Riverside Center for Rehabilitation and Nursing

    90 N Main St, Castleton On Hudson, NY 12033
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Small family-like facility, attentive care

    I'm very pleased with this small, family-like facility. The staff are compassionate, knowledgeable and proactive - CNAs and nurses provide attentive, high-level care and rehab support. The building is spotless, safety- and infection-control focused, and activities keep residents engaged. Management listens about medications and communication is prompt; I feel grateful for the genuine, above-and-beyond care my loved one receives.

    Loved one of resident
    Jul 2026

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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

    Reviews

    3.89·(120)

    Overall rating

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

      3.3
    • Staff

      3.9
    • Meals

      1.3
    • Amenities

      3.4
    • Value

      1.0

    Pros

    • Compassionate, attentive nursing staff
    • Professional CNAs and aides
    • Strong physical and occupational therapy/rehabilitation outcomes
    • Active, engaging recreational program
    • Small, family‑like atmosphere
    • Supportive and involved administrators
    • Responsive maintenance services
    • Successful transitions home after rehab
    • Visible infection‑control practices in parts of the facility
    • Convenient location and well‑maintained parking
    • Frequent social events and festivals
    • Prompt family communication in positive cases
    • High‑quality palliative and end‑of‑life care
    • Clean and welcoming units in many accounts
    • Patient‑centered activity offerings

    Cons

    • Inconsistent staffing levels and frequent short staffing
    • Delays in responding to call bells and assistance requests
    • Variable cleanliness and sanitation standards across units
    • Inconsistent wound, infection, and pressure‑injury management
    • Irregular personal‑care scheduling (bathing and toileting)
    • Unreliable meal quality and food‑service continuity
    • Gaps in medication management and documentation
    • Inconsistent enforcement of staff professionalism and conduct
    • Variable management responsiveness and family communication
    • Aging physical plant with temperature and comfort control issues
    • High staff turnover affecting continuity of care
    • Allegations of theft and medication diversion

    Summary of reviews

    Overall impression: Reviews for Riverside Center for Rehabilitation and Nursing are highly polarized. Many families and former residents describe a small, welcoming environment with strong therapy services, attentive caregivers, and well‑organized activities. Others raise significant operational concerns that relate to staffing, clinical oversight, and environmental consistency. Prospective families will likely encounter both strong positive experiences and serious complaints when evaluating the facility.

    Care quality: Positive accounts emphasize competent nursing, effective rehabilitation that enabled residents to return home, and compassionate palliative/end‑of‑life care. Conversely, other accounts describe delays in basic care tasks (toileting, bathing), inconsistent personal‑care schedules, skin‑integrity problems and concerns about wound and infection management, and hospital readmissions. Several reviews cite outcomes that prompted family concern and regulatory reporting; these instances suggest variability in clinical oversight between units and shifts.

    Staff and management: Many reviewers praise individual staff members—CNAs, nurses, therapists, and administrators—who are described as knowledgeable, attentive, and communicative. At the same time, recurring themes include short staffing, noticeable staff turnover, variable staff morale, distractions (for example, cell‑phone use), and inconsistent professional conduct. Management response is likewise inconsistent in accounts: some families commend specific administrators for strong leadership and events coordination, while others report slow or insufficient responses to complaints. Serious claims, including allegations involving theft and medication diversion, appear in the record and have been raised to external agencies in some cases.

    Dining and daily operations: Reports on meals and basic services are mixed. Positive comments note pleasant dining occasions and adequate service during successful rehab stays. Negative comments describe inconsistent meal quality, interruptions in food‑service continuity (including kitchen equipment failures), limited availability of fresh items, and occasional delays in routine tasks. These operational inconsistencies appear tied to staffing and kitchen maintenance issues in several accounts.

    Facilities and sanitation: Many reviews describe clean, well‑maintained areas, attractive grounds, and prompt maintenance attention. However, other reviews indicate sanitation concerns, odor issues in some spaces, linen and housekeeping lapses, broken equipment, and an aging physical plant with temperature‑control problems and dated rooms. This split suggests condition and cleanliness may vary by unit or time period.

    Activities and social environment: Recreation and activity programming receive strong positive notice. Multiple reviews highlight an active events calendar, staff‑led outings, music, crafts, and celebration days that contribute to a family‑like atmosphere. These programs are frequently cited as a facility strength and a meaningful source of resident engagement.

    Patterns and practical guidance: The pattern across reviews is one of variability—consistent high points in therapy, rehabilitation outcomes, and recreation, alongside intermittent operational weaknesses in staffing, clinical consistency, and environmental maintenance. When evaluating this facility, families should consider an in‑person visit during mealtime and activity hours, observe staff response times, ask for recent regulatory inspections and corrective actions, and discuss staffing ratios and wound/infection care protocols. Specific questions about medication management controls and incident escalation procedures are also warranted given the seriousness of some claims.

    In sum, Riverside Center demonstrates clear areas of strength that have supported positive rehab and end‑of‑life experiences for many residents, but persistent themes around staffing consistency, clinical oversight, and environmental variability merit careful inquiry during the decision process.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Riverside Center for Rehabilitation and Nursing

    Riverside Center for Rehabilitation and Nursing is located at 90 N Main St, Castleton On Hudson, NY, 12033.

    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.

    People often ask...

    Riverside Center for Rehabilitation and Nursing offers assisted living, memory care, and skilled nursing.

    There are 6 photos of Riverside Center for Rehabilitation and Nursing on Mirador.

    The full address for this community is 90 N Main St, Castleton On Hudson, NY 12033.

    No, Riverside Center for Rehabilitation and Nursing does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Riverside Center for Rehabilitation and Nursing. The information above has not been verified or approved by the owner or operator. For exact information, please contact Riverside Center for Rehabilitation and Nursing directly. There is no cost for this service. We are compensated by the community you select.

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