Overall sentiment across the review summaries is mixed but leans positive regarding direct resident care and rehabilitation services. The most consistent praise centers on the people who work there: nurses, CNAs, therapists (OT and PT), social workers, dietary and housekeeping staff receive numerous commendations for compassion, responsiveness, and going "above and beyond." Multiple reviewers specifically credit the OT/PT teams with helping residents regain function, teaching practical self-care techniques, and pushing motivated therapy progress that led to returning home. Social work support and individualized attention during admissions and difficult family moments are highlighted as strengths, with named staff called out for helpfulness.
Staff culture and the activity program are recurring positives. Reviewers describe a warm, family-like atmosphere, longstanding activity leadership that built traditions, and engaging programming including live entertainment, birthday parties, beauty parlor services, and massage. Renovations and remodeling were mentioned as visible improvements that boosted both staff and resident morale; clean, fresh-looking updates were viewed favorably. Many reviews emphasize a welcoming admissions experience and strong communication at intake, which helped reduce anxiety for new residents and families.
However, there are notable and serious concerns that temper the positive feedback. Staffing shortages are a common theme — reviewers worry about inadequate monitoring and reduced capacity to meet resident needs when the facility is short-staffed. Several accounts describe inconsistent family communication and variable staff friendliness, suggesting service quality can be uneven depending on time/shift. Cleanliness is a polarized topic: while some reviewers praise housekeeping and renovated spaces, others report foul odors, dirty conditions, and an outdated or "dungeon-like" design in parts of the building. These facility condition complaints contribute to safety and comfort concerns for some families.
A small but significant subset of reviews allege mistreatment or neglect, including one account describing an ignored medical event and other serious accusations of poor care and an administration driven by financial motives. These allegations, if accurate, are severe and stand in stark contrast to the many positive care reports; they also raise reputational concerns and suggest inconsistency in care quality. One review appears to reference a different local facility (Massena Rehabilitation / St Regis), indicating at least one instance of potential reviewer confusion between facilities — this must be considered when weighing outlier negative comments.
Operational and policy changes are another mixed theme. Several reviewers praise leadership — including an accessible and highly competent regional administrator — for responsiveness and community engagement. Conversely, there are remarks that corporate ownership changes led to locked doors, restricted access, and only staff knowing entry codes; some families view these security measures as overly restrictive. Renovations and management support are viewed positively overall, but some feel post-buyout policies have impacted the visitor experience and transparency.
In summary, North Country Nursing & Rehabilitation Center is repeatedly praised for its direct care teams and rehabilitation services, with many reports of compassionate staff, successful therapy outcomes, and a strong activity program. At the same time, persistent concerns about staffing levels, occasional cleanliness issues, inconsistent communication, and a minority of serious allegations of neglect create a mixed picture. Prospective families should weigh the facility's strengths in therapy and individualized care against reported variability in staffing and environment, and consider seeking direct, up-to-date information from the facility about staffing, incident response protocols, visitor access policies, and recent renovation outcomes. Where possible, visit in person, ask to meet therapy and nursing leadership, and request recent inspection or quality reports to corroborate reviewer claims and resolve any discrepancies before making placement decisions.