100 Sandy Drive, Amsterdam, NY 12010 · Montgomery County · (518) 843-3503
120 certified beds, about 113 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1974
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335422 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 18, 2025, inspectors cited 22 health deficiencies (the New York average is 8.1, the national average 9.2).
None of its 37 health citations since September 2020 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $3,387 in the last three years; the largest was $3,387, and the latest is dated January 30, 2024.
Nurses and nurse aides worked 3.12 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
67.9% of nursing staff left within the year CMS measured (New York average 40.3%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 37 health citations on file.
Inspectors wroteBased on record review and interviews conducted during a survey, the facility failed to maintain accurate documentation in accordance with accepted professional standards and practices, that were complete and accurately documented for one (1) (Resident #1) of three (3) residents reviewed. Specifically, for Resident #1, Nurse Practitioner #1 incorrectly documented Resident #1 had multiple pressure areas during four encounters dated 2/10/2026, 2/17/2026, 2/24/2026 and 3/19/2026.
Inspectors wroteBased on observation, record review, and interviews during a survey, the facility did not maintain a pest-free environment and an effective pest control program in two (2) of two (2) private resident shower rooms and two (2) of three (3) main shower rooms. Specifically, (a.) dead ants and live & dead water bugs were found in a private shower room located in resident room [ROOM NUMBER]; (b.) dead ants were found in room [ROOM NUMBER]'s private shower room; (c.) dead and live ants were found in shower room on Unit A across the hall from room [ROOM NUMBER] and the shower room on Unit C across the hall from rooms #57 and #58. This is evidenced by: During observations on 3/17/2026 at 1:47 PM, both dead insects and live insects were found crawling s in the private shower room inside room [ROOM NUMBER]. [...]
Inspectors wroteBased on record review and interview during the recertification survey, the facility did not ensure each resident was treated with respect, dignity, and care in a manner and in an environment that promotes maintenance or enhancement of their quality of life for three (3) (Resident #s 19, 34, and 38) of 25 residents reviewed, and for residents on C Wing. Specifically, (a) Resident #19 was given plastic utensils for their meal; (b) Resident #34 returned from an early morning dialysis appointment and was placed in their room without access to the call bell. The resident requested to return to bed and was left sitting in their wheelchair for over an hour; (c) Resident #38 was not provided their adaptive built-up utensils for their meals; (d) staff on C Wing were entering residents rooms before properly knocking on the door. This is evidenced by: [...]
Inspectors wroteBased on observation and interview conducted during a recertification survey, the facility did not provide a clean, comfortable and homelike environment for one (1) (Resident #17) of 25 residents reviewed. Specifically, Resident #17's personal clothing was not laundered and returned within a timely manner according to professional standards of practice. This is evidenced by: The facility's policy and procedure titled, Personal Property revised November 2024, documented Resident belongings are treated with respect by facility staff, regardless of perceived value. A representative of the admitting office advises the resident, prior to or upon admission, of the types and amount of personal clothing and possessions that the resident may keep in his or her room. The resident's personal belongings and clothing are inventoried and documented upon admission and updated as necessary. [...]
Inspectors wroteBased on record review, and interviews conducted during the recertification survey, the facility did not ensure residents were aware of the grievance process. Specifically, (1.) grievance forms were not readily available to residents; (2.) residents did not have the option to file a grievance anonymously; and (3.) seven (7) of the 7 residents present at the Resident Council meeting reported they did not know the process by which to file a grievance. This is evidenced by: The facility Policy and Procedure titled, Grievance Policy, effective 12/2019, last revised 2/2025, documented each resident had the right to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without fear of discrimination or reprisal. [...]
Inspectors wroteBased on observation, record review, and interviews conducted during a recertification survey, the facility did not develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframe's to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the comprehensive assessment for three (3) (Resident #s 24, 32, and 73) of 25 residents reviewed for Care Plans. Specifically, (a.) for Resident #24, the intervention for oxygen therapy as per physician order was not consistently followed; (b.) Resident #32 had reported an allegation of abuse, during the , that was not investigated or reported. No comprehensive care plan was added to the resident's person-centered care plan for at risk for victim of abuse and/or victim of abuse; [...]
Inspectors wroteBased on record review, observations, and interviews conducted during a recertification survey, the facility did not ensure Comprehensive Care Plans were reviewed and revised by the interdisciplinary team after each assessment based on changing goals, preferences, and needs of the resident and in response to current interventions for two (2) (Resident #s 32 and 68) of 25 residents reviewed. Specifically, (a.) for Resident #32, the Comprehensive Care Plan for Respiratory Therapy was not reviewed and revised to include changes in the resident's refusal of their C-pap (continuous positive airway pressure machine) for severe sleep apnea. Specifically, (b.) Resident #68's Comprehensive Care Plan for musculoskeletal disorder (a condition that affect the muscles, bones, and joints) was not revised after the resident refused use of a wedge in between their thighs for positioning. [...]
Inspectors wroteBased on observations, record reviews and interviews conducted during a recertification survey and abbreviated survey (Case # NY00328519), the facility did not ensure an environment that was free from accident hazards over which the facility has control and provides supervision and assistive devices to each resident to prevent avoidable accidents for two (2) (Resident #s 58 and 74) of five (5) residents reviewed. Specifically, (a.) for Resident #58 there was no adequate supervision to prevent an elopement; (b.) for Resident #74 a container of triamcinolone acetonide (a prescription cream) was stored on top on the nightstand in the resident's room permitting access to this cream by the resident or anyone that entered the room. This is evidenced by: [...]
Inspectors wroteBased on observations, record review, and interviews conducted during the recertification survey, the facility did not ensure that each resident received the necessary respiratory care and services that were consistent with professional standards of practice for four (4) (Residents #'s 24, 32, 34, and 61) of 5 residents reviewed for oxygen administration. Specifically, supplemental oxygen was not provided as ordered by the physician. This is evidenced by: A review of the facility policy titled Oxygen Therapy, dated January 2024, documented that the facility was to provide respiratory therapy assessment and treatment to residents with deficiencies or abnormalities of pulmonary function for whom a provider's order had been written. Resident #24: [...]
Inspectors wroteBased on observation, record review, and interviews during a recertification survey, the facility did not ensure the provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, (1) an analysis of the actual staffing schedule showed that on multiple occasions from 1/01/2025 to 3/17/2025, the facility was below the minimum levels required; (2) staff reported a lack of sufficient staffing; and (3) residents reported during interviews that the facility was short-staffed at times, and this resulted in call bells not being answered timely and long wait times for care to be provided This is evidenced by: Upon entrance to the facility on 3/11/2025 there were 109 residents residing on 3 units. [...]
Inspectors wroteBased on record review and interview during the recertification survey, the facility did not ensure development of policies and procedures for the monthly drug regimen review that included, but was not limited to, time frames for the different steps in the process. Specifically, the facility policy titled, Long Term Care Solutions, Drug Regimen Review did not identify time frames for when the Pharmacist would notify the facility and Physician of irregularities, how long the Physician had to respond to the report or how long the nursing staff have to address identified issues requiring nursing intervention. This is evidenced by: An undated policy titled, Long Term Care Solutions, Drug Regimen Review documented, Upon completion of a drug regimen review by the consultant pharmacist the following steps are taken: [...]
Inspectors wroteBased on observation, record review, and interviews conducted during a recertification survey, the facility did not ensure that its medication error rate did not exceed 5% for two (2) (Resident #s 41 and 80) of 13 residents observed during a medication pass for a total of 27 observations. This resulted in a medication error rate of 7.41%. This is evidenced by: The Facility's Policy and Procedure titled Administering Medications revised February 2024, documented . only persons licensed or permitted by this state to prepare, administer and document the administration of medications may do so. As required or indicated for a medication, the individual administering the medication records in the resident's medical record: (a) the date and time the medication was administered. (b) the dosage. (c) the route of administration. (d) the injection site (if applicable); [...]
Inspectors wroteBased on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice for three (3) ( A, B, and C Wings) of three (3) medication carts, and 1 (C Wing) of 2 medication rooms reviewed. Specifically, (a.) 1 Novolog Kwik insulin pen was in a bag labeled Degludec insulin; (b.) 8 insulin kwik pens and 3 vials of insulin had no open and or expiration dates; (C.) 2 bottles of Megace liquid were discontinued; (d.) 3 inhalers had no open and or expiration dates; (e.); 3 bottles of eye drops had no open and or expiration dates; (f.) 1 bottle of eye drops opened [DATE], expired as of [DATE]; (g.) 1 opened bottle of Jevity Tube feed with 200 milliliters remaining was found in the medication room refrigerator; [...]
Inspectors wroteBased on observations, record reviews, and interviews during a recertification and abbreviated survey (Case #'s NY00349575 and NY00370532), the facility did not ensure that food and drink were palatable and attractive for two (2) (Residents #19 and 32) of 11 residents reviewed for palatable and appealing food and drink. Specifically, (a.) residents complained that the food was cold, unattractive, and generally unpalatable during the resident council meeting; (b.) Resident #19's lunch tickets did not match what the resident received during their lunch service on 3/17/2025; (c.) Resident #32 complained of cold, unattractive, and not palatable food, and during lunch service on 3/13/2025, the resident's food tray did not match their ticket This is evidenced by: [...]
Inspectors wroteBased on observation, record review, and interviews during the recertification survey, the facility did not ensure that special eating equipment and utensils were provided for one (1) (Resident #38) of seven (7) residents reviewed for dining. Specifically, for Resident #38, adaptive eating equipment was not provided to maintain or improve the resident's ability to eat independently. This is evidenced by: Resident #38 was admitted to the facility with unspecified dementia (a decline in mental ability severe enough to interfere with daily life), essential (primary) hypertension (persistent high blood pressure), and type 2 diabetes mellitus (a chronic condition where the body does not use insulin effectively or does not produce enough insulin, leading to high blood sugar levels). [...]
Inspectors wroteBased on observation, record review, and interview during the recertification survey, the facility did not ensure food was stored, prepared, distributed, or served food in accordance with professional standards for food service safety in the main kitchen and two (2) of three (3) kitchenettes. Specifically, equipment, floors, and walls were not clean and/or were in good repair, and the facility did not have the correct equipment to test the chemical sanitizing solution. This is evidenced by: During observations of the main kitchen on 3/11/2025 at 10:18 AM, the following was noted: 1. Test papers to check the sanitizing solution did not have a graduation of 150 parts per million of quaternary ammonium compound graduation and another above 400 parts per million of quaternary ammonium compound. [...]
Inspectors wroteBased on observation, record review, and interview during the recertification survey, the facility did not ensure food brought for residents by family or visitors was stored safely and in a way that is either separate or easily distinguishable from facility food on one (1) (A-Wing Unit) of three (3) resident units. Specifically, resident food stored in the resident unit kitchenette refrigerators was not properly labeled. This is evidenced by: The document titled, Food Brought by Family/Visitors and dated 11/2024, documented that food brought to residents are to be labeled with the resident name, date, and use-by date. During observations on the A-Wing Kitchenette on 3/11/2025 at 11:16 AM, two restaurant entrees were not labeled and dated. [...]
Inspectors wroteBased on observation, interview, and record review during a recertification and abbreviated survey (Case #NY00349575), the facility did not ensure it established and maintained an infection prevention and control program (IPCP) designed to help prevent the development and transmission of communicable diseases and did not maintain infection control prevention during dressing changes for two (2) (Resident #s 32 and 47) of four (4) residents reviewed for pressure sores. Specifically: (a.) for Resident #32, Licensed Practical Nurse #1 did not set up and maintain a clean field and proper infection control that included proper hand hygiene was performed, during a dressing change to prevent contamination of a resident's wound; (b.) for Resident #47, Licensed Practical Nurse #5 did not change gloves and hand sanitize during the dressing change; [...]
Inspectors wroteBased on observation, record review, and interviews during the recertification survey, the facility did not maintain a pest-free environment and an effective pest control program on one (1) of six (6) resident units. Specifically, small fly infestation was found. This is evidenced by: During observations on 3/11/2025 from 10:15 AM through 12:35 PM, Little black flies were found in the corridors by Room #s 54, 57, 62, and 73. Little black flies were found flying around a resident with a feeding tube on the C-Wing. During observations on 3/12/2025 at 9:45 AM, little black flies were found flying around staff serving meal trays. During an interview on 3/11/2025 at 11:30 AM, Family Member #10 stated that the fly infestation was so bad they covered the television in the resident room and that it helped when the trash was removed from the room. [...]
Inspectors wroteBased on observation, record review, and interviews during a recertification survey, the facility did not ensure an interdisciplinary team assessed residents to determine their ability to safely self-administer medication when clinically appropriate for one (1) (Resident #16) of one (1) resident reviewed for medication administration. Specifically, Resident #16 was observed sitting in the solarium (a room that permits abundant daylight and views of the landscape while sheltering from adverse weather) of the B Wing administering their nebulized medication without being assessed as to whether they could safely self-administer their medication. This is evidenced by: [...]
Inspectors wroteBased on observation, record review and interview conducted during a recertification and abbreviated survey (Case #NY00370532), the facility did not ensure each resident's right to make choices about aspects of their life that were significant for them for two (2) (Resident #'s 32 and 34) of 25 residents reviewed. Specifically, (a.) Resident #32 did not have a choice of time for application of their C-PAP (continuous positive airway pressure) machine. (b) Resident #34 did not have a choice of time for returning to bed after dialysis (treatment for kidney disease) appointments. This is evidenced by: Resident #32: [...]
Inspectors wroteBased on record review and interviews conducted during the recertification survey, the facility did not ensure the resident's right to be free from abuse and neglect for one (1) (Resident #14) of seven (7) residents reviewed for abuse and neglect. Specifically, for Resident #14, a Certified Nurse Aide provided care to the resident by themselves when the resident was care planned to be a two person assist with care. This resulted in the resident falling out of bed, sustaining ecchymosis (bruising) to their right facial area and a laceration above their right eye. Floor mats that were care planned to be on both sides of the bed parallel to the bed due to Resident #14 being at risk for falls were not in place during care when Resident #14 fell out of bed. This is evidenced by: [...]
Inspectors wroteBased on record review and interviews during a recertification survey and abbreviated survey (Case #NY00370532), the facility did not ensure that all alleged violations involving abuse were reported immediately, or no later than 2 hours after the allegation was made for two (2) (Residents #14 and #32) of seven (7) residents reviewed for abuse. Specifically, (a.) an allegation of a Certified Nurse Aide not following care plan recommendations while they provided care for Resident #14 on 3/08/2025 which resulted in the resident falling out of bed sustaining ecchymosis (bruising) to the facial area and a head laceration above their eye was not reported to the New York State Department of Health until 03/10/2025. [...]
Inspectors wroteBased on record review and staff interviews conducted during the recertification survey, the facility did not ensure that it maintained acceptable parameters of nutritional status, provided nutrition care and services to each resident consistent with the resident's comprehensive assessment, recognized, evaluated, and addressed the needs of every resident for two (2) (Resident #s 51, and 64) of five (5) residents reviewed for nutrition/hydration status maintenance. Specifically, (a.) Resident #51's weight was not monitored as indicated in their comprehensive person-centered plan of care despite being at risk for weight changes, and a quarterly dietary assessment was not completed to address the nutritional status of this resident. [...]
Inspectors wroteBased on observation, record review, and interview during a recertification and abbreviated survey (Case # NY00370532), the facility did not ensure that all allegations of abuse were thoroughly investigated for one (1) (Resident #32) of seven (7) residents reviewed for abuse. Specifically, Resident #32 reported an allegation of abuse and rough treatment when a nurse put on their C-Pap (continuous positive airway pressure machine) mask on them during an overnight shift between 1/25/2025 and 1/26/2025. The facility did not initiate an investigation until 3/18/2025 after the resident was reviewed during the survey process between 3/11/2025 through 3/18/2025. This is evidenced by: [...]
Inspectors wroteBased on observation, record review, and interviews during the recertification survey dated 01/03/23 through 01/10/23, the facility did not prepare and serve food in accordance with professional standards for food service safety in the main kitchen and three (3) of 3 kitchenettes. Specifically, the automatic dishwashing machine was not operating within the manufacturer's specifications, equipment and floors required cleaning, and a refrigerator and a table required repair. This is evidenced as follows: During observations on 01/03/23 at 10:18 AM, in the main kitchen, the automatic dishwashing machine final rinse registered both zero degrees Fahrenheit (F) at 40 pounds per square inch (psi) and zero parts-per-million (ppm) of available chlorine while tableware was being washed; [...]
Inspectors wroteBased on observation, record review, and staff interview during the recertification survey dated 01/03/23 through 01/10/23, the facility did not ensure foods brought to residents by family and other visitors was in accordance with adopted regulations in three (3) of 3 kitchenettes. Specifically, food brought to residents was not labeled and discarded per the facility policy. This is evidenced is as follows: The document titled Food Brought in from Outside Facility and dated 09/25/2020 documented that food brought in from the outside will be labeled by staff with the resident name, the date the item(s) was brought to the facility, resident room number, and will be discarded on the third day. During observations on 01/03/23 at 10:18 AM, in the C-Unit Kitchenette refrigerator, a homemade entre was labeled with the name of Resident #38; the label did not include a date; [...]
Inspectors wroteBased on interviews and record review during the Recertification Survey conducted 1/3/23 through 11/10/23, the facility did not ensure written notice of the facility's bed hold policy was provided to the resident and/or the resident's representative for 2 (Residents #81 and #100) of 2 residents reviewed. Specifically, the facility did not ensure that the medical record included documentation that a written notice of the facility's bed hold policy was provided to the resident or/or their representative upon discharge to hospital. This is evidenced by: The facility policy titled Bed Reservation/Retention dated 9/26/16, documented all residents will be informed verbally and in writing at the time of admission and again at the time of transfer of the (Facility name) bed retention/reservation policy. Resident #81: [...]
Inspectors wroteBased on observation, interview, and record review during a recertification survey on 1/3/2023 through 1/10/2023, the facility did not ensure residents received treatment and care in accordance with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 (Resident #62) of 3 residents reviewed. Specifically, for Resident #62, the facility did not ensure wound care treatments to the resident's Stage 4 sacral wounds were provided in accordance with the physician order. This is evidenced by: Resident #62: Resident #62 was admitted to the facility with diagnoses of pressure ulcer (refers to localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) of sacral region; stage 4 (full-thickness skin and tissue loss), hypertension, and anemia. [...]
Inspectors wroteBased on observation, record review, and interviews during the recertification survey, the facility did not ensure food that accommodates resident allergies, intolerances, and preferences was provided for 1 (Resident #78) of 3 residents reviewed for food. Specifically, for Resident #78, the facility did not ensure the resident was consistently provided with food preferences as documented on their meal tickets on 1/6/2023 and 1/9/2023. This was evidenced by: Resident #78 Resident #78 was admitted to the facility with diagnoses of diabetes, hyperkalemia, and acute kidney failure. The Minimum Data Set (MDS - an assessment tool) dated 11/21/2022, documented the resident was able to make themselves understood, understand others, and was cognitively intact. [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey, the facility did not ensure special eating equipment and utensils were provided for a resident who needed them for 1 (Resident #47) of 9 residents reviewed for dining. Specifically, for Resident #47, the facility did not ensure adaptive eating equipment was provided as documented on the resident's meal ticket for breakfast, lunch, and dinner on 01/06/2023. This was evidenced by: Resident #47 Resident #47 was admitted to the facility with dysphagia (difficulty swallowing), diagnoses of chronic respiratory failure, and osteoarthritis. The Minimum Data Set (MDS - an assessment tool) dated 11/12/2022, documented the resident was able to make themselves understood, usually able to understand others, and severely cognitively impaired. [...]
Inspectors wroteBased on observation and staff interview during the recertification survey, the facility did not store, prepare, distribute or serve food in accordance with professional standards for food service safety. Food preparation and serving areas and equipment are to be kept clean. Specifically, equipment, floors, and walls were not clean. This is evidenced as follows. The main kitchen and the unit kitchenettes were inspected on 09/22/2020 at 9:34 AM. The slicer, steamtable insert pans, table mixer, microwave oven, bulk food containers, butcherblock island drawers, stove, shelving, wall fan, floor fan, floor under cooking equipment in the main kitchen; walls and carts in the dishwashing machine room; and floors and walls in the kitchenettes were soiled with food particles, dirt, or grime. [...]
Inspectors wroteBased on record review and interviews during a recertification survey the facility did not ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, 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 caused the allegation did not involve abuse and did not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for 1 (Resident #71) of 1 resident reviewed for abuse. [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey the facility did not ensure that residents received treatment and care in accordance with standards of practice, the comprehensive person-centered care plan, and the residents' choices for 2 (Resident #'s 18 and 19) of 18 residents reviewed. Specifically, for Resident #18, the facility did not provide monitoring for effectiveness of medication administered on an as needed basis and for Resident #19, the facility did not assist the resident with a range of motion or a home exercise plan as recommended by a physical therapist to prevent decline in functional ability to bilateral lower extremities. This is evidenced by: Resident #18: Resident #18 was admitted to the facility with diagnosis of Parkinson's disease, ulcerative colitis, and stage 4 colorectal cancer. [...]
Inspectors wroteBased on record review and interview during the recertification survey, the facility did not ensure the attending physician documented in the resident's medical record that the identified irregularity had been reviewed and what, if any, action had been taken to address it and if there was to be no change in the medication, the attending physician should document his or her rationale in the resident's medical record for 3 (Resident #'s 49, 53, and #64) of 5 residents reviewed for unnecessary medications. Specifically, for Resident #'s 49 and #64, the facility did not ensure irregularities noted by the pharmacist during medication regimen reviews were reviewed by the physician; and for Resident #53, the facility did not ensure the physician documented a rationale in the resident's medical record when the consultant pharmacist identified an irregularity during a medication regimen review. [...]
Inspectors wroteBased on observation and staff interview during the recertification survey, the facility did not dispose of garbage and refuse properly. Specifically, the trash compactor was leaking waste and the compactor area was heavily soiled. This is evidenced as follows. The trash compactor area was inspected on 09/22/2020 at 10:19 AM. The trash compactor was leaking a black-brownish liquid onto the ground, and the trash compactor portal area was heavily soiled with a black greasy buildup on the standing area and in front of, above, below, and around the compactor door. The Food Service Director stated in an interview 09/22/2020 at 10:35 AM, that he first noticed the compactor leaking last Friday, July 27, 2018. [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey, the facility did not maintain medical records in accordance with accepted professional standards and practices that are accurately documented and complete for 2 (Resident #'s 19 and 42) of 18 residents. Specifically, for Resident #19, the facility did not ensure accurate documentation was reflected for a resident's transfer out of bed; for Resident #19, the facility did not ensure documentation was completed for physician ordered treatments for wound and skin care; for Resident #42, the facility did not ensure the resident's medical record included accurate documentation of the resident's physician ordered oxygen tubing change. This was evidenced by: [...]
26 fire safety citations on file: 17 on March 18, 2025, 5 on January 10, 2023, 4 on September 25, 2020.
| Date | Penalty | Amount or length |
|---|---|---|
| January 30, 2024 | Fine | $3,387 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.12 | 3.63 | 3.86 |
| Registered nurses | 0.37 | 0.71 | 0.69 |
| All nursing staff on weekends | 2.73 | 3.18 | 3.42 |
| Nurse aides | 1.78 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 67.9% | 40.3% | 45.8% |
| Registered nurse turnover | 88.2% | 39.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.34 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.28 on weekdays and 2.73 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 24.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.73 in April to June 2025 to 3.12 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.12 | 0.37 | 3.28 | 2.73 | 24.7% | 0 of 90 | 113 |
| Oct to Dec 2025 | 3.37 | 0.39 | 3.53 | 2.96 | 24.2% | 0 of 92 | 111 |
| Jul to Sep 2025 | 3.72 | 0.48 | 3.94 | 3.16 | 28.3% | 0 of 92 | 109 |
| Apr to Jun 2025 | 3.73 | 0.52 | 3.92 | 3.25 | 31.0% | 0 of 91 | 107 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New York, all employers | |||
| CNAs (nursing assistants) | $23.36 | $21.04 to $24.99 | 87,990 |
| LPNs and LVNs | $32.30 | $29.52 to $37.00 | 39,400 |
| Registered nurses | $52.62 | $45.60 to $62.34 | 205,810 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.2 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.9 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 16.4 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.4 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.2 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.3 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for River Ridge Living Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (35.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
35.3% this home
Worse than the national rate
US median of homes 51.5% · New York: 101 better, 157 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 150 eligible stays.
13.8% this home
No different from the national rate
US median of homes 10.7% · New York: 12 better, 5 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 140 eligible stays.
9.9% this home
No different from the national rate
US median of homes 7.1% · New York: 7 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 100 eligible stays.
59.0% this home
Median of homes: New York60.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 100 residents counted.
0.0% this home
Median of homes: New York0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 141 residents counted.
1.1% this home
Median of homes: New York2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 141 residents counted.
88.2% this home
Median of homes: New York98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 34 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: RIVER RIDGE OPERATING LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Braunstein, Edward | 5% or greater direct ownership interest | Individual | 25% | 02/13/2013 |
| Gellis, Cheryl | 5% or greater direct ownership interest | Individual | 5% | 01/01/2014 |
| Ruthie Hirsch Estate | Direct ownership interest | Organization | 08/28/2013 | |
| Braunstein, Michael | Direct ownership interest | Individual | 02/13/2013 | |
| Einhorn, Benjamin | Direct ownership interest | Individual | 02/13/2013 | |
| Hirsch, Daniel | Direct ownership interest | Individual | 01/01/2014 | |
| Braunstein, Edward | Operational/managerial control | Individual | 01/01/2014 | |
| McClarren, Cynthia | Operational/managerial control | Individual | 02/01/2024 | |
| Waldman, Jonathan | Operational/managerial control | Individual | 01/01/2014 | |
| Ruthie Hirsch Estate | Adp of the SNF | Organization | 08/28/2013 | |
| Braunstein, Edward | Adp of the SNF | Individual | 08/28/2013 | |
| Braunstein, Michael | Adp of the SNF | Individual | 02/13/2013 | |
| Einhorn, Benjamin | Adp of the SNF | Individual | 02/13/2013 | |
| Gellis, Cheryl | Adp of the SNF | Individual | 01/01/2014 | |
| Hirsch, Daniel | Adp of the SNF | Individual | 01/01/2014 | |
| McClarren, Cynthia | Adp of the SNF | Individual | 04/09/2025 | |
| Waldman, Jonathan | Adp of the SNF | Individual | 01/01/2014 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.