A. Holly Patterson Extended Care

    875 Jerusalem Ave, Uniondale, NY, 11553
    2.2 · 89 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglect, dirty facility, unsafe care

    I trusted this facility with my loved one and deeply regret it. Staff were often neglectful and unresponsive-symptoms ignored, meds delayed, patients left soiled-my relative developed sepsis and had to be rushed to the hospital. The unit smelled of urine, rooms were dirty, belongings went missing, and security/management were rude and unhelpful when I complained. Some nurses, therapists and doctors were competent and kind, but they were inconsistent and overwhelmed. Communication and social work support were poor. Despite a few positives, the pervasive neglect, safety concerns and awful management make me strongly advise against sending a loved one here.

    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

    2.24 · 89 reviews

    Overall rating

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

      2.1
    • Staff

      2.0
    • Meals

      2.3
    • Amenities

      1.6
    • Value

      1.5

    Pros

    • Caring and compassionate nurses and aides reported by multiple reviewers
    • Individual staff members praised by name for excellent care
    • Some respondents described professional and respectful medical staff (doctors, NPs, respiratory therapists)
    • Clean units and daily housekeeping reported by several reviewers
    • Well-staffed and well-maintained physical therapy department and gym (in some accounts)
    • On-site physical therapy and therapeutic recreation activities available
    • Dietician support and variety in food service reported by some reviewers
    • Ability to attend religious services and supportive recreation programming
    • Effective communication during COVID-19 reported by some families
    • Round-the-clock security cited as a positive by some reviewers
    • Some families reported good long-term care outcomes and strong family involvement
    • Facilitated FaceTime/video calls and visitor accommodation noted positively
    • Some report the facility is well run, clean, and comfortable
    • Reported success stories: regained mobility, meaningful rehab progress

    Cons

    • Strong and persistent urine and other unpleasant odors inside units and hallways
    • Insect problems (flies) and poor room sanitation in some reports
    • Shared rooms/four-person bathrooms leading to privacy and hygiene concerns
    • Allegations of neglect and abuse: patients left in feces, dragged, humiliated, or handled roughly
    • Understaffing and long call-bell response times; patients left unattended
    • Missed or delayed medical care and medications (including delayed pain meds for days)
    • Serious medical oversights alleged: untreated infections, undiagnosed tumor, sepsis, deaths
    • Inconsistent quality of nursing and medical care across units and shifts
    • Reports of theft and lost personal belongings (phones, clothing) and mishandled items
    • Rude, unprofessional, or unresponsive staff including security and social workers
    • Poor communication with families, infrequent updates, and unreturned calls
    • Aggressive or inappropriate discharge practices and disputes over benefit from therapy
    • Billing irregularities and charges for services not provided (PT billing concerns)
    • Unsafe incidents: falls, fractures, bleeding injuries, restraints and tied wrists alleged
    • Hospital-like, depressing atmosphere and decor; facility sometimes described as prison-like
    • Inconsistent or broken equipment and lack of specialty equipment for some patients
    • Poor food experiences reported by some (cold food, low quality) despite other positive reports
    • Visitation policies and administrative procedures criticized as overly restrictive or poorly managed
    • Language and cultural unit promises unmet; communication barriers reported
    • Allegations of staff dishonesty, cover-ups, and hostile management response

    Summary review

    Overall sentiment in the reviews is highly mixed but leans strongly toward critical. Many reviewers report deeply troubling incidents of neglect, poor hygiene, unsafe care, and alarming lapses in medical oversight — including delayed medications, ignored infections that progressed to sepsis, missed or inadequate therapy, and even deaths that families link to care failures. These negative accounts are frequent, detailed, and emotionally charged: urine and fecal smells, flies, shared four-person bathrooms, patients left in soiled linens, routine sedation allegations, and claims of physical mishandling (dragging wheelchairs, humiliating diaper incidents) create a pattern of serious quality and dignity concerns. Several reviews assert theft of personal items, lost or dumped belongings after room searches, and confrontational interactions that required police involvement. Multiple reports also describe safety events such as falls, fractures, bleeding from a head injury, and restraints (e.g., wrist tied to bed). Taken together, these reports paint a picture of inconsistent supervision, staffing shortages, and systemic failures in basic nursing home functions for a significant subset of residents.

    At the same time, a substantial number of reviewers praise individual staff members and departments, indicating variability in care quality across shifts, units, and personnel. Many families singled out nurses, aides, and specific clinicians as kind, professional, and attentive. Some reviewers reported the facility as clean and well-maintained, with effective rehabilitation services (a well-staffed PT department and gym), good respiratory and medical practitioners, round-the-clock security, a supportive dietician, and meaningful recreational programming including religious services. There are concrete success stories: patients who regained mobility, improved feeding ability, or received strong end-of-life comfort care. Several reviewers described excellent, compassionate care from particular staff (some named), along with attentive housekeeping, modern kitchen facilities, and clear communication in certain cases.

    The strongest pattern is inconsistency. Positive and negative accounts often describe the same elements (therapy, dining, staff responsiveness, cleanliness), but experiences vary dramatically by individual. Reviews repeatedly emphasize understaffing and uneven staff competence, leading to long call-bell response times, infrequent nursing checks, and families needing to be highly involved or to intervene directly. When staffing or management problems appear (busy or unresponsive social workers, rude security guards, overnight shifts with poor oversight), outcomes worsen quickly. Several reviewers allege administrative shortcomings: poor communication around discharges, billing for services not received, delays in physician paperwork, and restrictive or poorly implemented visitation policies — sometimes described as out of step with external guidance. Language and culture-specific promises (e.g., Korean-speaking unit) were reported as unfulfilled in at least one account.

    Safety and clinical quality concerns are the most serious recurring theme. Multiple reviewers described delayed or inadequate medical attention for infections, skin conditions, eye problems, and other acute issues that reportedly progressed into severe complications. There are heartbreaking claims of residents being sent to the hospital in advanced, avoidable states (sepsis, undiagnosed tumors), and accounts of deaths thought to be related to the facility’s care. Such allegations, when taken together with reports of neglect, missed medications, and inadequate monitoring, flag potential systemic clinical oversight problems and raise the need for regulatory scrutiny by families or authorities.

    Organizational culture and management response also surface frequently. Many reviews describe staff who are caring and professional yet burned out or overwhelmed — a sign that staffing levels, training, or leadership may be insufficient. Conversely, other reviewers describe rude or even abusive behavior from security, social work, or specific nurses and managers. Several reviewers reported adversarial or dismissive interactions with administration, unreturned calls, and a sense that complaints may be minimized or handled poorly. There are also multiple references to property issues (lost or stolen items) and hostile or dishonest staff replies, which undermine trust.

    Dining, activities, and amenities elicit mixed feedback: some reviewers praise a variety of menu options and an active recreation program, while others recount cold or poor meals and lackluster programming. Physical therapy and rehabilitation are similarly mixed—some families praise a well-equipped, staffed therapy department that produced real gains, while others accuse the facility of providing little therapy, billing for unprovided services, or discharging patients prematurely.

    In summary, the reviews reveal a facility with starkly polarized experiences. There are recurring pockets of strong, compassionate care and functioning departments that produce positive outcomes for some residents. However, there are also multiple, recurring, serious allegations of neglect, safety lapses, poor hygiene, unprofessional conduct, theft, and inadequate medical oversight that have led some families to report catastrophic outcomes. The dominant actionable takeaway for families is caution: the quality appears highly dependent on unit, shift, and individual staff. Prospective families should visit in person, ask about staffing ratios and supervision, request inspection and deficiency history, meet nursing leadership and therapy teams, verify billing and therapy schedules, watch for odors and cleanliness, and maintain active advocacy if a loved one is admitted. The reviews suggest that while excellent individual caregivers exist at the facility, systemic issues — particularly understaffing, inconsistent clinical care, and variable management responsiveness — have created significant risk for many residents.

    Location

    Map showing location of A. Holly Patterson Extended Care

    About A. Holly Patterson Extended Care

    A. Holly Patterson Extended Care sits on Jerusalem Avenue in Uniondale, New York, and provides long-term medical care for seniors with serious health needs who can't be looked after at home but don't need to be in a hospital, and it's got medical staff on duty at all hours, so someone's always there to help. This place is a Skilled Nursing Facility that offers skilled medical help with a full range of therapies like physical, occupational, and speech therapy, plus pain management, rehabilitation, and even round-the-clock respiratory care, which means they have nurses and respiratory specialists always around under a doctor's guidance if someone needs breathing support. The facility works with Nassau University Medical Center and has services from Loving Care Health Management. They have private and semi-private rooms, and everyone gets three cooked meals every day, plus housekeeping and laundry are taken care of.

    They've set up specialty divisions for Korean, Chinese, and Indian residents, with special diets and cultural programs so people find food and activities that feel familiar, and there are specific contact numbers for those divisions too. There's a 20-bed unit that focuses on care for residents with HIV/AIDS, led by an infectious diseases specialist, and in addition to hospice and end-of-life care, they've got on-site hemodialysis available for those who need it. The medical services stand out because they offer on-site clinics where residents get to see specialists in things like rehabilitation, radiology, psychiatric and psychological care, dental, eye care, podiatry, heart conditions, and neurological testing, so most needs get handled without having to leave the building.

    There's a big focus on keeping people active and entertained, with a team of recreation therapists, including music and art therapists, planning activities, field trips, cultural events, holiday celebrations, adapted sports, and even game rooms with things like video games, pool tables, a big TV, and basketball, all watched over by staff. Social workers help with planning for discharge and offer support, and there's an ombudsman to help with any concerns or advocacy needs. Religious services are available through interfaith chaplaincy, while beauty and barber shop services and the volunteer-run Holly Shop give a bit of normalcy and comfort, and residents can use on-site bank services too.

    They have a wide range of staff-registered nurses, licensed practical nurses, board-certified doctors, social workers, dieticians, rehabilitation and respiratory therapists, activity specialists, and pastoral care-so different needs are covered from medical care to daily living help and companionship. This place is recognized nationally as a model for skilled nursing care in a holistic environment, meaning they try to look after people's health, mind, and social well-being, not just the medical side of things. There's plenty of parking for visitors, and the facility accepts many forms of payment, including Medicare, Medicaid, private insurance, HMO, Medicaid Pending, and private pay.

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