Harmony at Roanoke – Memory Care offers both Assisted Living and Memory Care, designed to meet the needs of residents who require routine help or have advancing dementia. The community is equipped to manage residents who wander at any time of day, exhibit elopement risk, present combative or other behavioral challenges, stay awake through the night, or need specialized diets. Care teams can also accommodate advanced dementia conditions and psychiatric diagnoses, while on-site podiatry services add an additional layer of medical oversight.

Registered or licensed nurses are on staff, a nurse is on call 24/7, and the building maintains continuous security with an awake night shift, alarmed doors, fenced outdoor areas, pull-cord alerts, and personal emergency response systems. Staff can provide full assistance with bathing, eating, dressing, and toileting. Transfer support ranges from standby help to one- or two-person transfers for residents who use walkers or wheelchairs. An activity director plans daily therapeutic programs that align with each resident’s care plan.

Accommodation options include suites that may feature private bathrooms, individual climate controls, the ability to paint or decorate, and cable access, though not every room contains each feature. Residents can bring personal furnishings to create a familiar environment, and maintenance is handled by the community.

Meals follow a set menu served in the main dining room, and snacks are available throughout the day. The culinary staff works with clinical teams to manage diet modifications such as low-sugar, low-sodium, or texture-modified meals, ensuring nutritional needs are met without compromising medical directives.

Amenities include wheelchair-accessible common areas, a barber and beauty shop, wellness center, internet access, and covered entrances with outdoor seating that lead to a secure courtyard and walking path. Residents have access to a dining room, living room, activity room, and life-skills stations, along with housekeeping, personal and linen laundry, and scheduled transportation. Engagement programs feature physical exercise, movie nights, hand massages, happy hours, arts and crafts, bingo, garden club, baking activities, and on-site Genesis therapy available for an additional cost.

Residents and their families say:

Positive feedback for this community points toward its visually appealing design and decor, with several reviewers praising its clean, new appearance and large, accessible common spaces beyond just a single room for gathering, which includes amenities like a library and theater. The community has been described as very large, providing ample space for residents. The staff are frequently mentioned as responsive and very good, with particular commendation for their helpfulness during residents' transition periods and their patience. The variety in stimulating daily activities, such as crafts, a garden club, and themed happy hours, was appreciated, enhancing residents' engagement and enjoyment. The availability of physical and occupational therapy on-site, alongside regular visits from a doctor and attentive nursing care, illustrates a commitment to residents' health and well-being. The dining experience was highlighted positively in some reviews, with noteworthy efforts to ensure residents enjoy their meals.

Nevertheless, the community has faced criticism, particularly concerning its handling of basic hygiene, laundry services, and medical care, displaying a pattern of systemic issues. Complaints of an understaffed facility lead to challenges in maintaining cleanliness throughout, including residents' personal spaces and communal areas, which was a concern echoed across several reviews. Limited participation in activities was noted, attributed to both a lack of engagement from the residents and potentially inadequate encouragement or facilitation by the staff. Challenges with communication were significant, making it difficult for families to contact or receive responses from medical staff and management, exacerbating concerns for their loved ones' care. Notably, despite these criticisms, some individuals have still found the community suitable for their family members, attributing their satisfaction to the attentive staff, the quality of care provided, and the facilities offered.

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