My 100 year old mother is at Sapphire now (1/8/18) and although it is rundown, do not judge a book by its cover. I think the nurses, aides, rehab PT/OT staff are great. They care about my mother's progress, they support her, they always get back to me if I call, and in general, I find them to be as helpful as they can. My mother was in another facility that "looked pretty" about a year ago, and I did'nt even know who her nurses were….no personal attention……so for those who are not giving Sapphire a 5 star rating, I think the staff is much more important as to where you put your loved one, rather then how beautiful the place is. And it is kept clean.