I have been very pleased with Mission De La Casa. My mother-in-law was placed in this facility based on our request. There was very few facilities that we could choose from based on my mother-in-laws needs, dementia, wandering etc and that took MediCal. I assumed that if the facility took MediCal that we might not get the quality that we would at other facilities, but I have to say, even though I don't have a lot of other places to compare to, we have been very pleased at the care of the staff. We get to see my mother-in-law twice a week and sometimes 3 times. Every time we come to see her she is well cared for. They braid her hair and make her look nice. The place is always clean and I always see staff that are in the process of cleaning, so it is something they do on going. The activities director, gets her involved in the music programs and says she loves to sing and dance. When ever we take her out of the facility, several of the staff will say bye to her by name as she is walking out, even though they do not work at her station. On Wednesdays the staff give the patients pedicures and massage their calves and forearms. So even though the place has a hospital feel in the dementia until, the people are so nice and take good care of her. they are always glad to see us and know all our names. So overall I would give them very high ratings. I am very surprised at the other reviews. That has not been my experience at all.