Now known as Sapphire, this facility has some dedicated and long-term staff. On the whole, however, I cannot recommend this facility. My experience is primarily related to an elderly relative with dementia who was a resident for more than three years, up to very recently.
The facility has been in ownership transition on and off for a couple of years. Since its most current owners took over, a limited liability corporation that owns other Mid-Hudson facilities and facilities in the city and elsewhere, it has gone ever further downhill.
I'll focus on three areas: care, facility and communication.
Care: I don't believe there is imminent and immediate grave danger. I believe residents get their medications as they should. I believe, however, that the minimum is done so that state regulations are not violated. The primary problem is understaffing and high turnover, mostly with aides. Some of those who have worked there are genuinely good caregivers, but they leave for a variety of reasons. If you are visiting and need assistance, you must first FIND someone, and then, usually, wait until they are free to help.
Facility: Rundown. Needs significant improvement. From time to time, they paint it, but I think that is the minimum to make it look halfway decent. If you come in the main entrance, you will be impressed by a large function room. That's pretty the extent of it. I can't imagine a worse layout for a nursing facility. Rooms are organized in clusters of about 9 rooms, off of long hallways, quite a distance from a single small nursing station. There is usually no staff in any cluster, but you do see dementia residents wandering into others' rooms. Basically, no supervision.
Each main unit a has a day room, and for dementia residents, they are literally parked here for the day. There's little artwork on the walls, the TV is often playing something inappropriate, such as action movies. Cleanliness is haphazard at best. Tables are usually sticky or have crumbs and spills on them. Wheelchairs are the same. The outdoor courtyards are literally crumbling.
The on-site laundry has been undergoing "renovation" for almost a year, so all clothing and linens are sent out en masse to facilities many miles away. But when there was an on-site laundry, it was about as poorly managed as it's possible to be. Clothing often disappears. While you can report and be reimbursed for this, it happens so often that it's pointless.
Communication: Poor. Staff will contact you if your loved one has a fall or a bruise, because they have to by law. But typically, calls about specific issues go unreturned. Unit managers voice frustration and know little of what is going on for overall facility management. No one ever knows anything. The facility manager is just overwhelmed. Until recently, the manager seemed genuinely incompetent. At any rate, there is no effort at outreach to resident families, no effort at all to inform families of what is taking place (such as, the laundry situation). Literally, for four years, I've been told the facility will be renovated in the next few months.
Bottom line: If you can get your loved one in a different facility, you should, even if it means an extra 10-20 miles drive. If you visit to check it out, ask to see the entire facility (which is four units), courtyards, and even the main kitchen. Look in individual rooms and pay attention to closets, vanities, quality of beds, bedding itself, and operation of doors and windows.