The first clue was when we turned off the highway onto the road leading to the place: full of potholes, clearly poorly maintained. The place itself is straight out of the 60's, and it appears to not have been updated or well maintained in the intervening years. Cracked/pitted concrete sidewalks, entryway tiles worn clear through, worn & stained carpet, etc. The room itself was clean, but clearly was almost entirely "legacy", i.e. 1960's original, other than the bathroom fixtures and perhaps the stove. Baseboard trim swollen & chipped from years of wet mopping, edges of tables scratched & dented from years of use, etc. Combination heating/cooling unit put out an odor that smelled like it hadn't been cleaned out in a very long time. The staff were very friendly & helpful - too bad they are working in a place that doesn't measure up to their level.