Crosslands Rehabilitation & Healthcare Center

Pros

• The father clearly expressed his wish to go to the ER, underscoring patient autonomy.
• The family acted quickly to secure proper medical care for him, demonstrating advocacy and care.
• The CEO's apology acknowledged the incident and expressed remorse.
• The son intervened decisively to protect his father's safety.

Cons

• The facility forgot to provide oxygen to the patient on two occasions, endangering him.
• A walker was left beside the bed, causing disorientation and a dangerous fall.
• The staff pressured for a DNR in a way that ignored the patient's and his family's wishes.
• The patient's clear request to go to the ER was ignored, contradicting his preferences.
• The CEO's response was only an apology, with no meaningful accountability or corrective action.
• The overall care was unsafe and negligent, leading to distress and harm.

Review

What follows reads like a harrowing firsthand account of a family's attempted rehab stay turning into a nightmarish ordeal. A father who needed rehabilitation to regain mobility was placed in a facility that, in the family's view, failed at basic levels of care and safety. The narrative centers on repeated instances of neglect and mismanagement that the family says had real, frightening consequences for a man already vulnerable because of age and health. From the outset, the family frames the facility not as a place of healing but as a place where essential needs were forgotten, misread, or outright ignored, with consequences that stretched far beyond a single bad day.

The most troubling claims begin with oxygen - an essential lifeline for a patient who could not rely on self-rescue if something went wrong. The family contends that the dad's oxygen was "forgotten" to be put on him on two separate occasions, including a moment when he was not being provided oxygen at all and the number 66% was cited as the oxygen level at the moment the facility finally acknowledged the lapse. In other words, there was a clear and repeated failure to maintain a critical medical parameter that could influence his alertness, stability, and risk of further complications. The family describes a pattern, not a single error, and this pattern is what shaped their growing fear for his safety.

A second element that compounds the danger is a walker left next to the bed. The family says the walker, intended to help their dad regain independence, became a hazard because it left him disoriented during the night. In the dark, he used the walker to get to the hallway, where he then fell backward and knocked himself out. It is a sequence that paints a picture of a facility that misjudged risk rather than mitigated it: something as ordinary as a walking aid that should aid recovery instead contributed to a dangerous fall, with potentially severe consequences. The family's insistence is that this was not just a rough night but a direct consequence of unsafe conditions and insufficient monitoring.

In the wake of these incidents, the facility's handling of a broader medical decision became another focal point of their grievance. The family notes that staff pressed to place a Do Not Resuscitate order on their father, contacting his wife as if to secure a decision that would shape later treatment in a potentially irreversible way. A sibling who is a physician - present in the moment, listening to the exchanges - was told by the facility about whether to take the dad to the ER. The underlying tension is stark: the family believes the patient's own wishes about care should come first, but the facility appeared to press for a DNR and dismissed the patient's explicit desire to seek ER care when he felt unsafe, according to the recounting. The brother's perspective, anchored in medical knowledge, suggests the family felt the facility's actions de-emphasized the patient's expressed wishes in favor of administrative or gatekeeping concerns.

Events continued to unfold in a way that intensified the sense of risk and mistrust. The dad was returned to the facility in the early morning, only to be sent back to the hospital for a testing appointment - an appointment that, in hindsight, might have been canceled had the previous mishaps been known. What followed was a painful moment when the dad called his daughter, reporting that he was hungry and in pain, and then began to cry. The caller - the daughter - reached out to the person in charge, driving to the facility with urgency. The narrator describes racing against time to reach the dad's room, surpassing even the chief administrator in the hallway after the transfer, to discover that the oxygen had not been on since leaving for the testing. The only response offered by the facility's leadership was a brief "I'm sorry," a minimal acknowledgment in the face of distressing evidence and a tense, emotionally charged confrontation.

The culmination of the night's events marks a turning point in the family's assessment of the facility. The narrator describes removing their father from the facility that night, claiming a breach of trust and safety that could not be overlooked. The force of this decision rests not only on the documented lapses - oxygen omissions, the hall encounter with the walker, and the tension over the patient's stated wishes - but also on the visceral sense that the care environment had become an unreliable ally in a time of vulnerability. The family frames this as a decisive, protective action taken to safeguard a loved one, even as the emotional weight of the experience lingers.

In the aftermath, the family's account positions this facility as a cautionary example of what can happen when care is mismanaged, especially in a setting designed for rehabilitation and recovery. The repeated failures - omissions in essential medical support, risky arrangements that allowed disorientation and injury, and decisions around resuscitation that seemed to sidestep the patient's own voice - coalesce into an indictment of the place. The narrative closes with a blunt assessment: this was, in their view, a "worst place to send your loved one." It is a story framed not just by a sequence of unfortunate events, but by a felt breach of trust, a fear for safety, and a determination to act decisively to secure a family member's wellbeing, even if it meant leaving behind a facility that the family believes failed in its most basic duties.

This area of Sandy, Utah, offers a convenient and accessible location for senior living. With several pharmacies in close proximity, obtaining necessary medications is made easy. Additionally, there are various physicians' offices nearby, providing medical care within a short distance. A variety of restaurants cater to different tastes, and parks offer opportunities for outdoor recreation and relaxation. The presence of theaters and places of worship ensures cultural and spiritual enrichment. Transportation options such as UTA Frontrunner Station and TRAX stops make it convenient to access other parts of the city. Nearby hospitals offer quality healthcare services for any medical needs that may arise. Overall, this area provides a well-rounded environment with amenities that cater to the needs and interests of seniors looking for a comfortable and vibrant community to call home.

Pharmacies

• CVS Pharmacy (0.6 miles)
• Smith's Food & Drug (1.5 miles)
• Jolley's Sandy Compounding Pharmacy (1.8 miles)
• Walgreens (1.9 miles)
• Walmart Pharmacy (2.4 miles)
• CVS Pharmacy (2.5 miles)
• Walgreens (2.9 miles)

Physicians

• Alta Pain Physicians (0.8 miles)
• Granger Medical Clinic (1.3 miles)
• Hoopes Vision (1.4 miles)
• Granite Peaks Endoscopy (1.6 miles)
• Grant A Fairbanks, MD - Fairbanks Plastic Surgery (1.7 miles)
• Ear Nose & Throat Center of Utah-Draper (1.7 miles)
• Hidden Valley Eye Care (1.9 miles)

Restaurants

• Los Cucos Mexican Cafe (0.9 miles)
• Chili's Grill & Bar (1.1 miles)
• Slackwater (1.2 miles)
• In-N-Out Burger (1.8 miles)
• Apollo Burger (2.5 miles)
• Schmidt's Pastry Cottage (2.7 miles)
• McDonald's (3.6 miles)

Parks

• River Front Park (2 miles)
• Wheadon Farm Park (4 miles)
• No Name Park (4.1 miles)
• Skye Park (7.1 miles)

Theaters

• Megaplex Theatres (2.2 miles)
• ZAGG The District (5.6 miles)

Places of Worship

• Pepperwood Chapel (2.4 miles)
• Church of Jesus Christ of Latter Day Saints (3.3 miles)
• Utah Islamic Center (3.4 miles)
• Church of Jesus Christ of Latter Day Saints (3.9 miles)
• South Jordan Utah Stake Center (4.1 miles)
• Church of Jesus Christ of Latter Day Saints (5.6 miles)
• Church of Jesus Christ of Latter Day Saints (6.1 miles)

Transportation

• Draper UTA Frontrunner Station (3 miles)
• TRAX Fashion Place West (5.7 miles)
• TRAX 4800 West (7.1 miles)
• Daybreak Parkway Trax Stop (7.3 miles)

Hospitals

• Riverton Hospital (5.9 miles)
• Orthopedic Specialty Group - TOSH (6.4 miles)
• Intermountain Medical Center (7.4 miles)