Avantara Redfield
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 8 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (8 vs median 5.0)
- High staff turnover (55%)
Bottom 25% in SD · Below recommended RN staffing · Worst in LEGACY HEALTHCARE chain · $23,044 in fines
What this means for your family
Given the reports of physical abuse, bed bug infestations, and serious dietary failures, this facility presents significant safety risks. We strongly advise families to look elsewhere, as the current pattern of complaints suggests systemic failures in basic care and resident protection.
Google Reviews
Google Reviews
8 reviews on Google“Avantara Redfield faces severe allegations regarding resident safety, including reports of physical abuse by staff and the presence of bed bugs. Families have expressed deep concerns about basic hygiene, such as persistent odors, and critical failures in dietary management that led to a life-threatening allergic reaction.”
Quality Themes
Tap a score for detailsStrengths
- Clean environment
- Great nursing staff
- Effective physical therapy
Concerns
- Unprofessional staff conduct and potential abuse (mentioned by 2 reviewers)
- Poor hygiene and sanitation issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 8 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We noticed some praise for the physical therapy team in recent feedback; could you tell us more about how the therapists work with residents to maintain their mobility?
- 2Since we want to ensure a comfortable environment, what specific protocols are in place to maintain daily cleanliness and sanitation in the resident rooms and common areas?
- 3How does the nursing team communicate important medical updates or changes in condition to family members to ensure we are always in the loop?
- 4What is the typical daily schedule like, and what kind of social activities or dining experiences do you provide to keep residents engaged?
- 5In the event of a medical emergency during the night or over the weekend, what is the immediate process for contacting doctors and notifying the family?
- 6We saw that the facility is described as a clean environment; how do you manage the dining area and meal service to ensure high standards of food quality and hygiene?
Personalized based on this facility's data
Key Review Excerpts
“I had to remove my mother from this house of horrors. A CNA named Patience Flahn was caught roughing up my mother as I walked in the room.”
“Very unprofessional environment. Bed bugs found in my mom's room!!!”
“Grandmother nearly died from an allergic reaction to her meal. The food is cold and half done”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents who fell and were seriously hurt
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Seven families have filed complaints against this facility, citing issues including abuse prevention and dietary safety. The most recurring problems involve food safety and handling, care planning and assessments, and maintaining a safe environment. While most past deficiencies show correction dates, multiple recent issues from January 2026 remain with only correction plans in place, suggesting ongoing challenges with consistent care standards.
Jan 28, 2026Routine8
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Jan 28, 2026Complaint1
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Apr 15, 2025Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 17, 2025Complaint1
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Dec 5, 2024Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Environmental Deficiencies
Keep all essential equipment working safely.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Aug 28, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Mar 17, 2025
$7,008
Fine
Aug 28, 2024
$8,018
Fine
Aug 28, 2024
$8,018
Ownership & Operations
Who Operates This Facility
Avantara Redfield
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 85 of 89 (Worst)
Ownership & Management
Owners
Doros Generation Trust U/a/d 1/3/12
Owner · Organization
Gpn Fam Tr Ua 04282008
Owner · Organization
Oakway Operations LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
8 reviews from families & visitors
Official Website
Visit avantararedfield.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.