The best long-term care I was able to find in Durham with Medicare beds. Always clean, always friendly and helpful. With any nursing home, a family member or friend needs to encourage the nursing staff to do their best with the patient. I have found this to be especially true with regards to hygiene - teeth brushing, washing hair, nail-care etc. If the staff will not keep behind it, do it yourself. This goes a long way towards keeping your loved-one comfortable. But all in all, Pettigrew does an excellent job.