Affinity Skilled Living and Rehabilitation

    305 Locust Ave, Oakdale, NY, 11769
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Good rehab, unsafe for long-term

    I had a deeply mixed experience. Many nurses, aides, therapists and recreation staff were attentive, skilled and genuinely caring - the rehab/PT and activities can be excellent and the building is modern and clean. But chronic understaffing, poor leadership, shortages of basic supplies, terrible food and repeated safety/neglect incidents (falls, incontinence left unaddressed, missed meds/billing issues, even theft reports) seriously compromised care. Because of those recurring safety and management failures I cannot recommend this facility for long-term care; it may work short-term for rehab if you're willing to take the risk.

    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

    3.24 · 195 reviews

    Overall rating

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

      2.9
    • Staff

      3.2
    • Meals

      1.9
    • Amenities

      3.7
    • Value

      1.1

    Pros

    • Clean, modern and attractive facility/renovated building
    • Strong, effective physical therapy and rehabilitation programs
    • Skilled occupational therapy and speech/swallow therapists
    • Compassionate and highly capable individual nurses and CNAs
    • Dedicated respiratory and ventilator weaning teams
    • Engaged and active recreation/therapeutic recreation department
    • Many activities tailored to residents’ interests (art, music, outings)
    • Friendly and helpful front desk and admissions staff
    • Social work advocacy for Medicaid/Medicare and discharge planning
    • Prompt responses to some requests and proactive therapy updates
    • Housekeeping and frequent cleaning reported by some families
    • Bright rooms, large windows, pleasant courtyard/garden areas
    • Family-like atmosphere and staff who go above and beyond
    • Good short-term/acute rehab outcomes frequently reported
    • Personalized care cited by multiple reviewers for specific staff
    • Presentable arrival and well-organized rehabilitation unit
    • Some units and shifts have excellent nursing supervision
    • Welcoming admissions experience and supportive transition
    • Some named staff repeatedly praised for exceptional care
    • Quiet nights and generally peaceful environment reported
    • Some positive dietary reports and 5-star dining experiences (select)
    • Responsive administrative help in some cases
    • Successful complex care episodes (vent, trach) managed well
    • Large, comfortable rooms reported by multiple families
    • Recreation staff who create meaningful engagement and events

    Cons

    • Severe and chronic understaffing, especially nights and weekends
    • Inconsistent quality of care across shifts and units
    • Frequent reports of neglect (soiled diapers, delayed assistance)
    • Medication errors, missing doses, and medication diversion/theft
    • Long and unsafe delays in care (bathroom assistance, turning)
    • Instances of pressure ulcers, infections (UTI/sepsis), and malnutrition
    • Allegations of physical and emotional abuse or rough handling
    • Poor communication from management and clinical teams
    • Lost, damaged, or stolen personal items and laundry problems
    • Food often described as poor quality, cold, or not nutritious
    • Supply shortages (diapers, pads, linens, wound supplies)
    • Untrained or inadequately supervised staff on specialized units
    • Safety incidents including falls and delayed hospital transfers
    • Rude, unprofessional, or harsh staff behavior reported
    • Inadequate incident follow-up and perceived focus on billing
    • Inconsistent infection control and hygiene lapses
    • Heating/AC, mold, and facility maintenance problems reported
    • Allegations of management arrogance, complacency, or profit focus
    • Billing and Medicare/insurance confusion or disputes
    • Restricted visitation or poor family communication at times
    • Weekend/overnight worsened staffing and responsiveness
    • Discrepancy between attractive appearance and care practices
    • Reports of fake/incentivized positive reviews or PR pressure
    • Limited or inconsistent activities participation for some residents
    • High variability in staff training, competence, and teamwork

    Summary review

    Overall sentiment in the reviews is highly polarized: many families and residents report excellent rehabilitation outcomes, compassionate individual caregivers, and a clean, attractive facility, while a substantial number of reviews recount serious lapses in basic care, safety concerns, and management failures. The most consistently praised area is the rehabilitation program (physical, occupational, speech therapy) — reviewers frequently credit the therapy teams with meaningful functional gains, successful discharges home, and individualized therapy plans. Likewise, multiple clinicians are singled out by name for outstanding bedside care (nurses, CNAs, respiratory therapists, social workers), and recreational staff receive repeated praise for engaging activities that improve residents’ quality of life.

    However, the positive clinical and environmental reports sit alongside frequent and troubling allegations of neglect and unsafe practices. A dominant theme is chronic understaffing — especially nights and weekends — which reviewers link to long waits for bathroom assistance, delayed medication or treatments, skipped feedings, and inadequate supervision that led to falls, pressure ulcers, and worsening medical conditions. Many families described residents left in soiled diapers for hours, long delays (reported between 9–18 hours in some accounts) for necessary care tasks, and shortages of basic supplies such as diapers, pads, linens, and wound supplies. These operational problems produced life-threatening outcomes in some accounts (sepsis, untreated bleeding, feeding tube dislodgement) and contributed to transfers back to hospitals.

    Several reviews call out specific quality and safety failures: medication errors (wrong medicine or missed doses), medication diversion/theft, untrained staff handling ventilators or tracheostomies, abrupt medication changes, and insufficient infection control (reports of C. difficile, poor hand hygiene, and facility outbreaks). There are also multiple, credible-sounding reports of physical mistreatment or harsh verbal interactions (staff scolding residents during accidents, rough handling, or derogatory behavior), which exacerbate concerns about staff professionalism and supervision. Property loss (laundry, jewelry, mail) and allegations of theft were raised repeatedly and erode trust for many families.

    Facility and amenities receive mixed reactions. The building and common areas are frequently described as modern, bright, and well-maintained with pleasant gardens and large windows; these aspects contribute positively to admissions impressions and support a therapeutic setting. Conversely, maintenance and environmental problems are also reported (mold, torn ceilings, heating/AC issues), suggesting variability between units or over time. Dining is another split area: while some reviewers praised attractive meals and good dining experiences, many more criticized the food as poor quality, cold, low in nutrition, or inappropriate for medically vulnerable residents (e.g., pureed meals described as unsatisfactory).

    Management, communication, and administrative themes are also mixed. Multiple reviewers praised specific administrative staff and social workers for clear communication, advocacy, and discharge coordination. At the same time, many complaints cite poor communication about clinical status, billing discrepancies, lack of follow-up after incidents, and a perception that management prioritizes revenue over patient care. Weekend and night shift leadership appear weaker or absent in many accounts, which compounds clinical risk during those periods. A few reviews accused the organization of pressuring staff to post positive reviews or engaging in misleading public messaging; while these claims are not universally echoed, they contribute to a sense of inconsistent transparency.

    Patterns and practical takeaways: Affinity Skilled Living and Rehabilitation appears to offer a strong rehabilitation program and benefits from a welcoming, well-appointed environment with several highly committed staff members who provide excellent individual care. For short-term rehab patients seeking intensive PT/OT/ST, many families reported successful recoveries. However, for longer-term stays or medically complex patients who require consistent nursing care, wound management, or high-dependency monitoring (vent/trach), there are recurring reports of unsafe staffing levels, supply issues, and lapses in clinical oversight. Prospective residents and families should carefully evaluate the specific unit, ask about staffing ratios (days/nights/weekends), verify wound/infection control protocols, check how the facility handles medication safety and property tracking, and request names and roles of key clinical leads. Visiting at different times (nights/weekends) and talking with current families can help gauge consistency. Finally, the large number of polarized reviews suggests that experience at Affinity can vary dramatically depending on unit, shift, and individual staff — meaning careful due diligence is essential before committing to long-term placement.

    Location

    Map showing location of Affinity Skilled Living and Rehabilitation

    About Affinity Skilled Living and Rehabilitation

    Affinity Skilled Living and Rehabilitation sits at 305 Locust Avenue in Oakdale, Long Island, and you'll find that it's a 280-bed residential health and rehabilitation facility that's been around since 2001, with staff that includes a Licensed Nursing Home Administrator, a Regional Director of Social Work, and a Medical Practice Professional to oversee care, and what sticks out here is the big range of services, because they've got everything from short-term rehab and long-term skilled nursing to specialty care like orthopedic, neurological, cardiac, and pulmonary rehabilitation, and you get round-the-clock skilled nursing with professional and compassionate staff always there. Residents see an in-house physician seven days a week and a physiatrist is also on staff, with therapy-physical, occupational, and speech-available every day, so nobody has to wait for care, and you'll also find things like IV therapy, PICC lines, tracheostomy care, oxygen therapy, Bipap, Cpap, wound care with wound vacs (a certified wound care nurse and physician are always there for that), plus pain management, hospice, palliative, and comfort care. The place does have transitional care units and supports both long-term stays and short-term rehabilitation, with an emphasis on helping folks recuperate on their own terms and keep the lifestyle they want as much as possible. They offer advanced sub-acute care, ventilator support, cardiac and respiratory rehabilitation, and the kind of specialized therapies and training programs for daily living that are important to people recovering or managing ongoing health issues, and they've got amenities like resident-centered services with social or recreation activities-sometimes that means DIY decor or simply sitting over "coffee moments," which helps make life there feel a little more like home. Admissions are flexible, with daily, late, and weekend options, and most insurance plans are accepted, so getting in isn't as much of a headache as you'd expect, and worth mentioning is the Medicare 5-star rating for quality measures, which means they do things well by the standards that matter. For those who want more, you can see more at their website, www.affinityskilled.com, but what you'll find is that Affinity Skilled Living and Rehabilitation tries to offer a good mix of medical expertise, everyday support, and a bit of social life in a spot right in Oakdale, New York.

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