Sunset Nursing & Rehab Center

    232 Academy St, Boonville, NY, 13309
    4.5 · 94 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Friendly staff, serious sanitation concerns

    I had a mixed experience at Sunset Rehab & Nursing Center. The staff-therapists, many CNAs and front-desk workers-were friendly, courteous and helpful, the activities and grounds are pleasant, and admissions/therapy were efficient. However, chronic understaffing and sanitation problems (urine odor, soiled laundry/rooms, inconsistent linens and missed care) raised serious safety and neglect concerns. I'd consider it for short-term rehab because of the caring staff, but I would confirm current staffing and cleanliness before placing a loved one.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.53 · 94 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.3
    • Meals

      3.0
    • Amenities

      2.7
    • Value

      4.5

    Pros

    • Dedicated and compassionate nursing staff (many reports of excellent nurses and CNAs)
    • Skilled, attentive therapy and rehab team (physical therapy praised, staff like Beau)
    • Engaging activities program (Bingo, Social Hour, Manicure Time, Art & Crafts)
    • Welcoming, family-like atmosphere reported by many families
    • Helpful and friendly front-desk, maintenance, and case-worker staff
    • Well-maintained grounds and outdoor spaces (garden, gazebo, paved walkways)
    • Administrator and some leadership praised (administrator Bob mentioned)
    • Responsive communication in many cases (calls and emails answered)
    • Clean and comfortable rooms reported by multiple families
    • Supportive admission process and staff readiness at intake
    • Special meals and events that boost resident morale
    • Positive reports of successful therapy outcomes and patient progress

    Cons

    • Chronic understaffing and short-handed shifts (including night shift shortages)
    • Reports of severe neglect (residents left in feces or urine for hours)
    • Poor cleanliness and sanitation concerns (urine smell, sticky floors, soiled utility rooms)
    • Laundry and linen management problems (missing blankets, wrong clothing, soiled laundry)
    • Instances of bedsores and care lapses attributed to neglect
    • Inconsistent care quality and staff professionalism (specific staff named as unprofessional)
    • Long staff shifts and turnover contributing to inconsistent care (16-hour shifts cited)
    • State violations and safety concerns; reports of uncorrected violations and risk of shutdown
    • Inadequate assistance with basic needs (not helped out of bed, missed showers)
    • Communication and billing transparency issues reported by some families
    • Ownership/leadership changes creating uncertainty
    • Remote location making visitation difficult for some families

    Summary review

    Overall sentiment in the reviews is highly mixed and polarized. A substantial portion of reviewers strongly praise the people who work at Sunset Nursing & Rehab Center — nurses, CNAs, therapy staff, front-desk personnel, maintenance, and at least one named administrator are repeatedly called compassionate, attentive, and professional. The therapy/rehab department receives particularly consistent commendations for helping residents regain mobility and independence, and activities programs are frequently described as engaging and morale-boosting. Multiple reviewers describe the facility as welcoming, family-like, and in many cases clean and well-maintained with pleasant outdoor spaces. Those positive reports often emphasize individualized attention, successful therapy outcomes, and staff members who go out of their way to help residents and families.

    Counterbalancing those positives are numerous and serious negative reports that raise major safety and quality-of-care concerns. A recurring and dominant theme is understaffing: reviewers cite short-handed shifts, inadequate nurse-to-resident ratios, night shifts that are especially thin, and long staff hours (one reviewer mentioned 16-hour shifts). Many reviewers directly link understaffing to neglectful outcomes — residents left soiled in urine or feces for extended periods, missed or infrequent bathing, inadequate help getting residents out of bed, residents sleeping in urine, and reported development of bedsores. Several reviewers cite sanitation problems such as persistent urine odor, sticky floors, soiled utility rooms, and faults in the laundry system that result in missing blankets or residents receiving others' clothing. These accounts include strong language about state violations, uncorrected safety issues, and even recommendations by some families that relatives be removed due to risk.

    Staffing and staff behavior are described in polarized terms. Many reviews single out staff members and departments as exceptional — nurses and CNAs who are patient, kind, and skilled; PT staff who are above and beyond; maintenance that 'went out of their way'; a helpful case worker; and friendly front-desk staff. Conversely, other reviewers describe unprofessional or uneducated staff, specifically naming a nurse (Linda) as unprofessional, and characterize turnover and ownership changes as contributing to inconsistent care. This variation suggests significant differences in resident experience depending on shift, unit, or which staff are on duty. The positive presence of administrators and some leaders is noted, but some families express concerns about management transparency, billing issues, and the effects of leadership changes.

    Facility condition reports are also mixed. Several reviewers praise clean rooms, a smooth admission process, well-kept grounds, and attractive common areas, while many others report sanitation failures: urine smells, soiled laundry, dirty rooms, inadequate showering, and sticky or unclean floors. These conflicting observations could reflect improvement over time, differences between units, variations between day and night shifts, or inconsistency caused by staffing shortages. The presence of both clean and dirty reports is an important pattern: while parts of the facility and some shifts appear to meet expected standards, there are enough serious cleanliness reports to consider them systemic and concerning.

    Dining and activities are mostly positive in the reviews that mention them: activities are described as engaging and varied and special meals and events are noted as morale-boosting. However, a few reviewers reported residents being hungry after meals or not receiving adequate feeding assistance, again linking back to staffing shortages. Therapy and rehabilitation consistently receive high marks and are repeatedly recommended for those seeking rehab services.

    Management, safety, and compliance emerge as critical areas to investigate further. Multiple reviewers referenced state violations, safety concerns, ownership changes, billing transparency problems, and visitor restrictions due to COVID-19. Some families explicitly expressed alarm (advising removal of relatives), while others said they were comfortable leaving loved ones in the facility under current conditions. Given the mix of strong praise and serious allegations, the pattern suggests uneven performance across shifts or units and possible deficiencies in oversight, staffing levels, infection control, and laundry/linen processes.

    In summary, Sunset Nursing & Rehab Center shows a split profile: many families and visitors report compassionate, skilled staff, effective therapy, engaging activities, and attractive outdoor spaces, while a substantial number of reviews raise urgent concerns about understaffing, neglect, hygiene and laundry failures, bedsores, and potential regulatory violations. These divergent experiences point to inconsistent care that may depend on staffing levels, time of day, or individual unit management. Prospective residents and families should verify current state inspection reports, ask specific questions about staffing ratios and night coverage, observe cleanliness and staffing during visits, clarify laundry and linen procedures, and discuss care plans and communication processes with leadership before making placement decisions.

    Location

    Map showing location of Sunset Nursing & Rehab Center

    About Sunset Nursing & Rehab Center

    Sunset Nursing & Rehab Center sits at 232 Academy Street in Boonville, New York, and holds 120 certified beds in a smoke-free building, so you'll find it offers long-term care, skilled nursing, and post-acute care for folks who need ongoing help or are recovering from surgery or illness, and it also has respite care for short stays and a Secured Memory Care Unit with specialized programming for people who need that extra support. The place is part of a bigger group that includes The McGuire Group, Absolut Care, and Taconic Health Care, so they're not on their own, and you get activities listed on two separate calendars marked A & B and C, which helps with social time if you want to join in. You'll find skilled nursing care around the clock, rehab services like physical, occupational, and speech therapy, and there are services that cover assisted living and short-term rehab if that's what someone needs. The facility has modern features and amenities designed for comfort, but there's no specific list of what those are, and while they do try to keep things homelike, past inspection reports show 22 deficiencies, including serious areas like safety, cleanliness, and pressure ulcer care, as well as nutrition standards and an infection-related issue, so it's something to keep in mind. They've got a nurse turnover rate of 50.9% and staffing averages about 3.64 nurse hours per resident per day, which is useful to know for families looking at care levels. Sunset is a for-profit center and has received the AHCA/NCAL National Quality Award Program - Bronze Award, showing some recognition, and they say they focus on compassionate care, promoting independence, and offering programs tailored to different needs, with a team that works to give residents meaningful things to do every day. The website, www.sunsetnrc.com, has more general information, but they don't provide a detailed list of amenities or unique programs, and there's no detailed outline of services beyond those required for skilled nursing, memory care, post-acute recovery, and rehabilitation. The center's part of the local community, using programs and resources from its broader health network, and it operates with leadership focused on resident care, but it's best to check recent inspection reports and staff levels if you want a clear picture of daily life there.

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