Mirador estimate
    $3,095/month

    Peregrine Senior Living at Guilderland | Assisted Living & Memory Care in Guilderland NY

    300 Mill Rose Ct, Slingerlands, NY, 12159
    4.1 · 92 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Compassionate care with some issues

    I moved my mom here and overall I'm very pleased - the staff are loving, responsive, and truly go above and beyond; leadership and day-to-day caregivers stay in touch with families. Memory care, regular PT/OT, medication management and medical support are strong, activities are plentiful, and the community feels clean, safe and home-like. Meals and dining have been inconsistent and kitchen shortages happen, rooms are small, and the pricing/medical fee structure is high. There are occasional staffing/turnover and communication/onboarding hiccups to watch for. Despite that, my family is grateful for the compassionate care and peace of mind this place provides.

    Pricing

    $3,095+/moStudioAssisted Living

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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

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    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

    4.12 · 92 reviews

    Overall rating

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

      4.0
    • Staff

      4.3
    • Meals

      3.6
    • Amenities

      4.1
    • Value

      2.7

    Pros

    • Friendly, warm and caring staff
    • Clean, well-maintained facility and grounds
    • Varied activities and outings (bingo, trips, church, live performances)
    • Strong memory care/Alzheimer’s programming reported by many
    • Restaurant-style dining room and pleasant dining atmosphere
    • Therapy services (PT/OT) and rehabilitation noted
    • Comfortable common spaces: library, movie room, piano, courtyards
    • Small, intimate facility with homelike/Adirondack-lodge vibe
    • Good medication management reported by multiple reviewers
    • Prompt or attentive communication in many instances (exec director, Zoom updates)
    • Laundry service included and regular room cleaning schedule reported by some
    • Transportation for appointments and outings
    • Salon and other resident amenities
    • Pet-friendly accommodations mentioned
    • Safe, secure environment and age-in-place readiness
    • Responsive admissions/sales staff on many tours
    • Residents and families reporting improved mobility and mental health
    • Many reviewers would recommend or were pleased overall
    • Accessible layout for first-floor conveniences (dining, activities, nurses’ office)
    • Renovated/updated interiors and tasteful decor

    Cons

    • Inconsistent or declining quality of nursing and medical care
    • Frequent staff turnover and chronic understaffing of aides
    • Perceived poor management, leadership changes, and poor complaint follow-up
    • Medication errors and reports of no RN on staff as advertised
    • Dining quality inconsistent: cold food, missing menu items, long waits
    • Housekeeping and room cleaning infrequent or poor quality in some reports
    • High cost with some reviewers feeling value is lacking
    • Small or cramped resident rooms and limited storage/kitchenette
    • Variable communication with families and onboarding gaps for new residents
    • Activity availability inconsistent—reduced during COVID or due to staff shortages
    • Occasional safety incidents (falls, ER visits) and poor follow-through
    • Layout can be confusing or maze-like with limited signage
    • Mixed cleanliness reports (some strongly negative comments about odors/cleanliness)
    • Inconsistent supervision of aides and minimal oversight reported
    • Food supply/stock problems (ran out of items, poor-quality entrees)

    Summary review

    Overall sentiment across the reviews is mixed but centers on two consistent themes: a strong, compassionate frontline staff and attractive, well-kept physical spaces versus recurring operational problems related to staffing, management, and consistency of clinical care and dining.

    Staff and resident experience: The majority of reviewers highlight the warmth, friendliness, and individual attention provided by many aides, nurses and activity staff. Multiple reviews praise staff who know residents by name, create a family-like atmosphere, and go above and beyond (including outreach to families and helpful admissions/sales interactions). Memory care and Alzheimer’s services receive many positive mentions: reviewers describe dementia-friendly programming, Life Guidance/memory care units with engaged staff, and measurable improvements in residents’ alertness and mobility. Therapy services (biweekly PT/OT, on-point therapy) and medication management are noted as beneficial to some families. The facility's smaller scale, Adirondack-lodge feel, renovated interiors, and appealing common areas (library, movie theater, piano, courtyard with bird feeders and fountain) are repeatedly praised and contribute to residents feeling at home.

    Facilities and amenities: Numerous comments indicate the building and grounds are clean, updated, and well-maintained. Residents enjoy common amenities such as the dining room, salon, activity rooms, library and gathering spaces. The layout offers convenient first-floor access to key services for many residents. Transportation services, pet-friendly options, and included laundry services are positives several families cited. Overall, many reviewers felt the property provided a comfortable, safe environment and an attractive setting for senior living.

    Activities and social life: Activity programming is often a strong point—bingo, movies, trips, church services, live performances, cooking demos, and exercise classes come up frequently. Many reviewers describe the social atmosphere as lively and helpful for residents’ mental health. However, activity availability is inconsistent in some reports: COVID-related restrictions reduced programs for a period, and later some reviewers say outings and memory-care activities were limited due to staffing shortages. A few families wished for more live music and expanded programming options.

    Dining and food service: Dining receives mixed reviews. Several reviewers praise restaurant-style dining, personable chefs, good portions, and accommodation of religious needs. At the same time, an outspoken subset describes problems with food quality and service: cold meals, overly tough entrees, long wait times for orders, and occasional shortages (e.g., ran out of menu items or bread). These issues appear to have been more pronounced in recent months for some families and are tied by reviewers to kitchen staffing or management problems.

    Care quality, clinical oversight and safety: While many families praise attentive aides and good day-to-day care, there are multiple reports of inconsistent clinical care and safety problems. Concerns include declines in care quality over time, care plans not being followed, medication errors, missing RN coverage despite expectations, delayed or poor responses to medical needs, and incidents that resulted in ER visits. Several reviewers explicitly cite minimal supervision, high aide turnover, and perceptions that management does not adequately investigate or correct problems. These issues suggest variability in clinical oversight and reliability of care across different shifts or periods.

    Staffing and management issues: A frequent and significant theme is chronic understaffing and high turnover, especially among aides. Reviewers attribute rushed or incomplete care, missed activities, and dining service lapses to overworked staff. Multiple comments indicate leadership changes, perceived poor responsiveness from managers or directors, and inadequate communication with families when issues arise. Conversely, others report prompt, professional communication from the executive director and positive interactions with management—highlighting inconsistency between experiences.

    Value and cost: Several reviewers describe the community as expensive and note the pricing structure (including separate medical/assisted care fees) can be confusing or feel excessive. Many families feel the cost is justified by the facility, activities and staff when services are consistent, but others explicitly remark that the value is lacking given issues with care, meals, or housekeeping.

    Variability and patterns: The reviews show substantial variability—some families report exemplary, reliable care and an excellent environment, while others report safety incidents, poor nursing care, or operational breakdowns. Positive mentions cluster around small-facility intimacy, compassionate staff, good activities, and clean spaces; negative mentions cluster around staffing shortages, leadership/management responsiveness, clinical errors, inconsistent housekeeping, and dining service problems. Many of the negative reports reference recent changes (staff turnover, kitchen issues, leadership transitions), suggesting service variability over time rather than uniform experience.

    Implications for families: Based on the review patterns, prospective residents and families should expect a welcoming physical environment and many compassionate staff members, but also should probe operational stability during tours—ask about current staffing levels and turnover, clinical coverage (RN vs. LPN staffing), specific meal service processes, housekeeping frequency, and how management communicates and responds to incidents or complaints. Verify the consistency of activities and memory-care programming, and confirm what medical fees cover. The same facility shows strong positives for many residents, particularly in memory care and social programming, but the documented inconsistencies mean experiences can differ substantially depending on timing, unit, and the facility’s current staffing/management state.

    Location

    Map showing location of Peregrine Senior Living at Guilderland | Assisted Living & Memory Care in Guilderland NY

    About Peregrine Senior Living at Guilderland | Assisted Living & Memory Care in Guilderland NY

    Peregrine Senior Living at Guilderland in Guilderland, NY, offers assisted living, memory care, respite care, and adult day care services in a welcoming and supportive setting. Staff provide help with daily needs like bathing, dressing, transfers, and medication management, and there's always someone around with 24-hour supervision and emergency alert systems in place. The community features personalized care plans shaped by The Peregrine Way® approach, which centers on each resident's spiritual, intellectual, and emotional growth, with special care plans for people living with Alzheimer's, dementia, or mild cognitive impairment. There's a full social calendar with activities like art classes, book clubs, holiday parties, happy hours, gardening clubs, trivia games, and fitness classes like yoga and stretching, and there's also a cognitive learning center to help keep minds active. Residents have access to a library, fitness room, garden, walking paths, beauty salon, cozy fireplace lounge, bistro, and other inviting common spaces, including a game room, pool table, activity rooms, and a movie theater, and the quiet outside areas and lovely grounds give everyone room to relax. The Anytime Cafe offers complimentary snacks and beverages throughout the day, and the dining program has earned recognition for high-quality, balanced, and tasty meals, with options for special diets. Rooms include private bathrooms, kitchenettes, Wi-Fi, cable TV, air conditioning, and plenty of closet space, and residents can choose from different apartment layouts, all pet-friendly for cats and dogs. The community offers meal service, housekeeping, laundry, devotional services for faith backgrounds including Christian, Jewish, Catholic, and others, and provides both onsite and offsite spiritual and social programs like support groups and excursions to local attractions, as well as clubs for quilting, reading, and more. Residents can park on site, and there's complimentary transportation to appointments and outings. If family members need a short break, respite care options are available, and the community offers hospice services when needed. Designed for people who want to age in place, Peregrine at Guilderland does its best to provide specialized support as needs change, with help for those who may have incontinence issues, mobility challenges, or special dietary restrictions, and the staff aim to empower everyone to live as independently and comfortably as possible, treating every resident as an individual and focusing on a meaningful and engaging lifestyle.

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