Sandstone Falls Access provides a day-use area with boardwalks and bridges spanning two islands below the largest waterfall on the New River, which drops 10-25 feet across a 1,500-foot-wide span.

The site features an Island Loop Trail and views of unique Appalachian riverside flatrock plant communities, though visitors should note the river has a history of drownings and lifejackets are strongly recommended when in or near the water.

Access requires a scenic 20-mile drive from the Sandstone Visitor Center via Route 20 and River Road, which offer multiple overlooks and river access points along the way.