Overall sentiment across the reviews is mixed but leans positive with a clear pattern of marked improvement after leadership and staff changes. The dominant and most consistent praise centers on the caregiving team: reviewers repeatedly describe the staff as friendly, compassionate, knowledgeable, and willing to go above and beyond for residents. Multiple accounts cite individualized attention, strong communication with families, frequent updates, monthly care conferences, and tangible acts of kindness (staff coming in on days off, providing full bed baths, singing or engaging residents). Several reviewers explicitly state that the new team and owners have made a "world of difference," that residents are happy and thriving, and that they would recommend Astoria Place to friends and family. Clinical staff including DON/ADON and therapists are noted as professional, attentive, and helpful in care planning for complex needs such as blindness and behavioral issues.
At the same time, there are continuing and recurring concerns about the physical plant and operations. Many reviewers describe the building as older and in need of repairs — specific issues mentioned include a missing window sill, rooms with heat that cannot be controlled (reports of temperatures around 80 F), and loud hallways. While several reviewers praised the facility's cleanliness and noted bright, clean rooms and improved smells, a minority reported that parts of the facility were "not very clean" or "nasty." Security and intake processes appear improved, with coded access, biometric check-in, and COVID screening mentioned positively.
Dining is a notable pain point in numerous reviews. Multiple people reported poor meal quality, servings served cold (examples include cold meatballs on a hot dog bun, cold broccoli, and cold ice cream), and an overall disappointment with food service, including a cold Christmas dinner. Conversely, some reviewers did not mention dining as an issue, but the weight of negative comments about food quality is significant and consistent enough to be a clear operational concern.
Operational and management issues appear in two distinct patterns. First, many reviews praise new leadership and describe an improved environment under the new team, citing visible updates, a friendlier staff culture, and better communication. Second, there are ongoing operational problems reported by multiple reviewers: short staffing at times (including no MOD present during shortages), unanswered phone calls, instances of nurses unable to clock in or order medications, lack of WiFi for some residents, and complaints about linen policies (changes only on request). There are also financial concerns raised, including a 2023 price increase and worries about staff pay and management priorities; a few reviewers expressed distrust of management or perceived a focus on money over care.
Most concerning are a small number of serious clinical allegations. Some reviewers reported that treatments were not performed for extended periods (example: two weeks), and one review attributes harm from a bone infection and a potential risk of death to facility actions or inaction. These are significant red flags: though they appear in a minority of reviews, they contradict otherwise very positive reports about clinical attentiveness and should be independently verified. Prospective residents and families should ask for details about clinical oversight, care protocols, recent incident reports, and outcomes related to infections and medication administration.
Communication and family relations are generally highlighted as strengths. Multiple reviewers cited clear communication, frequent updates, staff who listened and followed through, and administrators who met families personally. This contrasts with some reports of unresponsiveness; the pattern suggests variability over time or shift-based differences in performance. Activities and community life receive some positive notes (events and an inviting atmosphere), and multiple reviewers described a warm, inviting environment where residents are well-attended.
In summary, Astoria Place of Silverton appears to be a facility in transition: many reviewers praise a recent turnaround under new leadership, with a strong commitment from caregiving staff resulting in improved cleanliness, communication, and resident wellbeing. At the same time, persistent issues remain around an aging building, meal quality, staffing consistency, and a minority of serious clinical concerns that require careful scrutiny. For families considering the facility, recommended due diligence includes touring to observe meal service and room conditions, asking about recent staffing levels and leadership stability, inquiring specifically about clinical incident history and infection-control practices, confirming policies on linen changes, heating/AC control, smoking policies, internet access, and testing how responsive the staff and leadership are to questions during a visit.