Fouraker Hills Rehab and Nursing Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 239 Google reviews

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What this means for your family
This facility has a very polarized reputation. While some families report excellent experiences with the therapy team and specific staff members, there is a consistent pattern of complaints regarding neglect, hygiene, and slow response times. If you are considering this facility, we strongly recommend unannounced visits during evening or weekend hours to observe staffing levels and cleanliness firsthand.
Google Reviews
Google Reviews
239 reviews on Google“Fouraker Hills Rehab and Nursing Center receives highly polarized feedback, with some families praising the friendly, attentive staff and clean environment, while others report severe neglect, poor hygiene, and communication failures. Recurring complaints involve long wait times for call buttons, unaddressed bedsores, and a lack of responsiveness from management. Prospective families should be aware of the stark contrast between positive experiences and reports of substandard care.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and welcoming front desk staff
- Effective physical and occupational therapy teams
- Clean and well-maintained common areas (noted by some)
- Helpful administrative staff for some families
Concerns
- Neglect of basic hygiene and toileting needs (mentioned by 14 reviewers)
- Slow or non-existent response to call buttons (mentioned by 9 reviewers)
- Poor communication and difficulty reaching staff/management (mentioned by 8 reviewers)
- Facility maintenance issues (odors, pests, broken furniture) (mentioned by 7 reviewers)
- Medication management and dietary errors (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 222 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you ensure that same level of responsiveness when a family member has a concern about their loved one's daily care?
- 2Given the current staffing levels, what specific protocols do you have in place to ensure that call buttons are answered promptly and that residents receive timely assistance with hygiene and toileting?
- 3I see that your physical and occupational therapy teams are highly regarded; how do you integrate those services into a resident's daily routine to ensure they stay active and engaged?
- 4Some families have mentioned concerns regarding facility maintenance and cleanliness; could you walk me through your current housekeeping schedule and how you address environmental issues like odors or room repairs?
- 5How does your nursing team manage medication administration and dietary needs to ensure accuracy and prevent errors for residents with complex health requirements?
- 6With a capacity of 120 residents, how do you foster a sense of community and ensure that staff members are able to provide personalized attention to each individual?
Personalized based on this facility's data
Key Review Excerpts
“The Respite Care stay at Fouraker Hills was a pleasant experience for my mother. The Director of Admissions, MN, was very prompt and attentive regarding any questions or concerns that I had during her stay.”
“The facility itself is in poor condition—it's dirty, has a strong odor of urine, and is poorly lit, with most lights either off, dim, or not working at all, making the building feel very dark.”
“If I could give 3.5 stars I think that would be most appropriate. Fouraker Hills seems to have the basic needs met which is perfectly fine. They have decent sized rooms, availability and the staff seem attentive and professional.”
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
2
measures
6
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose walking got worse
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
This facility has concerning patterns with families filing 6 complaints that triggered federal inspections, revealing issues with medication management, infection control, and privacy protection. The facility shows recurring problems with quality of care (affecting daily living abilities appears in multiple surveys), resident rights violations (privacy breaches found twice), and safety hazards (accident prevention cited repeatedly). While all deficiencies show correction dates, the persistent nature of similar violations across multiple years and the significant number of family complaints suggest ongoing operational challenges that merit careful consideration during any visit.
Jan 16, 2025Routine7
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
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Jul 16, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jan 12, 2024Complaint5
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 16, 2023Routine6
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
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Jul 16, 2021Routine5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Ownership & Operations
Who Operates This Facility
Fouraker Hills Rehab and Nursing Center
for profit
Chain Affiliation
Aston Health
38 facilities nationwide
Chain avg rating: 2.5/5 · Rank 20 of 30
Ownership & Management
Owners
Wj Care Holdings LLC
Owner · Organization
Gutman, Samuel
Owner (parent company)
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
239 reviews from families & visitors
Official Website
Visit fourakerhill.com
Medicare data downloads
Original nursing home datasets
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