One visit and done. Duke Home Health is not interested in the welfare of the patient. After an…read moreinitial assessment by a gum chewing open mouthed unprofessional nurse, I got one visit by a male nurse who was definitely not working for me. He was not concerned with the reason I needed a home health nurse after a hospital stay. This nurse wanted to send me to a nursing home. He was not interested in my correct meds but only interested in his own viewpoint rather than my doctor's prescriptions. When Duke's nurse started talking about what he would say in a "court of law", I became concerned that he was not concerned with my health concerns, but in kicking me out of my house. I immediately fired this Home Health group and treated myself with much better care. You can do much better than this group. If you want to stay in your home, do not contract this agency.

The nurse case manager was pleasant and responded to messages. Yet, she never remembered the actual…read morestatements expressed regarding my mother's care. The medication management appeared extremely regimented. It seems that the NPs uphold anti-psychotic drug use for the elderly with dementia. It stuns me that they do not consider the lack of research data on the elderly population with dementia. Most data do not advocate the use of these type of drugs due to the "risk of increased mortality". Maybe they do not care? To complicate the situation, the dose of drugs do not take into account my mother's size and weight. Basically, she is considered pediatric size. It seems that the drug dosing is made for the typical adult. Long story short, the NPs and Medical Director will not respond to the current drug challenges. It is unfortunate that there are drug alternatives, but the medical staff will not think "out of the box". I have made several phone calls to Hospice staff with no response. Do they care? Probably not. Last, the CNA is competent. That is the only positive thing I can recall at the present moment,.

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.

Quality Care - Compassionate Caregivers - High integrity company…read more We used Homewerks for one of our family members and can personally attest to the high quality care and compassion provided by Paula and her team. Similarly, we have referred them to many of our friends and business colleagues who consistently give Paula and her team rave reviews. Paula started the company after caring for one of her own family members so she approaches each case at Homewerks with the understanding and personal experience of what it means to have someone warm, competent and trustworthy at the person's side. While we are supporters of the quality care provided by Homewerks, we also cannot say enough about Paula and Tom as individuals - high quality people with unquestionable integrity.

I have immeasurable gratitude for the team at HomeWerks. 24-Hour in home care for my Mother, who's…read moremental health was progressively deteriorating from dementia, was accompanied by a lot of challenges as well as several emergencies. However, Paula and her team stepped up 7-days a week & at all hours of the days/nights. The caregivers always communicated with me and treated my mother with dignity & respect, even in the most difficult of circumstances. And, when I needed medical guidance, along with some personal support, Paula rose to the occasion often speaking with me late at night and on weekends and she always placed a follow up call to see how things were going- - even after my mom made the transition to full time memory care. If you are looking to find an extended family for your loved one/s, look no more. Have the utmost confidence in choosing HomeWerks

Was a little uncertain about the facility given other reviews, but found it to be a great place…read morewith very competent, friendly, and caring staff. Staff work well together, the place is very clean, and the food is great. PT/OT staff are the best--workouts are fun and productive! Management staff are very helpful and clearly operate on the philosophy that the patient comes first! This place is better than some of the 5 star facilities in Durham. Give them a try! You won't be disappointed!

First of all there are some really nice people at this facility, secondly my husband said that the…read moreway the nurse, etc. treated him in front of me when I came to get him out of this place and when I was present was different than her treatment of him when I was NOT present. If there as any way I could give a minus grade I would. Residents are treated like cash cows and Signature is an prime example of how healthcare for disabled and elders are treated by the private sector. I was never so happy as to return to the VA hospital where my husband has been treated for years. My husband is a Marine veteran and as a result of service related toxic exposures his condition is terminal. 1) My husband lost weight during his stay because the food is awful. I have seen food presented to patients that the racoons and possum in the back yard wouldn't touch. He had no weight to lose before he was transferred from Duke. His chart noted that he weighed 137 which is INCORRECT, he hasn't weighed 137 since 2024 when he was first diagnosed with throat cancer. 2) When my husband arrived and we had the first "care team" meeting we told EVERYONE that his stay for for 20 days, Medicaid was NOT an option and that we did not have the financial ability do pay $214 copays per day (WHO DOES) and that they had to have a plan in place prior to the end of the 20 day time period. They had PLENTY of time to get him into a VA approved facility for hospice. 3) His 20 day time period ended on Monday, August 31. I started on August 21st prodding them to action. NOTHING WAS done until Friday, August 28 late in the day. It was the VA social worked in oncology/radiation who provided all of the VA approved facilities for transfer, and it was the VA social worker who was able to locate a bed for him, NOT the social work department at Signature. Yes, social work at Signature emailed and faxed information to the facilities that the VA provided. When I asked WHERE the facilities were located they didn't even go so far as to say how close they were to our home. Because I am not familiar with NC, because I am not from NC, I have not idea where the counties, towns were in relation to our home without doing the research myself. It's not up to the patient's family to do this work, the social workers at the facilities have the responsibility to the caregivers and patients' families. Again, Signature is a BUSINESS and not in the business of going the extra mile. 4) On the first day of his stay, the social worker came into the room and took history. Not ONCE did she look up from her laptop, NOT ONCE did she make eye contact with my husband ir with me, NOT ONCE did she even acknowledge his service as a Marine. In fact, when he said he was a Marine, she looked up with a BLANK STARE. I don't know how she was hired or what credentials she had other than a simple BA in social work which she is quick to put on her business card, but she needs to bone up on her people skills which are non existent or find another line of work more in keeping with her flat personality. 5) Approaching the end of his stay, I went into the facility, talked to social work, the director, the business manager about my husband leaving on the 20th day to avoid further charges. I was assured that "Signature is a BUSINESS". The business office manager never once offered a payment plan for the charges and again pointed out that : "We are a business". Yes, Signature is a business, and obviously the residents come second while Signature drinks at the public trough of Medicare and Medicaid. They are passive aggressive in their approach while being quick to say "we are praying for you". I would like to see the breakdown of costs, the pay levels of the executive officers, directors, the amount of money Signature bills to Medicare and Medicaid and how everything is broken down. I wouldn't be surprised that the executives are getting triple digit salaries while many are barely paid a living wage. After all, Signature is a business and into the profit. 6) I am not a Christian, I am not an atheist, but I find the Christian references throughout this facility to be off-putting. Although Signature says their direction is spiritual, all of the references are Christian in nature. Since it's a private facility, they can apparently present whatever they like in their offices and common areas. The director's office is filled with Christian material, a huge bible on the desk, etc. Religion is a very personal and private matter, I don't want it shoved at me on every wall, desk, etc. when I am in a public place. I want to see beautiful landscape photos on the walls as you see at the VA hospital. Not everyone who comes through the doors of Signature is a Christian. Staff members assured me that they would "pray for me", I know they think that their intentions are good. That being said this can be viewed as a degrading and morally superior attitude. 7) My husband went d

Very Clean Rehab center! Staff was absolutly wonderful! Food was good for a rehab facility! Very…read morepleased and family has been there for over a week!

I believe this will be a good fit for my dad. I was discouraged at first, but the administrator…read morejumped right in and did everything to help me.

I have been working as a registered nurse for Home Instead for 5 years, and I can genuinely say…read morethat this has been one of the most rewarding experiences of my career. I have worked in hospital and outpatient settings, but Home Instead stands out because of its heart-centered approach to caregiving. The training and resources provided have been excellent. Whether it's new developments in dementia care or fall prevention strategies, we're always learning and improving. As a nurse, that kind of ongoing professional support is invaluable. If you're a family looking for compassionate, reliable care for a loved one, or a healthcare professional looking for a fulfilling career path, I wholeheartedly recommend Home Instead. They've created something truly special.

I feel it is my duty to let the public know that the Home Instead Senior Care service in Durham is…read morethe worst service to use!! We used this service to have help caring for our mother who had dementia. We assumed Home Instead would use strict protocols in this time of Covid-19 especially since the people they serve are all elderly and vulnerable. The care giver came into my mother's home not wearing a mask - 2 days later we were told the caregiver had tested positive with Covid. Our mother got covid as a result and died 3 weeks later. Please if you cherish your loved one DO NOT use this place - they do not enforce any safety guidelines to their employees at all!!!!

This home flat out stole from my grandmother and was physically abused by both Med Techs and Aids…read more When we initially toured the place a few months ago the management sold a complete, blatant LIE. We were told that residents would be given one-on-one care and attention, like hair brushing, etc. Yeah, right... Aids don't even talk to residents, let alone stimulate them. Let's start with the fact that no one wears a name tag so that they cannot be identified by patients. They assume that everyone is suffering from dementia and can no longer read. They have ZERO CARE for any patient. Pain medication isn't administered when it should be, med techs have horrible attitudes and sit in the beauty parlor talking to one another rather than paying attention to family members asking medication to be administered (took over an hour for someone to come, and we were met with a literal "what do you want?"), food is taken away from residents when they don't eat, rather than coaxing attempts to help them eat. My grandmother's diamond and emerald ring was stole right off her finger, and when we were shocked and asked where it was we were told "oh, well because the residents are demented they often give their things away." The ring was tight on her finger and she would have never, ever, taken it off. We know that a med tech stole it right off her person. The attitude of everyone working there disgusts me. Since residents are mostly demented they treat them like absolute garbage. It's true abuse, and we will be riding a complaint all the way to the county and beyond. My grandmother's hospice nurse came the day after she was removed and was shocked at how much her demeanor Do not send your loved one here. It is a true hell hole and should be shut down. Disgusting.

a family member of a resident at Seasons At Southpoint writes..."Please share with your staff...The…read morehospital was very impressed and happy with the med report which was sent with the paramedics [from Seasons At Southpoint]. Having [written down] the times that the meds had been given was so helpful. They [the hospital] loved that format. Loved the fact that the DNR was sent so they had it for her charts. The doctor was very pleased with the care plan to introduce one med and reduce another. Thanks, Robin Barbour"

ok this is to correct a previous post i made about this facility…read morewhy it is true my original post for this facility was 1 and 1/2 star i am correcting it to 4 1/2 stars. why frist impression was extreamly bad. i must admit that i arrived here full of dis trust and angry, frist all the stuff you here in the news about these facilities and awsome super care i got at unc hillsborough location made this place look bad. i arrive while every one here was nice they did not no i was coming at least the front desk did not no. second the place seemed stuffy hard to breath air, i must admit was expecting the smell of you no what ????? body odor. i was just all in fowl mood emotional. i was determined to move out the frist time my medication was late. i came here only because i needed iv antibiotic for 14 days and i needed to be off my feet for least 2 weeks. long story short pruitt health on mt sina rd has been nothing but professional, my meds have been on time every 8 hours 6 am 2 pm 10 pm my room constanly clean my nurses kind considerate and checking ong us constantly. i listen to lady across the hall who has i am guessing has dementia the staff has been very patent and kind to her gently talking her seeing to her needs. i refuse to eat the food here because it was cold, and if my was clod so was every one else

It's been several years and I sincerely hope they've improved BUT I've had some disturbing EMS…read morecalls here when working as EMT. Sloppy care, complacent attitudes, poorly trained staff members. One memorable 911 call, unconscious patient unknown cause, easily diagnosed by my glucose tester. Diabetic emergency close to coma, gave concentrated IV dextrose, he woke up asking 'Why am I on an ambulance'. So this isn't so unusual, they waited a long time to call 911, maybe he wasn't noticed, but the thing we RESENTED was a staff member giving us FALSE VITAL SIGNS either a feeble attempt to disguise NEGLECT or sheer incompetence. NEITHER ACCEPTABLE. Patients blood glucose was so low I thought the glucose meter needed new batteries.