaranteed, around-the-clock responsiveness and flawless daily operations.

Yet this community demands caution for those who cannot tolerate significant variability in daily care. A substantial thread of reviews highlights ongoing staffing pressures that translate into long wait times, delayed medications, and moments when help is not immediately available. Phone lines and front desk communication are repeatedly cited as problematic, with families reporting missed calls and difficulty obtaining timely updates. Reports of lost or delayed laundry, rooms not being cleaned promptly, and limited access to a consistent nursing presence elevate concerns about reliability and accountability, especially for residents with complex medical needs or those requiring frequent monitoring.

The strongest pro listed repeatedly is the rehab engine itself. When therapists are present and staff members are not overwhelmed, the rehab experience is described as excellent: skilled physical therapy, clear progress in mobility, and a sense that clinicians care deeply about patient outcomes. Cleanliness and a generally pleasant atmosphere reinforce the ability to focus on recovery. The consistency of the message from multiple reviewers that the therapy team delivers real gains - paired with caring nurses and compassionate CNAs - gives Vanco Manor undeniable value for rehab-focused families. Administration is acknowledged by some as attentive and collaborative, suggesting that when staffing levels permit, the overall experience improves meaningfully.

However, the gravity of the cons cannot be dismissed. Chronic understaffing surfaces as the dominant weakness, turning into delayed care and inconsistent medication administration. The most troubling stories involve patients not receiving timely doctor visits, call bells going unanswered, and serious lapses in basic daily care. Horror stories about neglect, about belongings going missing, and about perceived safety gaps have a sobering contrast with the positive rehab narratives. In short, the same facility that can deliver excellent therapy and a calm environment can also devolve into a place where basic reliability and protective oversight feel unreliable.

That dynamic means a practical balance must be struck. For a resident whose primary need is high-quality, evidence-based rehabilitation and who can tolerate occasional, manageable hiccups in service, Vanco Manor represents a defensible choice, especially if staffing levels are already solid during the stay and the rehab team is energized. For long-term care, daily monitoring, or residents with high susceptibility to medication errors or call-bell issues, the cons are likely to overwhelm the pros. In those cases, strategies such as arranging direct communication channels with therapy and nursing leads, requesting regular bedside rounds, and scrutinizing how medications and vital signs are managed become essential before committing.

Families weighing alternatives should consider Alta Heights Post Acute as a benchmark option. Several reviewers contrast the two facilities, noting the perceived steadiness and responsiveness at Alta Heights alongside stronger overall communication and cleanliness. Yet, no facility is flawless, and credible concerns exist about both environments. The decision hinges on which trade-offs feel most tolerable: prioritizing aggressive rehabilitation and a serene setting at Vanco Manor, or seeking consistently reliable daily care and more robust administrative communication elsewhere. The right path depends on the resident's care needs, risk profile, and the family's tolerance for variability.

Practical next steps for decision-making are concrete. Tour with a checklist that probes staffing ratios during peak hours, medication administration processes, and how quickly calls are answered. Request to speak with the rehab director and floor supervisors to understand how staffing shortages are being addressed and what contingency plans exist. Observe therapy sessions, note room conditions, and verify laundry and maintenance responsiveness. Ask about room options, personal belongings security, and the facility's approach to incident reporting and family updates. In short, Vanco Manor can be a strong choice for rehab-focused recovery, but only for families prepared to actively manage and verify care quality, especially around daily reliability, safety, and consistent communication.

This part of Goodlettsville, Tennessee offers a variety of amenities and services that cater to seniors looking to settle down in a peaceful community. With several physician offices nearby such as Kelly Vision Center and Goodlettsville Pediatrics, residents can easily access healthcare services. There are also multiple pharmacies like Walgreens in close proximity for convenient medication refills. For leisure activities, there are restaurants like Sonic Drive-In and cafes such as Starbucks within a short distance. Places of worship like Cornerstone Church and parks like Moss Wright Park provide opportunities for spiritual fulfillment and outdoor recreation. In case of medical emergencies, Hendersonville Medical Center is just a short drive away. Overall, this area offers a mix of essential facilities and recreational options suitable for seniors seeking a tranquil neighborhood to call home.

Physicians

• Kelly Vision Center (1.6 miles)
• Living Well Center (1.8 miles)
• Goodlettsville Pediatrics (2.6 miles)
• TriStar Skyline Advanced Wound Care & Vascular Center (3.9 miles)
• Tennessee Orthopaedic At Skyline Medical Center (4.1 miles)
• North Children's Clinic (5.5 miles)
• Hayes Endocrine And Diabetes Center (6.2 miles)

Pharmacies

• Walgreens (1.8 miles)
• Walgreens (1.9 miles)
• Walgreens (2.6 miles)
• Walgreens (2.8 miles)
• Walgreens (3.2 miles)
• Walgreens (4.9 miles)
• Ak Analytical Services (5.4 miles)

Restaurants

• Sonic Drive-In (2 miles)
• Chick-Fil-A (2 miles)
• Hardee's (2 miles)
• Waffle House (2.4 miles)
• McDonald's (2.4 miles)
• Sand Trap (3.5 miles)
• Cracker Barrel (6 miles)

Cafes

• Starbucks (2.1 miles)
• Black Press Coffee Shop (6.2 miles)
• Lyncoya Cafe (6.4 miles)
• Starbucks (7.7 miles)
• Cafe Roze (7.7 miles)
• Starbucks (7.9 miles)
• Ugly Mugs Coffee and Tea (8.1 miles)

Places of Worship

• Cornerstone Church (2.4 miles)
• The Movement Church (6 miles)
• Dalewood Baptist Church (6.4 miles)
• First United Methodist Church (7.1 miles)
• Long Hollow Baptist Church (8.1 miles)
• Crosspoint Church (8.3 miles)
• Our Lady of the Lake Catholic Church (8.4 miles)

Parks

• Grand Ole Rv Resort And Market (2.7 miles)
• Moss Wright Park (2.9 miles)
• Ridgetop Station Walking Park (7.6 miles)
• Fred Douglas Park (8.7 miles)
• Shelby Park (8.8 miles)

Hospitals

• Hendersonville Medical Center (6.2 miles)
• Vanderbilt Children's Endocrinology Hendersonville (7.6 miles)

Theaters

• Regal Streets of Indian Lake & IMAX (8.1 miles)