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 Seton Health At Schuyler Ridge Residential H C during CMS and state inspections, most recent first.
Two residents experienced neglect resulting in injuries and delayed care. A resident with severe cognitive impairment fell out of bed due to staff not following the care plan, while another resident with osteoporosis had a fracture misdocumented by an ADON, delaying pain management.
The facility failed to develop and implement comprehensive care plans for several residents, including those with specific medical needs such as oxygen administration, splint application, hospice care, and potential abuse risk. The lack of adherence to the facility's policy on care planning compromised resident safety and well-being.
Two residents with communication impairments were not provided with appropriate aids to maintain or improve their communication abilities. A resident with hearing loss did not have consistent access to a communication board, and staff were often unaware of its location. Another nonverbal resident's picture communication board was not used, and staff were unaware of its necessity, relying instead on yes/no questions and facial expressions. Facility policies on effective communication were not followed, impacting residents' ability to communicate.
The facility failed to provide appropriate respiratory care by not labeling oxygen tubing and not administering oxygen as per physician orders for three residents. Observations showed incorrect oxygen flow rates and unlabeled tubing, contrary to facility policy. Staff interviews confirmed these deficiencies, highlighting a lack of adherence to professional standards.
The facility failed to properly label and store medications, with several instances of missing open and expiration dates on medication carts and in a medication room. Staff interviews revealed a lack of awareness about labeling requirements for medications with shortened expiration dates. The DON indicated that the responsibility for maintaining medication carts and verifying expiration dates was assigned to the nurse passing medications, but this was not consistently executed.
The facility did not ensure residents received beverages according to their preferences and needs during a lunch meal observation. Two residents on the Saratoga Hills unit did not receive the beverages listed on their meal tickets, and staff interviews revealed inconsistencies in the process of offering drinks. Staff were expected to ask residents about their preferences, but this was not consistently done.
The facility did not maintain food service safety standards, as observed during a survey. Broken wall coving tiles were found in the dishwashing and main kitchen areas, and food particles soiled microwave ovens, refrigerators, and dining tables in three resident unit kitchenettes. The Executive Chef acknowledged these issues.
The facility failed to implement an effective infection prevention and control program, as evidenced by deficiencies involving two residents. Staff did not adhere to proper procedures for donning and doffing PPE for a resident on enhanced precautions, and another resident's wound care was conducted without proper gowning and hand hygiene. Interviews revealed a lack of awareness of Enhanced Barrier Precautions, indicating gaps in training and compliance.
The facility failed to treat residents with dignity, as staff did not knock before entering rooms, delayed meal assistance while using personal phones, and inadequately addressed wandering residents disturbing others' personal items. These actions compromised the residents' rights to privacy and timely care.
A facility failed to coordinate PASARR assessments for a resident with a new diagnosis of a serious mental disorder. The resident, admitted with chronic obstructive pulmonary disease, dementia, and Bipolar I disorder, was not referred for a PASARR Level II Evaluation despite having an active diagnosis of Bipolar I. The facility's policy required a Level II evaluation if a serious mental illness was indicated, but this was not completed. Psychiatry consults confirmed the resident's diagnosis, yet no Level II evaluation was initiated.
A resident with chronic obstructive pulmonary disease was receiving oxygen at 4.5 liters per minute, contrary to the medical order of 2 liters per minute. The care plan was not updated to reflect this change, and staff were unaware of the correct order. Interviews revealed that nursing staff should have been following the physician's orders and updating care plans accordingly.
A resident with dementia and other conditions was not provided necessary morning care on two occasions, remaining in bed while others attended activities. The resident's care plan required assistance and a preference to be up by 10:00 AM. Staff were unaware of assignments, and there was a lack of communication about staffing shortages, leading to the deficiency.
A resident with Alzheimer's and a history of falls was left alone in the bathroom, contrary to their care plan and posted signs. Staff interviews revealed inconsistencies in supervision, with the resident sometimes using the bathroom independently and turning off the chair alarm. The DON and RN Unit Manager confirmed the need for assistance, but staff did not consistently adhere to safety protocols.
A resident with a history of cerebral infarction and other conditions reported gum pain affecting their ability to chew, but the facility failed to provide emergency dental care. Despite the resident's complaints, they had not been seen by a dentist since refusing an evaluation nearly two years prior. Staff interviews revealed a lack of communication and documentation regarding the resident's dental issues, and the facility's policy for immediate referral in case of dental emergencies was not followed.
Neglect Leads to Resident Injuries and Delayed Care
Penalty
Summary
The facility failed to protect two residents from neglect, resulting in injuries and delayed care. Resident #53, who had severe cognitive impairment and a history of falls, fell out of bed and sustained injuries because the staff did not follow the care plan, which required placing fall mats next to the bed. The Certified Nurse Aide responsible for the resident's care admitted to not following the care plan, leading to the resident's fall and subsequent injuries. Resident #112, who had significant cognitive impairment and a history of osteoporosis, experienced a fall and complained of back pain. An Assistant Director of Nursing incorrectly documented that the resident's x-ray showed no fractures, despite the presence of a thoracic vertebrae fracture. This error led to a delay in appropriate pain management and care for the resident. The Assistant Director of Nursing later admitted uncertainty about reviewing the diagnostic report, and the resident's family was not informed of the change in condition.
Failure to Implement Comprehensive Care Plans
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for several residents, as identified during a recertification and abbreviated survey. For Resident #20, the care plan for oxygen administration was not followed. Resident #22's care plan required the application of a right blue posey splint, which was not consistently applied, and there was no assessment or documentation regarding the resident's refusal to wear the splint. Resident #46 did not have a care plan addressing incontinence concerns, and Resident #57 lacked a hospice care plan after transitioning to hospice care following a significant change in condition. Resident #101, who was dependent on care due to quadriplegia, did not have a care plan for potential abuse, despite reporting verbal abuse and rough treatment by a Certified Nurse Aide. The facility's investigation into the abuse allegation did not result in the development of a care plan to address the resident's vulnerability. Resident #109 and Resident #113, both with histories of aggressive behavior, did not have appropriate care plans in place or implemented. Additionally, Resident #114 did not have a care plan developed for a new wound. The facility's policy required the development of a baseline interdisciplinary care plan within 48 hours of admission and a comprehensive care plan within 14 days. However, the facility failed to adhere to this policy, resulting in inadequate care planning for the residents mentioned. This lack of comprehensive care planning compromised the residents' safety and well-being, as evidenced by the observations, interviews, and record reviews conducted during the survey.
Deficiency in Communication Support for Residents with Impairments
Penalty
Summary
The facility failed to ensure that two residents with communication impairments were provided with appropriate treatment and services to maintain or improve their communication abilities. Resident #13, who had severe cognitive impairment and hearing loss, was not consistently provided with access to a communication dry/erase board, which was necessary for effective communication. Despite the care plan and Kardex indicating the need for a communication board, staff were often unaware of its location or did not use it, relying instead on hand signals or speaking close to the resident's ear. The board was not kept with the resident, making it difficult for staff to use it when needed. Resident #74, who was nonverbal due to conditions including aphasia and dementia, was supposed to use a picture communication board to express their needs. However, the communication sheet provided was small, cumbersome, and not utilized by staff, as it was often found across the room and under other objects. Staff were not aware of the need to use the communication board and instead relied on yes/no questions and interpreting facial expressions. The Speech Language Pathologist was unaware that the picture board was not in use and had not explored other communication modalities. The facility's policies on effective communication with residents with impairments were not followed, leading to deficiencies in providing necessary communication aids to the residents. The Director of Nursing acknowledged that the communication boards should have been available and used as per the care plans, but they were not consistently accessible to the residents, impacting their ability to communicate effectively.
Deficiency in Oxygen Administration and Tubing Labeling
Penalty
Summary
The facility failed to ensure that residents received the necessary respiratory care and services according to professional standards of practice. Specifically, the facility did not date and label supplemental oxygen tubing to reflect when it was changed, and supplemental oxygen was not provided as ordered by the physician for three residents. The facility's policy on oxygen administration required that oxygen tubing be labeled and dated, and that oxygen be administered according to physician orders. However, observations revealed that the oxygen tubing for the residents was not labeled with the date of change, and the oxygen flow rates were not set according to the physician's orders. Resident #20, who had chronic obstructive pulmonary disease and was dependent on supplemental oxygen, was observed receiving oxygen at 4.5 liters per minute, contrary to the physician's order of 2 liters per minute. The oxygen tubing was not labeled with the date it was changed, and the Treatment Administration Record indicated that the tubing was to be changed weekly. Licensed Practical Nurse #3 was unaware of the correct oxygen order and acknowledged that the tubing should have been labeled. Resident #60, also with chronic obstructive pulmonary disease, was observed receiving oxygen at 3 liters per minute instead of the ordered 2 liters per minute. Similarly, the oxygen tubing was not labeled with the date of change. Resident #75, with hypertensive heart failure, was observed with an oxygen regulator set to zero and later at 4 liters per minute, but the oxygen bottle needed changing. The tubing was also unlabeled. Interviews with staff, including the Assistant Director of Nursing and the Director of Nursing, confirmed that the facility's policy was not followed, and the oxygen administration was inappropriate and potentially harmful.
Medication Labeling and Storage Deficiencies
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional standards of practice. During the recertification survey, it was observed that medication carts and a medication room contained several medications without proper labeling of open and expiration dates. Specifically, two open bottles of ear drops and four inhalers lacked open and expiration dates, while one bottle of ear drops and three bottles of eye drops were expired. Additionally, two vials of insulin and a bottle of purified protein derivative (PPD) were found without open or expiration dates. Interviews with facility staff revealed a lack of awareness regarding the shortened expiration dates of medications once opened. Licensed Practical Nurses (LPNs) were unaware of the need to label medications with open dates and expiration dates, and there was a reliance on preprinted expiration dates on bottles. The Director of Nursing (DON) indicated that the responsibility for ensuring medication carts were clean and orderly, and that medications were checked for expiration dates, fell on the nurse assigned to pass medications. However, this task was sometimes delegated to the overnight medication nurse. The facility's policy required that medications with shortened expiration dates be labeled upon opening, but this was not consistently followed by the staff, leading to the observed deficiencies.
Failure to Provide Beverages Consistent with Resident Preferences
Penalty
Summary
The facility failed to ensure that residents on the Saratoga Hills unit received beverages consistent with their needs and preferences, as evidenced during a lunch meal observation. Specifically, two residents did not receive the beverages documented on their meal tickets. One resident did not receive the 8 ounces of water listed, and another did not receive the 6 ounces of coffee. Both residents reported that they were not asked if they wanted these beverages when their meals were delivered to their rooms. Interviews with staff revealed inconsistencies in the process of providing beverages to residents. A Certified Nursing Aide mentioned that they sometimes provided drinks based on residents' preferences rather than what was listed on the meal ticket. The Registered Nurse Unit Manager and Licensed Practical Nurse confirmed that staff were expected to ask residents about their beverage preferences and provide accordingly. However, the Clinical Nutrition Manager stated that while meal tickets should guide beverage choices, residents should still be offered the drinks listed on their tickets.
Food Service Safety Deficiency
Penalty
Summary
The facility failed to ensure that food was stored, prepared, distributed, or served in accordance with professional standards for food service safety. During the recertification survey, it was observed that 10 wall coving tiles were broken in the dishwashing machine area, and seven wall coving tiles were broken in the main kitchen. Additionally, the microwave ovens, refrigerators, including door gaskets, and the undersides of dining tables were soiled with food particles in three resident unit kitchenettes. These observations were made in the [NAME] kitchenette, [NAME] A kitchenette, and [NAME] B kitchenette. The Executive Chef acknowledged the issues and indicated that they would address them with housekeeping and maintenance.
Infection Control Deficiencies in PPE Use and Wound Care
Penalty
Summary
The facility failed to implement an effective infection prevention and control program, as evidenced by deficiencies observed during a recertification survey involving two residents. For Resident #57, staff did not adhere to proper procedures for donning and doffing personal protective equipment (PPE). Specifically, a Certified Nurse Aide entered the resident's room without a gown, wearing gloves that had been used to handle outside bins, and did not sanitize hands before putting on a gown. After providing care, the aide improperly removed the gown without first removing gloves and carried the soiled gown across the hallway, failing to dispose of it in the designated receptacle immediately. In the case of Resident #77, the staff did not follow proper infection control procedures during wound care. A Licensed Practical Nurse conducted a dressing change without wearing a gown and failed to sanitize hands after removing gloves. The nurse was unaware of the requirement to wear a gown under Enhanced Barrier Precautions, which were newly implemented at the facility. Additionally, there was no hand sanitizer available in the resident's room, further complicating adherence to infection control protocols. Interviews with staff revealed a lack of awareness and understanding of the Enhanced Barrier Precautions, indicating a gap in training and compliance with infection control measures. The facility's Infection Prevention and Control Plan aimed to prevent the transmission of infectious diseases, but the observed practices demonstrated a failure to meet these objectives, compromising the safety and sanitary conditions for residents.
Failure to Ensure Resident Dignity and Timely Assistance
Penalty
Summary
The facility failed to ensure that residents were treated with dignity and respect, as evidenced by several incidents involving staff behavior and interactions with residents. For instance, multiple residents reported that staff did not knock on their doors before entering, which is a basic courtesy and respect for privacy. This was observed with several residents, including one who had reported the issue to the resident council, indicating a pattern of behavior rather than isolated incidents. Additionally, there were issues with meal service and staff engagement during mealtimes. One resident, who required assistance with feeding due to severe cognitive impairment, was left without food for an extended period while other residents were served. A Certified Nurse Aide was observed using their personal phone instead of assisting the resident, delaying the resident's meal for over 20 minutes. This lack of attention and prioritization of personal activities over resident care further highlights the deficiency in providing dignified care. Another incident involved a resident's personal items being disturbed by another resident who frequently wandered into their room. Despite the placement of a red stop sign to deter entry, the wandering continued, and staff appeared dismissive of the concerns raised by the resident's representative. These incidents collectively demonstrate a failure to uphold the residents' rights to a dignified existence and self-determination, as required by regulations.
Failure to Coordinate PASARR Assessments for Resident with Mental Disorder
Penalty
Summary
The facility failed to ensure that assessments were coordinated with the Pre-Admission Screening and Resident Review (PASARR) program for a resident with a new diagnosis of a serious mental disorder. Specifically, the resident, who was admitted with chronic obstructive pulmonary disease, dementia, and Bipolar I disorder, was not referred for a PASARR Level II Evaluation despite having an active diagnosis of Bipolar I. The facility's policy required that all individuals seeking admission undergo a PASARR Level I screening, and if indicated, a Level II evaluation should be completed by a qualified mental health professional. The deficiency was identified during a recertification survey, where it was noted that the resident's Minimum Data Set documented severe cognitive impairment and an active diagnosis of Bipolar I. Despite this, a SCREEN dated earlier in the year did not document a diagnosis of a serious mental illness. Psychiatry consults throughout the year confirmed the resident's diagnosis of major depressive disorder and bipolar disorder, yet no Level II evaluation was initiated. During an interview, a social worker indicated that the hospital was responsible for completing the PASARR, but acknowledged that a Level II screen should have been initiated if a serious mental illness was diagnosed after admission.
Failure to Update Care Plan for Oxygen Therapy
Penalty
Summary
The facility failed to ensure that the Comprehensive Care Plan for a resident was reviewed and revised by the interdisciplinary team to reflect changes in the resident's oxygen therapy. Specifically, the care plan did not include the updated medical order for the resident's oxygen liter flow. The resident, who was admitted with chronic obstructive pulmonary disease and dependence on supplemental oxygen, was observed receiving oxygen at 4.5 liters per minute, contrary to the medical order of 2 liters per minute. This discrepancy was not reflected in the resident's care plan, which documented an incorrect oxygen flow rate of 3 liters per minute. Interviews with facility staff revealed a lack of awareness and adherence to the correct oxygen order. A Licensed Practical Nurse initially believed the order was for 3 liters per minute but later acknowledged the correct order of 2 liters per minute after reviewing the medical records. The Assistant Director of Nursing and the Director of Nursing both stated that nursing staff should be aware of and follow the physician's orders, and that care plans should be updated to reflect any changes in the resident's status. The failure to update the care plan and ensure the correct oxygen administration was identified as inappropriate and potentially harmful to the resident.
Failure to Provide Necessary Care for Resident's Daily Living Activities
Penalty
Summary
The facility failed to ensure that a resident, who was unable to perform activities of daily living, received the necessary services to maintain good grooming, personal, and oral hygiene. Specifically, Resident #74 was observed in bed without morning care provided on two separate occasions, while other residents were attending meals and activities. The resident was admitted with diagnoses of achalasia, aphasia, and dementia, and required assistance with activities of daily living due to balance problems, limited range of motion, weakness, dementia, and anxiety. The comprehensive care plan indicated that the resident preferred to be out of bed by 09:30-10:00 AM and required a complete one-person assist. On two separate dates, the resident was found still in bed wearing nightclothes, with a tube feed bottle half completed at the bedside. Interviews revealed that the resident's representative had previously discussed the resident's preference to be up early with staff, who were receptive to the plan. However, the resident was still found in bed after 11:00 AM on multiple occasions. The Assistant Director of Nursing and Certified Nurse Aide were unaware of the resident's assignment, and there was a lack of communication regarding staffing assignments. Additionally, the Director of Nursing was not informed of a staffing shortage, which contributed to the failure to provide the necessary care for the resident.
Failure to Provide Adequate Supervision in Bathroom
Penalty
Summary
The facility failed to ensure a safe environment for Resident #11, who was left alone in the bathroom despite clear instructions in their care plan, Kardex, and posted signs indicating that they should not be left unattended. Resident #11, who has Alzheimer's Disease, chronic systolic heart failure, and a history of falls, was observed alone in the bathroom on multiple occasions. The resident's care plan specifically required assistance with personal hygiene and supervision in the bathroom to prevent accidents. Interviews with staff revealed inconsistencies in following the care plan. Certified Nursing Aide #1 and Licensed Practical Nurse #1 acknowledged that Resident #11 sometimes used the bathroom independently, and the chair alarm intended to alert staff was not always effective, as the resident could turn it off. Licensed Practical Nurse #2 admitted to leaving the resident alone in the bathroom, despite knowing the resident's need for supervision. The staff's failure to consistently monitor and assist the resident in the bathroom contributed to the deficiency. The Director of Nursing and Registered Nurse Unit Manager confirmed that Resident #11 required assistance in the bathroom for safety reasons. Despite the care plan and posted signs, staff did not consistently adhere to the required supervision, leading to a lapse in safety protocols. This deficiency highlights a failure in ensuring adequate supervision and accident prevention measures for Resident #11.
Failure to Provide Emergency Dental Care
Penalty
Summary
The facility failed to ensure that Resident #76 received routine and 24-hour emergency dental care, as required. Resident #76, who had diagnoses including cerebral infarction, paroxysmal atrial fibrillation, and epilepsy, reported experiencing pain in their lower gum, which made it difficult to chew food. Despite the resident's complaints on February 25, 2025, and the presence of gum pain for several weeks, the facility did not assist the resident in obtaining emergency dental care. The resident had not been seen by a dentist since March 15, 2023, when they refused an evaluation. The facility's policy required immediate referral to a dentist if pain or a dental emergency was present, but this was not followed. Interviews with staff revealed a lack of communication and documentation regarding the resident's dental issues. Licensed Practical Nurse #2 was aware of the resident's gum pain but did not report it to a Registered Nurse for further assessment. Registered Nurse #1 was unaware of the resident's complaints and stated that the resident should have been put on the list to see the dentist if they had reported gum pain. The Director of Nursing indicated that residents were expected to be seen by the dentist annually, with additional appointments as needed, but this protocol was not adhered to in the case of Resident #76.
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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 Clifton Park
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Glendale Home-schdy Cnty Dept Social Services | 6.4 mi | ★★★★★ | 7 | 0 |
| Pathways Nursing And Rehabilitation Center | 6.5 mi | ★★★★★ | 0 | 0 |
| Eddy Village Green | 7.3 mi | ★★★★★ | 0 | 0 |
| Troy Victorian Rehabilitation & Nursing Care Cntr | 7.9 mi | ★★★★★ | 7 | 1 |
| Ellis Residential & Rehabilitation Center | 8.2 mi | — | 0 | 0 |
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