Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Independence Care Center For Nursing And Rehabilit during CMS and state inspections, most recent first.
An incident occurred in which a resident reported being struck by a chair thrown by another resident. Although both residents were assessed as having intact cognition and no injuries were found, the facility failed to report the alleged abuse to the State Agency within the required two-hour window, instead submitting the report later that evening. The administrator delayed reporting while reviewing video evidence and investigating the event.
A deficiency was cited due to the facility not ensuring an area was free from accident hazards and not providing adequate supervision to prevent accidents. The report highlights insufficient safety measures and supervision protocols.
A resident with a history of aggressive behavior was involved in an incident where they hit a receptionist, who then retaliated by hitting the resident on the head. The facility's surveillance footage confirmed the sequence of events, and the investigation concluded that abuse occurred. The resident was assessed with no visible injuries but was transferred for psychiatric evaluation. The facility's policies on abuse prevention were not effectively implemented, as the resident's care plan was not updated following the incident.
A resident with a history of mental health issues was involved in an altercation with a receptionist, but the facility failed to update the resident's care plan to reflect this significant event. Despite the facility's policy requiring timely updates to care plans, the interdisciplinary team did not revise the care plan following the incident, as confirmed by staff interviews.
A resident reported being punched by an LPN, resulting in a nasal bone fracture and a fractured elbow. Surveillance footage and staff interviews corroborated the resident's account, and the LPN left the unit without reporting the incident.
The facility failed to provide baseline care plan summaries to three residents and their representatives within 48 hours of admission, as required by policy. Interviews with staff revealed inconsistencies in the process, with the unit manager and social worker confirming that summaries were not distributed despite being created on time.
A resident with hypertension and non-Alzheimer's dementia was found with discoloration on the forehead, indicating a potential injury. The facility failed to notify the resident's family as required by their policy, and there was no documentation to support that the family was informed. Interviews confirmed the lapse in communication.
A resident with severe cognitive impairment was found with a forehead injury of unknown origin, which the facility failed to report to the Department of Health within the required 2-hour timeframe. The facility concluded the injury was likely due to an unwitnessed fall, but did not follow the mandated reporting protocol.
A resident with severe edema and chronic skin conditions did not receive appropriate treatment or assessment for their skin condition. Despite observations of severe edema and scaly skin, there were no documented evaluations or treatment orders from 01/01/2024 through 03/29/2024. Interviews revealed that staff were aware of the condition but did not provide treatment.
The facility failed to maintain a resident's privacy during tracheostomy care, as a Respiratory Therapist was observed performing the procedure with the room door open. The resident had severe cognitive impairment and required regular tracheostomy care. Both the Respiratory Therapist and facility directors acknowledged the mistake and confirmed the requirement to ensure privacy.
The facility failed to develop and implement comprehensive care plans for five residents, including those on antibiotic therapy, with specific preferences, and receiving hospice care. Staff acknowledged the oversights and the responsibilities for creating these care plans.
A resident with Depression and Toxoplasma Meningoencephalitis was not provided with an ongoing activities program based on their comprehensive assessment and care plan. Observations and staff interviews revealed that the resident was often in bed with no recreational activities, and the facility's activity calendar showed no listed activities for the resident's unit. The facility's policy emphasized respecting residents' autonomy in choosing activities, but the resident's expressed interests were not met.
A facility failed to address a pharmacist's recommendation to change the administration time of Montelukast for a resident with COPD. Despite the physician agreeing to the change, the medication continued to be administered at the original time due to an oversight. The Medical Director and DON acknowledged the error.
The facility failed to update a resident's comprehensive care plan following an altercation with another resident, despite the resident having severe cognitive impairment and multiple diagnoses. The incident led to the resident being hospitalized and returning with staples to the head. A Registered Nurse Supervisor confirmed the care plan was not revised as required.
Failure to Timely Report Alleged Resident-to-Resident Abuse
Penalty
Summary
The facility failed to ensure that an alleged incident involving potential abuse between two residents was reported to the New York State Department of Health within the required two-hour timeframe. On the morning of 12/02/2024, one resident reported that another resident threw a chair, which struck them on the back. Both residents involved were assessed as having intact cognition, with one having a history of right humerus fracture and diabetes, and the other with opioid dependence, alcohol substance abuse, and pain disorder. The incident was reported to the facility staff at 7:12 AM, and the administrator was notified at 8:00 AM. Despite the facility's policy requiring immediate reporting of abuse allegations within two hours, the incident was not reported to the State Agency until 8:28 PM the same day, exceeding the mandated timeframe. The administrator acknowledged awareness of the reporting requirement but delayed submission while reviewing video footage and conducting the investigation. The delay in reporting constituted a failure to comply with regulatory requirements for timely notification of suspected abuse.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which could contribute to accidents, and that supervision protocols were not sufficient to prevent such incidents. Specific details regarding the actions or inactions of staff, the nature of the hazards present, or the condition of any residents involved are not provided in the report.
Failure to Protect Resident from Staff Abuse
Penalty
Summary
The facility failed to protect a resident from physical abuse by a staff member, as observed during an abbreviated survey. The incident involved a resident with diagnoses of Depression, Schizophrenia, and Bipolar Disorder, who had a history of aggressive behavior. On the day of the incident, the resident was in the lobby and attempted to remove a sign from the wall. The receptionist intervened, and the resident hit the receptionist's face. In retaliation, the receptionist hit the resident on the head. The facility's surveillance footage captured the sequence of events, showing the receptionist initially trying to prevent the resident from removing the sign and later retaliating after being hit by the resident. The Assistant Administrator was present during the incident and attempted to separate the resident from the receptionist. The resident was assessed by registered nurse supervisors and found to have no visible injuries, but was later transferred to the hospital for psychiatric evaluation. The facility's policies on abuse prevention and reporting were not effectively implemented, as evidenced by the failure to update the resident's care plan following the incident. The care plan had previously noted the resident's potential for being abused due to cognitive and medical decline, but it was not revised to reflect the new incident. The investigation concluded that abuse did occur, and the police confirmed the receptionist's action of hitting the resident.
Failure to Update Care Plan After Resident Altercation
Penalty
Summary
The facility failed to ensure that the comprehensive care plan for a resident was reviewed and revised by the interdisciplinary team following a significant change in the resident's condition. This deficiency was identified during an abbreviated survey, where it was found that the care plan was not updated after the resident was involved in an altercation with a receptionist. The incident, captured on surveillance camera, showed the resident hitting the receptionist, who then retaliated by hitting the resident on the head. Despite this significant event, the resident's Psychosocial Well-Being Care Plan was not updated to reflect the abuse incident. The resident involved had a history of mental health diagnoses, including Depression, Schizophrenia, and Bipolar Disorder, and had previously exhibited aggressive behavior. Prior to the incident, the resident had been transferred to the emergency room for suicidal ideation and aggressive actions. The facility's policy requires that care plans be developed and updated by the interdisciplinary team, including the resident and their family or legal representative, within a specified timeframe. However, interviews with facility staff revealed that the care plan was not updated as required, with responsibilities for updating the care plan not being fulfilled by the Registered Nurse Supervisor and Unit Manager.
Failure to Protect Resident from Physical Abuse by Staff
Penalty
Summary
The facility did not ensure that a resident was free from physical abuse by nursing home staff. Specifically, a cognitively intact resident reported to the Assistant Director of Nursing that they were punched in the nose by an LPN. Surveillance footage showed the LPN exiting the resident's room, and shortly after, the resident was seen crawling on the floor bleeding. The LPN left the nursing unit without reporting the incident to the Registered Nurse Supervisor, resulting in actual harm to the resident, including a nasal bone fracture and a fractured elbow. The facility's policy on abuse and neglect mandates that residents are free from abuse and neglect by anyone, including staff. The resident involved had a history of depression and alcohol abuse and was cognitively intact at the time of the incident. The resident's care plan included interventions to address potential abuse and behavioral symptoms. On the day of the incident, the resident had an altercation with the LPN, which escalated to physical abuse. The LPN's account of the events was inconsistent, and the surveillance footage contradicted their statements. Interviews with various staff members, including the Assistant Director of Nursing, Social Worker, and Director of Nursing, corroborated the resident's account of being punched by the LPN. The LPN was seen exiting the resident's room without any items that would indicate they were providing care. The resident was found bleeding and reported the abuse to multiple staff members. The facility's investigation concluded that abuse had occurred, and the LPN could not be located immediately after the incident.
Failure to Provide Baseline Care Plan Summaries
Penalty
Summary
The facility failed to ensure that residents and their representatives were provided with a written summary of the baseline care plan within 48 hours of admission. This deficiency was identified for three residents during the recertification survey. Resident #5, who was admitted with diagnoses of Depression and Respiratory Failure, did not receive a copy of their baseline care plan summary. Similarly, Resident #39, admitted with Depression and Toxoplasma Meningoencephalitis, and Resident #119, admitted with Respiratory Failure and Tracheostomy Status, also did not receive copies of their baseline care plan summaries. The medical records for these residents lacked documentation that the baseline care plan summaries were provided to them or their representatives. Interviews with facility staff revealed inconsistencies in the process of providing baseline care plan summaries. The unit manager stated that the admission nurse completes the baseline care plan within 48 hours but does not distribute a summary to the residents or their representatives. The social worker confirmed that while the baseline care plan is created within the required timeframe, the summaries were not provided to the residents or their representatives. The Director of Nursing acknowledged that the baseline care plan must be completed within 48 hours and discussed with the resident and their representative, but a copy of the summary was not provided as required by the facility's policy and procedure.
Failure to Notify Resident's Family of Injury
Penalty
Summary
The facility failed to ensure that the resident and/or the resident's representative was immediately informed of an accident which resulted in injury and had the potential for requiring physician intervention. This was evident for one resident who was observed with discoloration on the forehead. There was no documented evidence that the resident's representative was notified of the change in the resident's condition. The facility's policy requires prompt notification of the resident's representative in such cases, but this protocol was not followed. The resident had a history of hypertension and non-Alzheimer's dementia and was severely impaired in cognitive skills for daily decision-making. On the morning of the incident, the night shift supervisor noted the discoloration on the resident's forehead and claimed to have left a message for the family, but there was no documentation to support this. Interviews with the resident's representative and facility staff revealed that the family was not informed of the incident. The Director of Nursing confirmed that it was the responsibility of the unit manager and supervisors to notify the family and document the communication, which did not occur in this case.
Failure to Report Injury of Unknown Source
Penalty
Summary
The facility failed to ensure that all alleged violations involving injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, to the New York State Department of Health. This deficiency was evident for one resident who was observed with discoloration to the forehead on 01/15/2024 at 6:30 AM. The resident, who had diagnoses of Hypertension and Non-Alzheimer's Dementia and was severely impaired in cognitive skills for daily decision making, could not explain how the injury occurred. The incident was unwitnessed, and the facility did not report it to the Department of Health as required by their policy and procedure on abuse and neglect, which mandates a 2-hour notification for any alleged or suspected case of abuse or neglect. The facility's investigation concluded that the resident likely sustained the injury from an unwitnessed fall, as suggested by the resident's roommate who saw the resident getting up from the floor. Despite this conclusion, the facility did not follow the mandated reporting protocol. The Director of Nursing stated that they did not report the discoloration because they believed it was from a fall based on the roommate's statement. This failure to report the injury immediately to the Department of Health constitutes a deficiency in adhering to regulatory requirements for reporting suspected abuse, neglect, or mistreatment.
Failure to Treat Resident's Skin Condition
Penalty
Summary
The facility did not ensure that Resident #99 received treatment and care in accordance with professional standards of practice. On 03/29/2024, Resident #99 was observed with severe edema, dry, and thick scaly skin on both lower extremities. Despite these observations, there was no documented evidence that the skin condition was evaluated or treated. The resident's care plan, which included interventions for skin inspection, was last reviewed on 02/18/2024, but the most recent evaluation note from 01/24/2024 indicated no skin impairment. Podiatry notes from 01/27/2024 and 02/25/2024 documented severe pitting edema and open lesions, yet no follow-up assessments or treatment orders were found in the resident's progress notes or physician's order report from 01/01/2024 through 03/29/2024. Interviews with the resident and staff revealed that the nurses were aware of the skin condition but did not provide treatment. The Assistant Director of Nursing confirmed that treatment orders for the resident's skin condition had been discontinued the previous year. The attending physician stated that there had been no reported concerns or changes in the resident's condition that would prompt an evaluation or new treatment orders. This lack of assessment and treatment for the resident's skin condition constitutes a deficiency in the facility's care practices.
Failure to Maintain Resident Privacy During Tracheostomy Care
Penalty
Summary
The facility did not ensure that a resident's privacy was maintained during a medical procedure. Specifically, a Respiratory Therapist was observed performing tracheostomy care for a resident with the room door open. This incident involved a resident who had severe cognitive impairment and required regular tracheostomy care and suctioning. The facility's policy mandates that residents' privacy must be maintained during such procedures, which includes keeping the door closed and curtains pulled. During the survey, the Respiratory Therapist acknowledged the mistake and stated that the door should have been closed to maintain privacy. Both the Director of Respiratory Therapy and the Director of Nursing confirmed that staff are required to ensure privacy during tracheostomy care. The deficiency was identified based on observations, interviews, and record reviews conducted during the Recertification Survey.
Failure to Develop and Implement Comprehensive Care Plans
Penalty
Summary
The facility did not ensure that a comprehensive person-centered care plan was developed and implemented for each resident. This deficiency was observed in five residents. Resident #39, who was admitted with diagnoses of Depression and Toxoplasma Meningoencephalitis, had no care plan in place for antibiotic therapy despite being prescribed Bactrim DS. The unit manager admitted that a care plan should have been in place but was forgotten. The Director of Nursing confirmed that the responsibility for initiating the care plan lay with the unit manager, supervisor, or the Registered Nurse who picked up the order, and that the Infection Control Nurse should have ensured the care plan was in place for antibiotic therapy. Resident #108, admitted with Hemiplegia and Hemiparesis following Cerebral Infarction, Seizures, and Schizoaffective Disorder, had no care plan developed to address their preference to wear a night gown in the dayroom. Despite observations of the resident in the dayroom wearing a night gown and staff attempts to redirect the resident to get dressed, no care plan was created. The unit manager and the Director of Nursing Services both acknowledged that a care plan should have been developed to reflect the resident's preference. Resident #82, admitted with diagnoses of Diabetes Mellitus and Hypothyroidism, was receiving hospice care but had no care plan initiated for this service. The social service progress note and physician's order confirmed the resident's hospice care status, but the care plan was missing. The Assistant Director of Nursing and the Director of Social Service both admitted that the care plan for hospice care was not created due to an oversight, despite it being the social worker's responsibility to do so.
Lack of Resident Activity Engagement
Penalty
Summary
The facility did not ensure that an ongoing activities program was provided based on the comprehensive assessment, care plan, and preferences of each resident. This deficiency was evident for one resident who was admitted with diagnoses of Depression and Toxoplasma Meningoencephalitis. The resident's Minimum Data Set assessment indicated a moderate cognitive impairment and a strong interest in activities such as reading, listening to music, keeping up with the news, participating in group activities, and attending religious services. However, observations revealed that the resident was often in bed with no ongoing recreational activities, and the facility's activity calendar showed no listed activities for the resident's unit. Interviews with staff confirmed the lack of activity engagement for the resident, and there was no documented evidence of activity assessment, notes, or attendance records in the resident's medical records. The facility's policy on Quality of Life - Resident Self-Determination and Participation emphasized the importance of respecting and promoting each resident's autonomy in choosing activities consistent with their interests and care plan. Despite this, the resident expressed a desire for activities like bingo and church services, which were not provided. Staff interviews revealed that the usual routine of taking residents to the dayroom for activities had not resumed post-COVID-19, and the recreation staff's involvement was limited to turning on the television in residents' rooms. The Director of Recreation and the Director of Nursing both acknowledged the lack of scheduled activities and bedside engagement for the resident's unit, confirming the deficiency in meeting the resident's activity needs.
Failure to Address Pharmacist's Medication Regimen Review Recommendation
Penalty
Summary
The facility failed to address an irregularity identified by the pharmacist during a Medication Regimen Review for a resident diagnosed with Schizophrenia, Chronic Obstructive Pulmonary Disease (COPD), and Obstructive Sleep Apnea. The pharmacist recommended changing the administration time of Montelukast from 9:00 AM to bedtime for maximum benefit. Although the physician agreed to the recommendation, the order was not updated, and the medication continued to be administered at 9:00 AM as documented in the Medication Administration Record from 02/28/2023 through 03/31/2024. Interviews with the Licensed Pharmacist Consultant, Medical Director, and Director of Nursing revealed that the recommendation was not acted upon appropriately. The Medical Director admitted it was an oversight and should have indicated disagreement if that was the case. The Director of Nursing acknowledged that the physician should have acted upon the pharmacist's recommendation and took full responsibility for the oversight.
Failure to Update Care Plan After Resident Altercation
Penalty
Summary
The facility did not ensure that each resident's comprehensive care plan was reviewed and revised by the interdisciplinary team following an occurrence of resident-to-resident physical abuse. This deficiency was evident for one resident who was involved in an altercation with another resident. The comprehensive care plan for this resident, who had diagnoses including Diabetes Mellitus, Acute Respiratory Failure, and Bipolar Disorder, and severely impaired cognition, was not updated with new interventions after the incident. The incident occurred when the resident was involved in an unwitnessed altercation with another resident, resulting in both residents being transferred to the hospital for evaluation. The resident returned to the facility with staples to the head. Despite the facility's policy requiring care plans to be revised as residents' conditions change, there was no documented evidence that the care plan was updated following the altercation. A Registered Nurse Supervisor confirmed that the care plan had not been updated as required.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,609 citations issued within 25 miles in the last 12 months — including the 20 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Riverdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Schervier Nursing Care Center | 0.2 mi | ★★★★★ | 0 | 0 |
| New Riverdale Rehab And Nursing | 0.2 mi | ★★★★★ | 0 | 0 |
| Hudson Pointe At Riverdale Center For Nursing And | 0.4 mi | ★★★★★ | 1 | 0 |
| Manhattanville Health Care Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Prestige Nursing Care & Rehab Center | 0.6 mi | ★★★★★ | 11 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Independence Care Center For Nursing And Rehabilit.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.