Overall impression: Reviews for Astoria Skilled Nursing And Rehabilitation are highly polarized. A substantial portion of reviewers praise the facility for its attractive, clean environment, strong therapy/rehab services, active and engaging activities program, and many warm, helpful staff members. At the same time, multiple reviewers report persistent, serious problems tied largely to staffing levels and management responsiveness — issues that in several cases affected resident safety and basic care.
Care quality and clinical services: Rehabilitation and therapy are consistently called out as strong points. Several reviewers explicitly say the rehab team and doctors were excellent, and that therapy was effective in helping residents improve or return home. Conversely, other reviewers describe significant clinical breakdowns: lack of assistance with activities of daily living (ADLs), feeding delays, falls out of bed, and worsening pressure sores. Those latter reports indicate inconsistent care delivery and occasional failures in basic nursing attention and wound/fall prevention. These contrasting accounts suggest that clinical quality may depend heavily on unit staffing and individual staff performance on a given shift.
Staffing and staff behavior: Staffing emerges as the single most frequent concern. Multiple reviewers describe minimal staffing, overworked personnel, and some staff being inattentive or “lazy,” while others emphasize very caring, respectful, and professional nurses and aides. This variability is important — many positive comments about compassionate and helpful staff coexist with reports that essential care was missed because staff were unavailable or distracted. A few positive anecdotes (e.g., nurses responding quickly, providing a hot blanket on request, staff helping a resident transition home) show that when staffing and attentiveness are adequate, families have good experiences.
Facilities and cleanliness: The facility’s physical plant receives steady praise: reviewers call it beautiful and clean, with many large rooms that include private bathrooms. That said, room size reportedly varies, and some families noted smaller rooms compared with other facilities. There are also worrying notes about cleanliness lapses in some reviews — specifically dirty linen found in rooms and on the floor — which aligns with the broader pattern of inconsistent execution of basic care tasks when staffing is short.
Dining and meals: Dining feedback is mixed but leans positive in terms of variety and overall food abundance. Several reviewers describe fantastic food and a pleasant dining room atmosphere. However, other reviewers report food served cold or bland, and some mention feeding delays for residents who require assistance. Temperature and timely assistance during meals appear to be inconsistent themes tied again to staffing and operational execution.
Activities and quality of life: Activities are a clear strength in many reviews. The facility offers a lively schedule with a wide variety of options — including a putting green, slot machine, walking therapy, and frequent happy-hour-style social events — and activity staff receive multiple compliments for engagement and creativity. Visitors also appreciate flexible visiting policies, which supports family involvement in care.
Management and responsiveness: Several reviewers explicitly say administration did not listen to complaints and ignored concerns, contributing to families choosing to move their loved ones elsewhere. These complaints are often tied to the more serious negative outcomes (falls, pressure sores, feeding problems). The combination of perceived managerial unresponsiveness and staffing shortages creates the impression that problems may not be consistently corrected or followed up on.
Patterns and takeaways: The most consistent pattern is variability: many features of the facility are excellent on paper and in practice at times (clean, attractive environment; strong therapy; active social programming; many compassionate staff), but uneven staffing and management responsiveness lead to intermittent but significant failures in basic nursing care and safety for some residents. Negative reports are not solely about comfort or amenities — they include serious clinical and safety concerns, which are more consequential than complaints about noise or room size.
Recommendation for prospective families (based on review themes): Reviews suggest that outcomes at this facility may depend heavily on current staffing levels, the particular unit and shift, and management responsiveness. Prospective residents and families should (a) tour the specific unit and room, (b) observe meal service and activity periods, (c) ask about staffing ratios and wound/fall-prevention protocols, (d) inquire how administration handles complaints and care-plan concerns, and (e) check on linen/cleanliness procedures. Given the mixed but sometimes serious negative reports, families with high medical or personal-care needs should verify consistency of hands-on nursing and wound/fall care before committing.
Bottom line: Astoria Skilled Nursing And Rehabilitation appears to offer strong rehabilitation services, attractive facilities, and a vibrant activities program, and many families have positive experiences with caring staff. However, recurrent reports of understaffing, inconsistent caregiving, safety incidents, and perceived administrative indifference are significant red flags. The facility may be a very good fit for some residents (particularly those primarily needing therapy in a pleasant setting), but families should carefully evaluate staffing reliability and responsiveness to ensure it meets the resident’s specific care and safety needs.
