Pricing ranges from
    $2,150 – 5,000/month

    Hilton East Assisted Living

    231 East Ave, Hilton, NY, 14468
    3.3 · 45 reviews
    • Assisted living
    AnonymousLoved one of resident
    2.0

    Kind staff, filthy, unsafe conditions

    I have mixed feelings. I found many staff kind, attentive, and there are lots of activities, a hairdresser, and a convenient, walkable location - but the building is old and often understaffed. I saw filthy rooms and kitchens, bedding not changed, bad smells, unsafe/undercooked food, and underqualified or rude staff; maintenance is poor (broken elevators, no/duct-taped A/C, residents stuck, infrequent showers). Administration and emergency response felt slow or dysfunctional, and for the price I'd be very cautious about recommending this place.

    Pricing

    $2,150+/moSemi-privateAssisted Living
    $3,200+/moStudioAssisted Living
    $3,700+/mo1 BedroomAssisted Living
    $5,000+/mo2 BedroomAssisted Living
    $2,510+/moSuiteAssisted Living

    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

    3.31 · 45 reviews

    Overall rating

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

      3.2
    • Staff

      3.4
    • Meals

      3.0
    • Amenities

      2.2
    • Value

      3.3

    Pros

    • Many staff described as friendly and attentive
    • Nurses and medication techs praised as excellent
    • Staff often know residents' names and greet them
    • Numerous activities offered (bingo, cards, Wii, arts & crafts)
    • Religious services and sing-alongs available
    • Pet/animal visits and ‘petting time’ reported
    • On-site hairdresser and barber services
    • Resident ambassador program to help new residents
    • Outdoor spaces: gazebo, courtyard, walkable small-town location
    • Private-room options and roommate arrangements available
    • Some reviewers described clean and well-kept areas
    • Supportive staff helping residents adjust and feel at home
    • Healthy, well-proportioned meals reported by several reviewers
    • Some report outstanding food and great dining experience
    • Long-tenured residents and strong social connections reported
    • Budget-friendly pricing mentioned positively by some
    • Staff responsive and willing to answer questions on tours
    • Many reviewers would recommend the community
    • COVID-era adaptations such as socially distanced activities
    • Overall atmosphere described as peaceful and comfortable by several

    Cons

    • Reports of rude, uncaring, or underqualified staff
    • High staff turnover and inconsistent staffing levels
    • Frequent understaffing and lack of available assistance
    • Rooms and bedding not regularly cleaned or changed
    • Infrequent showers and poor housekeeping for some residents
    • Strong reports of bad odors, urine smell, and general uncleanliness
    • Building described as old, run-down, and in need of updates
    • Broken or non-functioning elevators causing safety and access issues
    • No or inadequate air conditioning in many rooms
    • Small rooms and shared bathrooms / limited private bathrooms
    • Food complaints: undercooked/raw meals, limited entree options
    • Kitchen hygiene concerns: greasy, dirty, mold reported
    • One report of no running water at a meal service
    • Safety concerns: resident falls, inadequate emergency response
    • Allegations of neglect or abuse and extreme care lapses
    • Administration criticism: nepotism, shady HR, poor leadership
    • Slow or no urgency to address repairs and maintenance
    • Underage or poorly trained staff performing cleaning/clinical tasks
    • Pricey relative to perceived quality for some reviewers
    • COVID quarantines sometimes led to long isolation and limited services
    • Conflicting reports: highly positive and highly negative experiences
    • Concerns about medication management and possible overmedication
    • Some report residents confined to rooms for extended periods
    • Facilities occasionally reported as depressing or gloomy

    Summary review

    Overall sentiment for Hilton East Assisted Living is highly mixed and polarized: many reviewers strongly praise the caregiving staff, social programming, and elements of community life, while a substantial number report serious problems with cleanliness, safety, staffing, management, and building maintenance. Positive comments center on compassionate, attentive employees (especially nurses and med techs), a lively activity schedule, religious services, and on-site conveniences such as a hairdresser and outdoor courtyard. Several reviewers emphasize that staff learn residents' names, make newcomers comfortable, and provide responsive, loving care—leading some families to highly recommend the community and some residents to report a peaceful, home-like adjustment.

    Care quality emerges as a major dividing line. Numerous reviews praise nursing and direct-care staff as excellent and quick to help, but an equally large set of complaints describe understaffing, high turnover, inconsistent coverage, underqualified personnel, and critical lapses in assistance. Specific safety and care concerns include reports of residents going long periods without showers or clean bedding, incidents of falls and pain with delayed help, alleged neglect or abuse in a few accounts, and at least one report implying medication-related cognitive decline. Multiple reviewers also noted that COVID-related quarantines at times led to extended confinement to rooms and disrupted programs, further stressing residents and families.

    Facilities and maintenance are frequent pain points. Many reviewers describe the building as older and in need of updating; complaints include broken elevators that left residents stranded or required stairs for meals and appointments, lack of functioning air conditioning or duct-taped A/C units, small rooms with shared bathrooms or no ensuite bathrooms, and visible wear such as unhemmed drapes. Maintenance responses are criticized as slow or lacking urgency—especially for serious issues like prolonged elevator outages. Conversely, some visitors and residents reported clean common areas, tidy grounds, and comfortable private rooms, highlighting variability across units or time periods.

    Dining and kitchen operations show a stark contrast among reviewers. Several accounts praise the meals as outstanding, well-portioned, healthy, and varied, with staff offering alternative entrées when needed. Other reviewers, however, describe serious and alarming issues: undercooked or raw meat, greasy and moldy kitchen conditions, lack of running water during a meal, and food served cold. These divergent reports suggest inconsistent food quality and possible systemic kitchen hygiene problems that warrant verification by prospective families.

    Activities and social life are often highlighted positively. Multiple reviewers describe a robust calendar including bingo, cards, Wii, arts and crafts, painting, regular entertainment, church services, and volunteer-led sing-alongs. Programs such as pet visits, resident ambassador programs, and outdoor seating areas are consistently noted as strengths that promote engagement. That said, COVID-era restrictions and staffing limits were reported to have reduced activity frequency or variety in some periods.

    Management and administration receive mixed to negative evaluations. Positive experiences include informative, helpful tours and staff who 'walk the walk.' Negative reports are more severe: allegations of nepotism, poor HR practices, a 'creepy' HR presence, shady administration, and perceived lack of accountability when serious problems arise (for example, slow repairs or insufficient emergency response). These governance concerns, combined with high staff turnover, contribute to inconsistent resident experience across reviewers.

    A clear pattern is polarization: many families and residents are pleased—sometimes emphatically—with the care, activities, and certain staff—while others report conditions they consider unacceptable and even dangerous. Several reviewers explicitly warn others away due to safety, hygiene, or leadership failures, while many others would recommend Hilton East based on their positive interactions. The variability suggests the community may be delivering good care in certain units, times, or under specific staff, but also has recurring systemic issues (maintenance, staffing, kitchen hygiene, administration) that produce severe negative outcomes for other residents.

    For anyone evaluating Hilton East, it would be prudent to visit multiple times (including mealtimes), ask about recent maintenance and elevator repair timelines, inquire about staffing levels and turnover, request recent inspection or kitchen health records, and speak directly with families of current residents. Pay particular attention to cleanliness, food service practices, emergency procedures, and how the facility handled COVID-related restrictions. The reviews indicate strong points—compassionate caregivers, active programming, and community features—but also red flags that should be investigated thoroughly before making a placement decision.

    Location

    Map showing location of Hilton East Assisted Living

    About Hilton East Assisted Living

    Hilton East Assisted Living has been family-owned and run by Dave Wegman, a lifelong Hilton resident, for over 40 years, and the place tries to offer a welcoming, familiar atmosphere where folks can feel a sense of belonging. The staff and owners know residents by name and work to make sure everyone's well-being comes first, and it's clear the care gets personalized for what seniors actually need each day. You'll see qualified staff on hand 24/7, and the whole place is set up for safety, including a 24-hour emergency call system, supervised care, and help with medication. They don't offer skilled nursing, so Hilton East is meant for people who need some help with daily life but don't require a nursing home. There isn't a risk of being forced to move out if private funds run low, either.

    Three meals get served every day restaurant-style, and there's always assistance nearby, whether you need help with personal care, laundry, linens, or getting to appointments in the community van. The housekeeping and maintenance take care of apartments and common spaces, so residents can enjoy clean, comfortable rooms and spend more time doing what they want. There's always something going on with activities and entertainment planned every day, plus social and recreational programs that help people stay connected. Amenities are built around the needs of older adults, including a hair salon, spaces for activities and dining, and friendly community areas where folks come together.

    Each resident has a care plan tailored to their interests and independence-it's clear the mission centers around helping people keep their independence while meeting their needs. Hilton East provides one of the most affordable rates in Monroe County and still delivers more care hours per resident than any other community in the area. People get respect and dignity, and it's easy to tour the community if you want a first-hand look at the daily routines, rooms, meals, and activities that are part of life here. The community's track record stretches decades, and the staff-from owners and administrators to nurses, dietary, and housekeeping-work together to keep life secure and pleasant every day.

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