The reviews for St Andrews Bay Skilled Nursing And Rehabilitation are mixed, with clear strengths in clinical and therapeutic services but recurring concerns about consistency in daily care, staffing, and facility upkeep. Several reviewers emphasize very positive clinical aspects: the therapy department receives strong, repeated praise for physical, occupational, and speech therapy, and multiple comments note professional dementia care. Some families and visitors described staff as compassionate, patient, and excellent; administrators and the director were described as helpful and responsive during tours, and at least one reviewer indicated a high level of satisfaction (a 4.5 rating) and an intention to return.
Despite the clinical positives, there is a substantial pattern of inconsistent experiences. Multiple reviews describe staff who were rude, lacked compassion, or behaved in ways that made family members uncomfortable. Specific operational concerns include insufficient staffing/poor staff-to-resident ratios, staff appearing too busy, and reports that staff or customer service need additional training. During at least one tour a visitor noted the lack of a greeting and perceived disorganization; the tour guide apologized, suggesting an awareness of service lapses. There is also an alarming allegation of retaliation toward a resident, which, while reported by a single reviewer, is significant and should be treated seriously by prospective families.
Facility conditions and housekeeping are another area of divergence: some reviewers describe the building as clean, fresh, bright, and updated, with a nicer appearance in certain areas. Others report the opposite — dirty conditions, noticeable odors, and general lack of cleanliness. These contradictory accounts point to variability in day-to-day maintenance and infection-control or cleaning practices. Likewise, dining received both praise and criticism: several reviewers highlighted excellent meals with good portions and variety, whereas others criticized cold food, small portions, and unappetizing presentation.
Activity programming and amenities are generally noted as strengths but not uniformly. A number of reviewers remarked on plenty of daily activities and appreciated common spaces such as an excellent family lounge and a conveniently located hair salon. However, a couple of comments suggested limited activities and emphasized the facility's long-term care focus with an older resident population, which may not match every family’s expectations for a more vibrant rehabilitation environment.
Several recurring operational themes emerge from the reviews: inconsistency in caregiving behavior and service delivery; staffing pressures that may affect responsiveness and cleanliness; and mixed reports on facility condition and meal quality. Positive themes — strong therapy services, pockets of compassionate staff, dementia care expertise, and some updated areas — are meaningful and indicate real strengths, particularly for residents who require clinical rehabilitation or dementia support. The negative themes — especially allegations of poor hygiene, rude staff, and a serious complaint of retaliation — indicate areas that need attention to ensure reliable, respectful, and safe daily care.
In sum, St Andrews Bay shows clear clinical and therapeutic capabilities with some administrative responsiveness and physical amenities that reviewers appreciated, but it also exhibits variability in daily care, cleanliness, and staff behavior. Prospective residents and families should weigh the strong therapy and dementia-care reports against the inconsistent reports of staff compassion, housekeeping, and meal service. A careful, personalized tour (including questions about staffing levels, recent staffing changes, infection-control/cleaning protocols, how complaints are handled, and observation of meal service and activities) would be advisable to determine whether the facility’s current operations match a family’s expectations and the specific needs of the resident.
