Hudson Pointe at Riverdale Center for Nursing and

Inspectors wroteBased on record review and staff interview, conducted during the abbreviated survey (#2651294) the facility did not ensure that all alleged violations involving abuse, neglect, including injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the New York State Department of Health. This was evident for one (1) of four (4) residents (Resident #1) sampled. Specifically, on 10/12/2025 Resident #1 had an unwitnessed fall out of bed and sustained discoloration of the left eye which the facility did not report.

Inspectors wroteBased on observations, record review, and interviews conducted during the Recertification survey from 07/21/2024 to 07/26/2024, the facility did not ensure that it promoted and facilitated resident self-determination by supporting resident choice. Specifically, residents' bathing preferences were not honored. This was evident for 2 of the 4 residents reviewed for Choices out of 38 sampled residents. (Resident #88, and #46).

Inspectors wroteBased on observations, record reviews and interviews conducted during the Recertification survey, the facility did not ensure that Minimum Data Set (MDS) 3.0 assessments accurately reflected the residents' status. Specifically, the most recent Minimum Data Set (MDS) 3.0 assessments did not reflect that wander/elopement alarms were used for 2 residents. This was evident for 2 of 2 residents reviewed for Elopement Risk out of a sample of 38 residents. (Resident # 103 and #135).

Inspectors wroteBased on interviews, observations and record review conducted during a recertification survey (EUC311), the facility did not ensure that a resident's care plan for falls was reviewed and revised. Specifically, staff did not complete a timely review and/or revision for the care plan for a resident who had an identified history of falls with injury. This was evident in 1 of 31 residents reviewed for care plans (Resident #52).

Inspectors wroteBased on observation, record review and interviews conducted during the extended recertification and abbreviated (NY00290309) survey from 6/27/2022 through 7/12/2022, the facility did not ensure that each resident remained free from physical restraints not required to treat the resident's medical symptoms. This was evident for 14 of 14 residents reviewed for Physical Restraints (Resident #s 85, 95, 42, 190, 23, 69, 76, 121, 63, 136, 71, 12, 40 and 31) out of a sample of 43 residents. Specifically, Resident #42 had severely impaired cognition and required extensive assist of one person for bed mobility and transfers. Resident #42 had orders for bilateral 1/2 side rails SR, and the SR were not identified as a restraint. Resident #42 sustained an injury to the right eyelid after hitting their head on a 1/2 SR. [...]

Inspectors wroteBased upon observation, interview, and record review during the extended recertification and abbreviated (NY00290309) survey from 6/27/2022 to 7/12/2022, the facility did not ensure appropriate alternatives to bed/SR (SR) were implemented and that residents were adequately assessed prior to bed/side rails (SR) use. This was evident in 14 (Resident #s 85, 95, 42, 190, 23, 69, 76, 121, 63, 136, 71, 12, 40 and 31) of 14 reviewed for SR out of a sample of 43 residents. Specifically, Resident #s 85, 95, 42, 190, 23, 69, 76, 121, 63, 136, 71, 12, 40 and 31 were observed with SR in use without assessments that included risk of entrapment and ensure the bed's dimensions are appropriate for resident's size and weight prior to SR installation.

Inspectors wroteBased on interviews and record review during the recertification survey from 06/27/2022 and 7/12/2022, the facility did not ensure a resident received notification prior to changes in coverage for services covered by Medicare. This was evident for 1 (Resident #90) of 4 resident reviewed for Beneficiary Protection Notice. Specifically, the facility did not provide Resident #90 with a Notice to Medicare Provider Non-coverage (NOMNOC) explaining their right to an expedited review prior to the termination of their Medicare coverage.

Inspectors wroteBased on record review and interviews conducted during the recertification survey from 6/27/2022 to 7/12/2022, the facility did not ensure Minimum Data Set 3.0 (MDS) assessments were transmitted timely. This was evident for 1 (Resident #1) of 2 residents reviewed for Resident Assessment. Specifically, the facility did not transmit a Discharge MDS for Resident #1 within 14 days.

Inspectors wroteBased on observation, record review, and staff interviews conducted during the recertification survey, the Facility did not ensure the Minimum Data Set (MDS) assessment accurately reflects the resident's status for 2 (Resident # 90 and Resident # 108) of 2 residents reviewed for Resident Assessment out of an investigative sample of 42 residents. Specifically, 1) Resident #108's most recent MDS assessment inaccurately documented Resident #108 received dialysis; 2) Resident #90's most recent MDS assessment inaccurately documented Resident #90 had adequate hearing.

Inspectors wroteBased on observations, record review, and staff interviews conducted during the recertification survey, the facility did not ensure infection control practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections for 4 (Residents #55, 120, 37 & 77) of 12 residents on 1 (3rd floor) of 4 units observed during the Medication Administration Facility Task. Specifically, a Licensed Practical Nurse (LPN #5) was observed using a glucometer machine for multiple residents without sanitizing the equipment in between the residents.

Inspectors wroteBased on observations, interviews, and record review conducted during the recertification survey, the facility did not ensure that a Comprehensive Care Plan (CCP) was developed and implemented. Specifically, a resident with a diagnosis of Diabetes Mellitus did not have a CCP developed for this condition. This was evident for 1 of 6 residents reviewed for Unnecessary Medications out of a sample size of 34 residents. (Resident #125)

Inspectors wroteBased on observations, interviews, and record reviews during the recertification survey, the facility did not ensure that infection control practices were maintained. Specifically, (1) infection control policies were not reviewed and revised annually; and, (2) a resident with a urinary catheter was observed with catheter tubing laying on the floor. (Resident #125)