Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 59 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. The latest standard survey recorded 21 findings, above the IL average of 12.0. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Generations at Applewood receives highly polarized feedback, with many families reporting severe neglect, chronic understaffing, and poor hygiene, including persistent odors of urine. While some reviewers praise specific staff members or the rehab department, the recurring reports of residents being left in soiled clothing, missing personal items, and experiencing delayed medical attention raise significant concerns for prospective families.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 88 analyzed
Personalized based on this facility's data
Key Review Excerpts
“The front side is beautiful, staff seem to care, it's clean and modern. Thats where all the website pictures are taken. That OTHER SIDE...is a mess. The complete opposite. Dim, smells like urine, patients are not attended to.”
“The rehab techs are like family ,Super professional and they push you.I suffered a stroke ,Iam now walking with confidence from the great work the technicians had me do!”
“My Aunt has been at this facility since 3/2022. Many times she has been left sitting in soiled depends for hours, rarely changed into night closes or depend changed before bed, some staff are unprofessional, lack a caring and concerned attitude.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
4
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents with pressure sores (bedsores)
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have repeatedly filed complaints about this facility, triggering many of the 84 total deficiencies across 18 surveys. The most persistent problems involve accident prevention and safety hazards, pressure ulcer care, and medication management, with these issues recurring multiple times even after supposed corrections. While most deficiencies show correction dates, the pattern of repeated violations in the same care areas suggests ongoing systemic problems that merit careful consideration before choosing this facility.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
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
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Federal Penalties
Fine
Jan 23, 2026
$68,510
Fine
May 9, 2025
$132,893
Payment Denial
May 9, 2025
56-day denial
Fine
Jan 15, 2025
$33,040
Fine
Dec 18, 2024
$14,050
Fine
Apr 8, 2024
$161,680
Payment Denial
Apr 8, 2024
55-day denial
Fine
Dec 19, 2023
$108,766
Generations at Applewood
for profit
Generations Healthcare Network
4 facilities nationwide
Chain avg rating: 3.8/5 · Rank 30 of 33
Owners
Barrish Group Limited Partnership
Owner · Organization
Bryan Barrish Trust Dtd 9/1/04
Owner · Organization
Ralph Gesualdo Childrens Trust
Owner · Organization
Barrish, Bryan
Owner
Gesualdo, Ralph
Owner
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
59 reviews from families & visitors
Official Website
Visit generationsapplewood.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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