Riverside Center for Rehabilitation and Nursing

    90 N Main St, Castleton-on-Hudson, NY, 12033
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Good therapy, inconsistent care, understaffed

    I had mixed feelings. The place can be clean, small and homey with warm, helpful staff, good activities and strong rehab/therapy - admins and some nurses go above and beyond. But chronic understaffing, high turnover and inconsistent care are real: delayed toileting, missed meds, unanswered call bells, occasional unsanitary conditions and neglect were reported/observed. Visit in person, ask about staffing and oversight, and monitor care closely before deciding.

    Pricing

    Schedule a Tour

    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

    3.83 · 109 reviews

    Overall rating

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

      3.2
    • Staff

      3.8
    • Meals

      1.0
    • Amenities

      3.3
    • Value

      1.0

    Pros

    • Many individual nurses and CNAs described as caring and compassionate
    • Strong rehabilitation/therapy department with measurable patient progress
    • Active recreation program and frequent social activities
    • Responsive, helpful maintenance staff
    • Several administrators and DONs praised as approachable and supportive
    • Small, family-like atmosphere and welcoming staff reported by multiple reviewers
    • Clean and well-maintained units reported by many families
    • Good infection-control practices reported in some accounts (masks, sanitation available)
    • Prompt communication and updates from some staff and leadership
    • Convenient location and small facility size appreciated
    • Successful discharges home and improved functional outcomes reported
    • Staff who go above and beyond (named individuals frequently praised)
    • Pleasant grounds and festival/community events

    Cons

    • Repeated reports of understaffing and staff shortages
    • Frequent delays responding to call bells and toileting assistance
    • Allegations of neglect including prolonged bed rest and untreated wounds
    • Reports of pressure ulcers/bedsores, skin breakdown and poor wound care
    • Serious infection reports including MRSA/staph and sepsis with death alleged
    • Unsanitary or filthy conditions reported in multiple reviews
    • Inconsistent cleanliness (some units clean, others soiled or smelly)
    • Allegations of staff theft, medication diversion, and unprofessional behavior
    • Reports of staff smelling of drugs or otherwise unprofessional
    • Poor food quality, no fresh fruit, frozen or cold meals due to equipment issues
    • Inconsistent management responsiveness and reports of ignored complaints
    • High staff turnover and revolving-door staffing patterns
    • Inconsistent care quality — highly variable between shifts/units/staff
    • Broken or inadequate equipment (beds, ovens, water temperature problems)
    • Reports of verbal/emotional abuse and degrading treatment
    • Regulatory involvement and complaints (DOH, APS, police) noted by reviewers
    • Communication gaps and confusion about staff roles (nurses vs aides)
    • Allegations of retaliation or fear of retaliation when reporting problems

    Summary review

    The reviews of Riverside Center for Rehabilitation and Nursing are highly polarized and reveal a facility with pronounced variability in performance. Many families and former patients report exceptionally positive experiences: compassionate, professional nurses and CNAs; an effective rehabilitation/therapy program that produces demonstrable improvements; an active and person-centered recreation program; and attentive maintenance and administrative staff who respond and support families. Multiple reviews specifically praise individual staff members (nurses, DONs, recreation staff, and maintenance) and events that create a family-like atmosphere. Several accounts describe clean, safe units with strong infection-control practices and successful discharges home, indicating the facility can deliver good clinical and social care under the right conditions.

    In contrast, a substantial portion of reviews allege serious lapses in basic care and safety. Common negative themes are chronic understaffing and slow or absent responses to call bells, which reviewers link directly to neglectful outcomes: residents left in bed for months, delays in toileting, inadequate bathing, and prolonged soiling. Multiple reports document poor wound management, pressure ulcers/skin breakdown, infections (including MRSA/staph), sepsis, and at least one death attributed by reviewers to inadequate care. These are among the most severe and recurring concerns and have prompted reported complaints to regulatory bodies (Department of Health, Adult Protective Services) and even police involvement according to reviewers.

    Facility cleanliness and food services show sharp contrasts in the reviews. Some families find the facility spotless with visible sanitation protocols, while others describe filthy conditions, urine-soaked beds, foul smells, and dirty staff areas. Dining complaints include poor food quality, lack of fresh fruit, and specific operational failures — for example, frozen foods served cold due to a broken oven and reports of no drinking water. Maintenance emerges as a small but consistent bright spot: individual maintenance staff are frequently cited as helpful and responsive, sometimes correcting issues (e.g., fixing vents) that families appreciate.

    Staff professionalism and culture appear uneven and highly dependent on unit, shift, or particular employees. Several reviewers praise administrators and managers (named individuals such as Emily, Colleen, certain DONs and social workers) who are approachable and proactive; other reviews accuse management of ignoring complaints, poor morale, and failure to address systemic problems. Multiple accounts describe unprofessional or abusive behavior by some staff — from verbal/emotional mistreatment to allegations of theft and medication diversion. There are even reports of staff smelling of marijuana. These allegations contribute to a sense of unpredictability: some residents receive person-centered, attentive care, while others experience neglect or worse.

    Recreation, community activities, and the facility’s smaller size are recurring positives. Many families report that residents participate in music, crafts, festivals, and outings, and that staff actively encourage and transport residents to activities. These aspects contribute to a family-like environment that some reviewers find fosters happiness and recovery. Rehab outcomes are a separate positive theme: a number of reviewers credit the therapy department with helping loved ones regain strength and return home.

    Operational and systemic patterns are notable. Reviews point to high staff turnover and a revolving door of personnel, which likely drives inconsistencies in care and institutional knowledge. Several reviews mention the facility’s admission practices (e.g., first-available bed) and for-profit framing as problematic for residents needing higher assistance. Many negative reports tie poor outcomes directly to low staffing ratios and distracted or inattentive staff (cell phone use cited). Conversely, multiple positive reviews emphasize that when staffing is adequate and leadership is present and engaged, outcomes and family satisfaction are high.

    Overall, the sentiment is highly mixed with starkly divergent experiences. The facility demonstrates clear strengths — namely, strong rehab services, dedicated individual staff members, meaningful activities, and a small-community feel — but also serious risks tied to understaffing, inconsistent management, infection and wound-care failures, sanitation lapses, and allegations of abuse or theft. For prospective residents or families, the most relevant patterns are the variability of care by unit/shift and the frequency with which staffing shortfalls correlate with the worst outcomes. If considering Riverside, families should (1) ask about current staffing levels and turnover, (2) identify named staff and unit leadership and whether they are present consistently, (3) inspect units for cleanliness and inquire about food-service reliability and equipment maintenance, and (4) confirm wound-care and infection-control protocols and documentation. These steps may help discern whether a specific unit or time period aligns with the positive reviews or the more severe negative reports.

    Location

    Map showing location of Riverside Center for Rehabilitation and Nursing

    About Riverside Center for Rehabilitation and Nursing

    Riverside Center for Rehabilitation and Nursing sits on Main Street in Castleton On Hudson, New York, right across from the Hudson River, which gives residents nice, scenic views throughout the year and a place to relax, and when talking about care, Riverside Center has different care levels, including nursing care, Alzheimer's and dementia programs, and respite or short-term stays, really making it a spot where folks at different points in their aging journey can get support. You'll always find registered nurses and certified nursing assistants on the floor, along with on-site nurse practitioners, and a team of doctors runs the medical side for each unit, so medical needs don't go unnoticed, and this hands-on approach covers things like wound care, stroke and amputee recovery, tracheotomy care, palliative care, dental care, cardiac therapy, and more advanced services, so people with unique situations or major health issues can still feel comfortable staying here. Riverside Center's layout is modern and features amenities that help make long stays easier, and they try to keep things feeling home-like, with comfortable rooms, restaurant-style dining, recreation areas, and chances for residents to get involved in decisions about their meals or activities, and that's a big focus; getting residents and their families involved in daily choices and care plans, whether it's about therapy, healthcare, or just what they want to eat or do for fun. Specialized therapy services, like physical, speech, and occupational therapy, help support those recovering from surgery or illness, and the facility also offers inpatient rehabilitation and hospice, along with outpatient lab and x-ray services if needed. Social services are on hand to check in with residents' emotional and social needs too. The place has a history of focusing on personalized care plans, and while Riverside Center's staff aims for high-quality care in a supportive environment, it's important to notice the quality ratings-CMS gives an overall 1-Star rating, and past inspection scores range from F to B, which shows care here hasn't always been perfect, with recent flags for abuse and a B-minus inspection grade, so families should think about that as they decide, but on the other hand, the place stays nearly full with about 96% occupancy and does have a local reputation for handling both short-term rehab and Alzheimer's care. Residents are invited to join the council, though there isn't a family council. Riverside Center accepts Medicare and Medicaid and is set up as a for-profit limited liability company. People can visit for a tour to see the grounds, meet staff, or ask questions about care routines, meal choices, schedules, therapy plans, and daily life at Riverside Center for Rehabilitation and Nursing.

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