ArchCare at Ferncliff

    21 Ferncliff Drive, Rhinebeck, NY, 12572
    4.0 · 53 reviews
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Excellent therapy but staffing concerns

    I had a mixed experience. Many staff were kind, caring and skilled-nurses, social workers and an outstanding PT/rehab team helped my loved one walk again-rooms and grounds are very clean, activities engaging and food generally acceptable. However chronic understaffing, poor communication, unanswered calls/long waits, occasional rude aides and hygiene lapses were real concerns and transitions felt bumpy. I'm grateful for the excellent therapy and compassionate caregivers, but you need to stay vigilant.

    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

    3.96 · 53 reviews

    Overall rating

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

      4.0
    • Staff

      3.9
    • Meals

      2.9
    • Amenities

      3.4
    • Value

      1.5

    Pros

    • Caring and compassionate direct-care staff and nurses (many mentions)
    • Strong, often outstanding physical therapy/rehab team
    • Clean units and well-maintained rooms (frequent comment)
    • Beautiful, spacious grounds and peaceful country setting
    • Engaged and creative activities/recreation program (singing, bingo, crafts)
    • Excellent memory care unit and Montessori model of care (positive mentions)
    • Helpful and effective social workers and resident liaisons
    • Good wound care and specialized clinical services in some reports
    • Private rooms available and ability to personalize rooms
    • Supportive admission process and welcoming admissions staff
    • Accommodation for dietary needs and responsive dietary staff (some reports)
    • Integrated medical/psychological/social/spiritual resources (noted by reviewers)
    • Hospice services available and attentive end-of-life care
    • Friendly front desk and guest services staff (often noted)
    • High-quality HD unit and competent nursing for complex needs in some reports
    • Housekeeping staff generally try hard to keep units clean
    • Opportunities for outdoor time and visiting areas
    • Respect for privacy and ability to decorate rooms (reported by families)
    • Prompt problem resolution when advocates or liaisons get involved
    • Overall instances of residents being happy and feeling at home

    Cons

    • Chronic understaffing and insufficient nurse/aid coverage
    • Inconsistent nursing coverage (limited RN availability, weekend gaps)
    • Episodes of neglect: ignored call lights and residents left soiled
    • Serious safety and care incidents reported (falls, hospitalization, potential sepsis)
    • Occasional medication/nutrition errors (e.g., diabetic formula mistake)
    • Long waits at nurse's station and unanswered phones
    • Some aides and nurses described as rude, hostile or uncaring
    • Old, institutional building layout and hospital-like halls/rooms
    • Urine/cleanliness odors in units when residents need changing
    • Variable quality of activities — some units nearly empty or inactive
    • Food quality inconsistent; orders frequently wrong or poor meals
    • Administrative absence or slow responsiveness to family concerns
    • Inconsistent therapy teams and rehab staffing variability
    • Delays in doctor follow-up, appointments, and post-mortem processes
    • Perceived cost-cutting impacting direct care and supplies (blankets, pillows)
    • Bullying or poor leadership from some nurse managers reported
    • Phone/desk frequently unmanned or unresponsive
    • Transition and orientation issues on admission (poor initial training)
    • Some reviewers reported a depressing, institutional atmosphere
    • Wide variability in experience depending on unit, staff and timing

    Summary review

    Overall sentiment for ArchCare at Ferncliff is strongly mixed, with clear patterns of both high-quality clinical rehabilitation and relational strengths on one hand and persistent operational, staffing, and environment concerns on the other. Many reviews praise specific departments — especially physical therapy/rehab, memory care (Montessori model), social work, wound care, and some compassionate front-line staff — describing dedicated therapists, attentive social workers, and occasions when residents felt loved and 'at home.' Families and former patients frequently highlight clean rooms, private accommodations, the ability to personalize spaces, spectacular grounds, and an overall peaceful, country setting that can support restorative care and pleasant outdoor time.

    However, these positive reports coexist with repeated accounts of understaffing and inconsistent care. Multiple reviewers report short staffing, limited RN coverage (especially on weekends), long waits at nurse stations, unanswered call bells and phones, and aides or nurses who can be indifferent or hostile. Several accounts describe neglectful situations — residents left soiled, sitting in wheelchairs for long periods, delayed bathroom assistance, missing blankets or pillows — and a few reports escalate to serious safety concerns including hospitalizations, falls, high blood sugar leading to unresponsiveness, and concerns about infection/sepsis risk. Reviewers tie some of these problems to perceived cost-cutting and an outdated institutional physical plant that hampers a 'home-like' atmosphere.

    Facilities and environment present a pronounced contrast in reviews. The outdoor grounds, views, and the appearance of common areas receive frequent praise: reviewers call the property gorgeous, the grounds spectacular, and the setting peaceful. Internally, however, many describe a dated, hospital-like building with cold concrete halls, old televisions, and an overall institutional feel. Cleanliness is reported often as satisfactory — housekeeping 'doing their best' — but odors (notably urine) and episodic lapses in hygiene and timely resident changes are also repeatedly mentioned. This split suggests that while the property and cleaning teams can present well, unit-level care practices and timely toileting/changing are inconsistent.

    Dining and activities are similarly variable: some reviewers enjoy meals, find food good, and appreciate accommodating dietary staff. Others report poor food quality, frequent order mistakes, and delays in dietary service. The activities program is cited as a strength in many accounts — lively calendars, singing, bingo, crafts, salons, holiday events, and meaningful recreational engagement — but other reviews describe sparse or negligible programming and nearly empty activity rooms in certain units. This suggests program delivery differs widely by unit or by management at the unit level.

    Management, communication, and responsiveness show mixed performance. Positive notes include warm and helpful admissions teams, effective resident liaisons and social workers who resolve issues, and staff who promptly answer questions when engaged. Conversely, many families report absent administration, slow or poor communication between nurses, doctors and families, unanswered phones/desks, inconsistent physician follow-up, and delays after a resident's death. Several reviewers state that advocacy on the family's part is often necessary to get care issues resolved; when advocates or strong liaisons step in, problems are more likely to be addressed.

    A recurring pattern is variability across units and shifts: some families describe 'best by far' care with excellent outcomes, while others report thinking the facility 'should be shut down' due to neglect on particular units or shifts. Rehab and PT consistently receive the most uniformly positive feedback — reviewers cite dedicated therapists, clear progress toward goals, and clinically strong outcomes (e.g., regained mobility). Memory care and certain assisted living/more residential-feeling units also receive strong praise for atmosphere and attention to design and color. In contrast, institutional skilled nursing units and nights/weekends appear to be where many negative experiences cluster.

    In summary, ArchCare at Ferncliff shows strong clinical and relational assets — notably in rehab, memory care, social work, and certain compassionate front-line staff — and benefits from an attractive campus and clean rooms when unit-level practices are good. Nonetheless, significant and recurring concerns about staffing levels, inconsistent nursing oversight, neglectful incidents, administrative responsiveness, food/service errors, and an aging, institutional building create risk and variability in resident experience. Prospective residents and families should weigh the strong rehab and memory-care strengths against documented variability in everyday nursing care, perform detailed, unit-specific tours, ask about RN coverage and staffing ratios by shift, inquire about incident history and quality metrics, and be prepared to advocate actively for care coordination and timely response if they choose this facility.

    Location

    Map showing location of ArchCare at Ferncliff

    About ArchCare at Ferncliff

    ArchCare at Ferncliff sits on 36 acres of peaceful park-like grounds on the edge of Rhinebeck, New York, and offers a variety of care options for seniors and adults with special needs, so inside you'll find a nursing home, short-term and rehab programs at The Thompson House, specialized memory care at the Center for Advanced Memory Care, and a dedicated unit for Huntington's Disease in the Center for Neurodegenerative Disease, all designed to meet different needs as folks age or as medical conditions shift, with staff ready to provide nursing, medication help, physical therapy, occupational and speech therapy, and skilled medical supervision day and night with a 24-hour call system for safety, plus end-of-life and PACE programs, which means care can even be provided at home through ArchCare Senior Life. Residents with cognitive issues get tailored services including secure surroundings, memory care based on the Montessori method with Gold Credential status, and specialized dementia care with a waiver in place, as well as therapists and staff trained for advanced memory and neurodegenerative conditions, and they run regular infection prevention, with an Infection Prevention and Control Nurse and Infectious Disease Medical Director keeping an eye on things, and clear PPE rules and staff training throughout the campus.

    Ferncliff's rooms come with amenities like private bathrooms, kitchenettes, furnished options, air conditioning, phones, cable TV, and high-speed internet, while folks get help with daily living needs such as bathing, dressing, or moving around, and non-ambulatory residents get their needs met too, and you'll see plenty of features for comfort and convenience, like restaurant-style meals with a chef who will handle special diets for diabetes or allergies, a beauty salon, barber shop, laundries, and many community activities and outings. People can enjoy outdoor common areas, gardens, walking paths, patios, and a courtyard, get involved in music, arts, crafts, or gardening, join in on games in activity rooms, or watch movies in the community theater space, while a chapel offers space for spiritual needs, and support groups and family services help folks stay connected.

    The whole place's designed so seniors get care that matches their changing needs, whether someone moves in for rehab, needs a secure memory care wing, wants fitness or wellness activities inside the gym or outdoors, participates in community-run or daily scheduled programs, gets help coordinating a move, or chooses independent housing. The dedicated care team includes specialized doctors for the PACE program and therapists for short-term rehabilitation and recovery, aiming to help residents regain strength after illness or surgery, and if you want, you can set up a tour to see everything, meet the staff and residents, check out the amenities, and get a real sense of daily life and what's offered at ArchCare at Ferncliff.

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