My mom passed away at Transitions. Everyone we worked with was kind and compassionate. Volunteers…read morecame in with a dog, to sing, and one even offered a Reiki session, which was something my mom had offered to others years ago. My mom's passing was gentle and peaceful. The staff was kind and respectful.

What I've come to understand about hospice orgs is that they seem to attract nurses who may be…read moreburned out from other jobs. This results in transactional care, checking off boxes to comply with Medicare but a lack of genuine compassion for the patient. (hospice enrollment recommendations below) Hospice affords more normal hours than working at a hospital. However, the trade off is probably that the nurses may have to drive 100 miles a day all over the county to serve patients. It's a crap shoot when it comes to the nurse case manager (weekly nurse) you get based on when you enroll in hospice care. And it's a crap shoot for the nurses too, who gets assigned to them. (see #4 below) Transitions was recommended to me by someone I trusted. I didn't know what I didn't know but my initial instinct during the first transaction with the intake nurse seemed off to me. She didn't listen, was not paying attention to what I said (about my Mom's care needs) and not educating us on how we should be looking at the whole hospice experience, especially medication management. We lasted a month and a half before I went to another company. The whole point of hospice is having continuity of care. The nurse case manager kept scheduling other nurses to come in her place which consequently caused us to have to orient a new nurse almost every week. Recommendations for Hospice Enrollment and Ongoing Management 1) Trust your instincts if your first interactions with the hospice org aren't stellar. Unless your family member is very close to death you probably have time to interview another company. 2) How medication is administration is explained and distributed (by mail or pharmacy pick up) is critical. 3) Understand that the first several intake people who call or visit may not be the regular providers you will be seeing. They have to check boxes for Medicare so they may only be marginally helpful. 4) The Clinical Manager who manages schedules and nurse performance is THE most critical role in the process. This person MUST be a great problem-solver, compassionate, caring, understanding and a good listener. Spend time up front describing your loved one's personality, likes and dislikes to hopefully get the best match possible nurse case manager (weekly nurse). 5) Once you get through the initial process, if you don't like the hospice care you're getting it's fairly easy to transition to another company (assuming you have POA for your loved one). 6) Make sure your POA and Healthcare POA are updated. If you had documents drafted years ago, they may not be specific enough for today's requirements. 7) If you have a life alert system you can give the hospice company number to the life alert system company so 9-1-1 won't get called in an emergency. 8) LPN's have more authority with medications than RN's but Medicare requires RN's to visit at least once every other week. 9) Hospice nurses understand that the closer to the end of life someone is, the less interested in eating they will be. Also, people at the end of life will sleep more. So keep track of eating and sleeping because the nurses will be most interested in that in addition to pain management. 10) Document changes in health in advance of nurse visits even if it's jotting small notes on a calendar because over time all the days blend together.

I was at this facility in March 2026 for rehab after a broken ankle. The physical and occupational…read moretherapists are top notch. The environment, however, is closer to a nursing home. Shared room with shared bathroom, little privacy, often difficult to sleep and awakened at 5:30 am to make sure the night shift can get patients ready for therapy before the day shift arrives. Food generally not good; some residents order food delivered. Administrator was rude at check in after not explaining all of the facility policies to me. Discharge planner referred me to a home health agency, Amedysis, that is not in the UNC system, which is odd for a UNC hospital. This agency apparently cannot access my doctors' records re: my rehabilitation goals through UNC MyChart. If you are a UNC patient, ask lots of questions before agreeing to referral to Amedysis.

My brother was in apex for almost a year and all I can say is that they really helped me so much…read more Kathleen the supervisor nurse is amazing and Annmarie the social worker I don't know what I would have done if I didn't have them helping me though a very lengthy process trying to get him better to be out on his own. Both Kathleen and Annmarie both need to be acknowledged in this review. All I can say is Apex is very lucky to have two employees that care so much about their patients.

Wow, this 68-year old's back feels great, thanks to Physical Therapist Mark's experience and…read moreexpertise. I waited way too long to get something fixed. No surgery like they pedal on TV ads and no painful chiropractor stuff, jargon, etc. And, so easy to get to, in the geographical center of Cary, NC.

My child had a speech appt for today sch dyked for 11am and the speech therapist didn't show up…read moreuntil 11:20 am leaving only 20 minute session before his physical therapy at 1140am.

My aunt was in here for a period of time. One thing she wanted to do was get one of those assisted…read morestanding chairs. BellaRose stated that the chair had to be factory new, and shipped directly to the facility. That means that you can't go to Rooms to Go, or Ashley furniture, and throw it in the back of the truck and take it straight there. You have to go buy it, pay extra for shipping, and wait a few days for them to schedule delivery. They do have WiFi for families to use while visiting. The issue was that I had to give them my personal device so so they could enter the password. Now we all know some of us have sensitive work information on our devices, and can't let anybody holing our unlocked devices. And sometimes we don't trust how) clean a person's hands might be. (I know I see adults digging for gold nuggets in their nose) But for the overall care to patients, they do have decent care, and a nice facility. 2024-13 #542

Early May transferred from wake med Cary to rehab. scared to death as I arrived. Staff so…read morewelcoming, was there two weeks regaining strength recovering from many health problems. So clean, large private rooms , delightful atmosphere, but best part? Staff...they could not have been any better! always there to help you, their concern and exceptional care got me on my way to return home feeling secure and strong. the meals were exceptionally good, as I needed to put on weight, I looked forward to the variety of tasty food. Not the institutional hospital food bland! I am an extremely active aquatic instructor and retired healthcare worker. always tried to give my best to patients...God blessed me sending me to Bella Rosa...thank you all again for healing me physically and mentally. I called it The Ritz Carlton of rehabs ...beautiful and bright ! Best care anywhere.

This is a small care home located in the MacGregor Downs neighborhood. A maximum of 6 residents…read moreare cared for. My mother was here for a very short period of time. She was admitted on Sept 11, 2023. The facility is clean and there are several caregivers who are qualified to work with the elderly and those with dementia. Most of the caregivers are NOT. If a facility encourages you to use their "in house" physician, you should NOT !! We gladly signed up for both Physician and (we were highly encouraged to sign up for) psychiatric care. My 95 year old mother had NEVER had any psychiatric issues. We found out that these professionals worked for the owner and not for us. Since the staff did not want to spend any time actually caring for mom, they tagged her as a "dementia problem" and started to medicate her. She was so over medicated that she could barely speak or hold her head up. After a few weeks, she was unable to feed herself. We pleaded with the owner to stop the meds. My mom was NOT able to clear them from her system and we knew that they were building up day after day after day. They had her in diapers (she was NOT in diapers when she was admitted). It was like nothing you could ever imagine !! Finally, the drugs became too much and mom complained of chest pain. Even though she was a Hospice patient, we called EMS (we knew this was out of the ordinary for her). After arriving at the ER, the Dr's could all agree that she was suffering from the effects of "polypharmacy". "Too many meds onboard". They had caused her respiration to be so depressed that she had just begun to develop aspiration pneumonia. It took a week in the hospital for her to detox. As soon as she was admitted to the hospital, the owner EVICTED her !! Said she was a threat to the other residents. This was a 95 year old who they had tethered to oxygen. Both rotator cuffs are torn and she cannot raise her arms. She evicted us with NO NOTICE !!!!! So wrong --------- Our Hospice team can agree with us that mom was in no way a threat to anyone. Upon eviction, she threated us with a trespass order if we were to step foot back into the house to pack up mom's belongings. She was afraid we would share with the other residents what had happened. And to top things off, Tara shorted us $2459.96 on the refund owed. She evicted mom on Nov 4. We had just paid $9800 for the month. You do the math. Refund sent was $6033.20. You CANNOT threaten someone with trespass and then CHARGE them to pack up and send their stuff. I have sent my report to NCDHHS. Multiple resident's rights were violated. DO NOT by any means, place your loved one in any facility that this lady runs. She actually has another house on the other side of Cary. We are awaiting the NCDHHS report. I doubt anything will be done but at least we have made other aware of our experience. Just another note - once mom was discharged from the hospital, she was her old sweet self. NO more drugs. She was no longer incontinent. She was eating and feeding herself. Our Hospice team can collaborate this.

Prior to my mom moving into The Retreat care home we were told by the owner that they would work…read morewith her to help make her legs stronger, so that she could stand and transfer better. This sounded like a great place for my mom and I was very hopeful that it would be. Yet, sadly, it was the complete opposite. The first issue started around the second week my mom was in The Retreat. We were told that my mother had such bad anxiety she would need to be medicated or she would be forced to leave the home. We were very hesitant to medicate my 95 year old mother who has never needed anxiety meds or even received an anxiety diagnosis. The owner strongly recommended we use their house doctor and house psychiatrist. I feel the house physicians work more for the owner and not so much for your loved one. However, it was decided she needed a sleeping medication, risperidone around the clock and as needed for anxiety and lorazepam as needed for anxiety . Shortly after starting the meds my mother became more and more sedated. It got to the point where she was sleeping through meals and was so weak she couldn't pick up her water bottle or silverware to feed herself. We kept asking if the medications could be reduced but the owner of the facility kept saying "her dementia is getting worse" and they refused to decrease them. We never believed that her dementia was getting worse and knew it was from all the psych medications they insisted she needed. Another one of my issues was that the owner's main method of communication was through email. She did not like texting or communicating directly with us. Her emails would be LONG and most of the information was simply not true. She would also copy upwards of 14 people on these emails, most of whom had never even worked with my mother. I think it is likely she used this as a form of intimidation. After several weeks of my mother taking the new medications, she required oxygen.This came as a shock to me, as my mother has never needed oxygen before, and this need seemed to arise from the new medications. On my mother's last day at the house, she complained of chest pain. EMS was called and she was transported to the hospital. Upon arrival at the hospital we were told by their doctors that just because my mom had good renal function elderly patients should not take those medications, The physician further explained that those medications are on the BEERS list, a list of medications that are notoriously difficult for elderly patients to metabolize. They caused her to have such respiratory depression that she couldn't inflate her lungs fully thus causing fluid in her lungs and aspiration pneumonia. We were told some facilities use the medications as a chemical restraint. All psych meds were discontinued in the hospital.After several long days her body cleared the meds and she returned to her normal state. Our Hospice team can attest that she returned to her normal state once all medications were discontinued. The owner evicted my mom while she was still in the hospital saying she was a threat to the other residents. To this day, I think that is comical, as mom was in a wheelchair and highly sedated while at the facility. This didn't matter too much to me, because after knowing that the medications they insisted she needed caused my mothers stay at the hospital, I knew I could never put my mother under their care again. Upon telling us my mother was evicted, she also told us we could not pack up her belongings. She stated we would be trespassing and if we showed up at the house she would file a restraining order against us. I think she was afraid we would speak with other residents or their families and tell them what happened. She charged us $500 to pack up all my mom's belongings, which again was forced since we were not allowed back at the house. Knowing what I do now, I would never recommend the Retreat to anyone. It was such a bad experience for my mom and for our entire family.

Long term client. Always has flexible appointments. Great for seniors! Dependable with young staff…read morethat makes you feel at home!

The staff is incredible from the front desk, to the nurses, the phlebotomist to the Doctor and NP…read more I am so glad I fell into this place and grateful for their presence in my life!

Thirty years later and still going to Dr. Dessauer. She is very professional, straight forward…read moreand treats our family with with respect. She always gets to the bottom of whatever our ailment is and truly "listens" when we are in her office looking for the proper treatment for any medical situation. I cannot believe it's been over 30 years of her being our Family MD. Thank you, Dr. Dessauer and Wellness Family Practice for such exemplary care.

I've been going to Dr. Dessauer for many years. She is so caring and passionate about patient care…read moreand will stop at almost nothing to sort out what is wrong with you and how to fix it!

Dr. Elizabeth Vandergriff, and her entire staff are the most professional, caring, and kindest…read morepeople you will ever meet. Dr. Vandergriff was quick to resolve my issue, and thoughtfully followed up to see how I was doing. When I thought that I potentially had COVID, the nurse practitioner Carolyn Berlin, came out in full hazmat gear, tested me, answered all of my questions, and also followed up to make sure that I was ok. Dr. Vandergriff's entire practice goes above and beyond any other office I've ever visited! If you are looking for a top doctor to see in Cary, look no further! Heroes work here!

Dr. Vandergriff is a nice doctor and person to talk to but this practice is more concerned with…read moremaking money rather than helping its patients. I am unemployed and struggling to pay for my health insurance. I needed my prescription allergy medicine refilled and Dr. Vandergriff would not re-fill it even though I had been in her office 2 months prior. This practice is more concerned with how it looks rather than serving it's paying patients.