Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Park Gardens Rehabilitation & Nursing Center L L C during CMS and state inspections, most recent first.
A resident with a catheter, BPH, and dementia was repeatedly observed in the hallway with exposed catheter tubing visible despite a privacy bag on the drainage bag. Staff interviews confirmed the tubing was not concealed, the leg bag had not been applied for a couple of days, and the DON stated the exposed tubing was a dignity and resident rights issue.
Failure to Follow Midodrine BP Parameters: A resident with hypotension and other diagnoses had a physician order for Midodrine with instructions to hold the medication if systolic BP was above 115 mmHg. Review of MARs showed the medication was given on multiple occasions even when systolic BP ranged from 120 to 142 mmHg. Interviews with the unit manager, RN, LPN, and DON confirmed staff had been reeducated on the protocol but continued to make the same medication administration errors.
A resident with hypotension received Midodrine on multiple occasions even when SBP was above the ordered hold parameter of 115 mmHg, despite staff in-service on the protocol. An RN and an LPN acknowledged possible documentation or administration errors, and the DON said nurses continued to make mistakes. The resident also had no comprehensive care plan for hypotension, which the unit manager and DON both described as an oversight.
The facility did not ensure the attending physician reviewed a resident’s total plan of care at required visits. A resident with hypotension, anemia, anxiety, and a seizure disorder had a Midodrine order with a hold parameter for systolic BP above 115 mmHg, but the MAR showed the drug was repeatedly given when BP was 120 to 142 mmHg. Monthly MRRs noted the irregularities, yet the DON, pharmacist, medical director, and attending physician stated the physician was not made aware of the repeated Midodrine errors.
A resident with hypotension, anxiety disorder, and seizure disorder had an order for Midodrine with a hold parameter for elevated SBP, but the pharmacist repeatedly identified that the medication was not held as ordered. The attending physician did not review or act on the pharmacist’s recommendations, and the DON, pharmacist, and Medical Director described confusion about whether the issue should have been addressed by nursing staff or the physician.
Exposed catheter tubing observed in hallway
Penalty
Summary
The facility failed to ensure a resident was cared for in a manner that maintained dignity when Resident #28’s urinary catheter tubing was repeatedly observed exposed and visible in the hallway. Resident #28 had diagnoses of benign prostatic hyperplasia and non-Alzheimer’s dementia, and the annual MDS documented intact cognition, dependence on staff for bed mobility, toilet use, and lower body dressing, and the presence of a catheter. Physician orders directed staff to monitor urine and record urinary output every shift and to change the urinary leg bag daily when out of bed. During observations, Resident #28 was seen in the hallway with a catheter drainage bag in a privacy bag, but the catheter tubing was exposed and light-yellow urine was visible in the tubing draining into the bag. The resident was observed again with exposed catheter tubing, including while the RN manager was present. Staff interviews indicated uncertainty about whether the tubing should be concealed, that the leg bag had not been applied for the past couple of days because the resident was rushing staff to therapy, and that exposed tubing was considered a dignity and resident rights issue. The DON stated the tubing should have been concealed better or a leg bag should have been placed when the resident was out of bed.
Failure to Follow Midodrine Blood Pressure Parameters
Penalty
Summary
The facility did not ensure that services provided met professional standards of quality when staff failed to follow the physician’s order for Midodrine for one resident. Resident #22 had diagnoses including hypotension, iron deficiency anemia, anxiety disorder, and seizure disorder, and was documented as cognitively intact and requiring supervisory assistance with activities of daily living. The physician’s order dated 08/07/2025 directed staff to give Midodrine 5 mg every 8 hours for hypotension and to monitor blood pressure daily, with instructions not to give the medication if systolic blood pressure was greater than 115 mmHg. Review of the medication administration records for September 2025 through January 2026 showed that Midodrine was not held on multiple occasions, including 09/05/2025, 09/19/2025, 09/20/2025, 09/26/2025, 09/28/2025, 10/03/2025, 10/17/2025, 10/26/2025, 12/27/2025, 01/10/2026, and 01/24/2026, even though the resident’s systolic blood pressures ranged from 120 mmHg to 142 mmHg. The monthly medication regimen reviews also documented that the protocol was to hold Midodrine when systolic blood pressure was greater than 115 mmHg. An in-service lesson plan signed by an LPN and an RN stated staff were to read the entire order and follow blood pressure parameters, but interviews with the unit manager, RN #2, LPN #2, and the DON confirmed that nurses had been reeducated on the protocol and still continued to make the same errors.
Failure to Follow Midodrine Parameters and Missing Hypotension Care Plan
Penalty
Summary
Resident #22, who had diagnoses including hypotension, anxiety disorder, and seizure disorder, was ordered Midodrine 5 mg every 8 hours for hypotension with instructions to monitor blood pressure daily and hold the medication if systolic blood pressure was greater than 115 mmHg. The resident’s quarterly MDS documented cognitive intactness and supervisory assistance with ADLs. Review of the MARs for September 2025 through January 2026 showed that Midodrine was administered on multiple occasions even when the resident’s systolic blood pressure ranged from 120 mmHg to 142 mmHg, despite the hold parameter in the physician’s order. The record also showed that the medication nurses had been in-serviced on the Midodrine blood pressure protocol and were instructed to read the full order and hold the medication when systolic blood pressure was above 115 mmHg. The unit manager and nursing staff acknowledged during interviews that the same error continued to occur after reeducation, and one RN and one LPN stated they believed some doses may have been signed as administered instead of held. The DON stated the nurses had been in-serviced but continued to make mistakes, and the unit manager was responsible for supervising medication administration and ensuring orders were followed. In addition, there was no documented comprehensive care plan addressing management of hypotension for Resident #22. The unit manager stated the resident should have had care plans developed for cardiac-related problems due to the diagnosis of hypotension, but it was missed. The DON later confirmed that no care plan had been developed for management of hypotension and described the missing cardiac care plan as an oversight.
Physician Did Not Review Repeated Midodrine Irregularities
Penalty
Summary
The facility did not ensure the attending physician reviewed Resident #22’s total program of care, including medications and treatments, at each required visit. Resident #22 had diagnoses including hypotension, iron deficiency anemia, anxiety disorder, and seizure disorder, and was documented as cognitively intact and requiring supervisory assistance with activities of daily living. The physician’s order for Midodrine 5 mg every 8 hours included a hold parameter if systolic blood pressure was greater than 115 mmHg, but monthly medication regimen reviews documented repeated irregularities with this medication order. Review of the medication administration records showed Midodrine was administered on multiple occasions when the resident’s systolic blood pressure ranged from 120 mmHg to 142 mmHg, including several dates across September 2025 through January 2026. The pharmacist documented the Midodrine irregularities in monthly reviews, but the attending physician stated they were not aware of the recommendations and did not review the medication administration records. The DON, pharmacist, and medical director each stated the Midodrine errors were handled by nursing staff and were not sent to the attending physician for review.
Failure to Act on Pharmacist Medication Review Recommendations
Penalty
Summary
The facility did not ensure that monthly Medication Regimen Reviews completed by the consultant pharmacist were reviewed and acted upon by the attending physician in a timely manner for one resident. Resident #22 had diagnoses including hypotension, anxiety disorder, and seizure disorder, and had a physician order for Midodrine 5 mg every 8 hours with instructions to monitor blood pressure daily and hold the medication if systolic blood pressure was greater than 115 mmHg. The pharmacist’s monthly reviews repeatedly identified that the resident’s systolic blood pressure was above 115 mmHg and that Midodrine was not held as ordered. The irregularities were documented on multiple monthly reviews, but there was no documented evidence that the attending physician reviewed and acted upon them. Interviews with the DON, pharmacist, Medical Director, and attending physician showed differing understandings of who should receive and address the pharmacist’s recommendations. The DON and pharmacist stated the Midodrine issues were sent to nursing staff rather than the physician, while the attending physician stated they were not aware of the recommendations and did not review the MARs.
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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.
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Nursing homes near Riverdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hebrew Home For The Aged At Riverdale | 0.6 mi | ★★★★★ | 14 | 0 |
| Methodist Home For Nursing And Rehabilitation | 1.2 mi | ★★★★★ | 0 | 0 |
| Yonkers Gardens Center For Nursing And Rehab | 1.5 mi | ★★★★★ | 33 | 0 |
| St Patrick's Home | 1.7 mi | ★★★★★ | 0 | 0 |
| Hudson Pointe At Riverdale Center For Nursing And | 1.8 mi | ★★★★★ | 1 | 0 |
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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.