My brother was at Arbor Valley of Cascadia for two years, and I think they did a good job. They took good care of him and tended to his needs pretty well. I think the place was reasonably clean and well kept, but like every nursing home, they're understaffed. I haven't visited very many, but I am kind of familiar with the situation because I used to work in that area a long time ago. I think they still did a good good job as can be expected.