Above average — CMS composite of the measures below.
The next survey window likely opens around February 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 Sky View Rehabilitation & Health Care Center L L C during CMS and state inspections, most recent first.
Unsafe and Unclean Resident Environment: Wheelchairs on two units were observed with dried food buildup and damage, while the 2nd Floor dining room had stained window shades, sagging wallpaper, a damaged windowsill, dusty fans, and a tube feeding pump stained with dried formula. On the 3rd Floor, resident room bathroom doors and walls had warped, peeled, chipped, and stained surfaces, along with a broken drawer handle. Housekeeping and maintenance staff reported routine cleaning and logbook checks, but several of the observed concerns were not documented or known to staff.
Missing Annual CNA Performance Reviews: Four of five CNAs did not have documented annual performance reviews as required by facility policy. Interviews showed the HR Director, DON, and Administrator each described different responsibilities for tracking, completing, and filing the reviews, and the facility was behind in completing them.
A facility failed to provide a dignified dining experience when residents seated at the same table were served lunch at different times, leaving some residents waiting while tablemates began eating. The affected residents had dementia or other diagnoses and required varying levels of eating assistance. Staff said trays were sent based on floor location, and an LPN/Unit Manager said residents were seated by social preference rather than tray timing.
Dialysis Communication and Oversight Not Maintained: A resident with ESRD received hemodialysis at an outside center, but the facility did not consistently complete or review the dialysis communication binder, did not maintain ongoing communication with the dialysis center, and was unaware the resident was on a 1000 mL/day fluid restriction. The resident reported staff did not reliably obtain pre-dialysis vital signs or collect the binder after treatment, and the dialysis RN confirmed the facility stopped providing the communication form and did not relay additional information.
Improper Medication Storage at Bedside: A resident with intact cognition and orders for staff-managed meds had Aspirin, Tums, Tylenol, and Vitamin D3 stored on a shelf next to the bedside instead of in a locked med storage area. The RN UM said the meds likely came from family and should have been in the med room, and an RN stated meds, including OTCs, should be kept in the locked med cart or med room, not at the bedside.
A resident with dementia, Alzheimer's, and a history of stroke, who was assessed as needing two-person assistance for bed mobility, was left unattended by a CNA who attempted care alone. The resident rolled off the bed, sustaining lumbar fractures and a scalp laceration, after the CNA failed to follow the care plan and did not seek help from another staff member. Interviews confirmed the CNA was aware of the two-person assist requirement but did not comply, resulting in actual harm.
The facility failed to ensure proper food storage, preparation, and handling. Observations included a soiled flour bin, an opened container of peanut butter with a soiled lid, and a heavily soiled rack for storing cleaned kitchen equipment. Additionally, expired and undated food items were found in a nourishment refrigerator, and a food server/cook contaminated food with their ID tag and did not perform hand hygiene between glove changes.
A resident with limited range of motion and mobility was not provided with bilateral hand splint devices as ordered by the physician. The resident's care plan, physician orders, and CNA Kardex documented that bilateral hand rolls were to be worn at all times, but observations revealed that the resident had a hand roll in only one hand. Staff interviews confirmed the deficiency.
Unsafe and Unclean Resident Environment
Penalty
Summary
The facility did not ensure a safe, sanitary, homelike environment for residents on the 2nd and 3rd Floors. During observations, wheelchairs on both units were found soiled with dried and crusted food particles, including a wheelchair used by a resident on the 2nd Floor that was caked with old food on the large wheels and a wheelchair used by a resident on the 3rd Floor that had stains on the metal bars and leg rest covers, along with a torn left brake handle cover. The Director of Housekeeping stated housekeeping staff were responsible for wheelchair cleaning and that wheelchair cleaning was scheduled once a month, with cleaning done in the shower rooms on the unit during evening shift. On the 2nd Floor, the dining room had a stained window shade, a cracked windowsill with a large section separating from the wall, sagging wallpaper throughout the room, and a tube feeding pump stained with dried formula in a resident room. Dusty fans were also observed at the nursing station and in a resident room. The Director of Housekeeping stated they were unaware of the stained window shade and that the housekeeping schedule for the dining room did not include window dressings in routine general cleaning. The Assistant Director of Maintenance stated the dining room had been part of a focused repair project in 11/2025, but they were unaware the wallpaper was sagging or that the wooden windowsill was damaged and loose, and unit staff had not reported repair concerns in the logbook. On the 3rd Floor, resident room bathroom doors and walls were observed with warped bottoms, peeled wallpaper, deep gouges, exposed plaster, brown stains on the ceiling and walls, chipped and peeled plaster, discoloration on the baseboard, a broken drawer handle, and a warped closet wall with chipped areas. Staff stated there was a maintenance log book at the nurses station and that maintenance staff checked it regularly, but the Director of Maintenance confirmed the last entry in the 3rd Floor maintenance book was unrelated and there were no entries for the bathroom door and wall damage or the broken drawer handle. The Director of Maintenance stated they were aware of some of the peeling wallpaper and discoloration, but were not aware of the broken drawer handle. The Administrator stated the facility was aware of room repairs needed and that maintenance staff were responsible for repairs and should be checking the unit binder regularly.
Missing Annual CNA Performance Reviews
Penalty
Summary
Certified Nurse Aide performance reviews were not completed at least once every 12 months for four of five CNAs reviewed. The facility policy titled "Performance Reviews and 12-hour Education for Certified Nurse Aides" dated 8/1/2023 stated that a performance review is completed once every 12 months. However, there was no record of an annual performance review for CNA #1, hired 1/30/2025, CNA #2, hired 2/10/2022, CNA #3, hired 2/13/2019, and CNA #4, hired 12/12/2012. During interviews, the Human Resources Director stated each department head was responsible for ensuring annual performance reviews were completed, and for the Nursing Department the Unit Manager was responsible for completing them timely. The Human Resources Director stated the reviews were filed in the employee file and they were unaware the reviews were not up to date. The DON stated Human Resources was responsible for tracking that performance reviews were completed and filed, and that reviews had been completed but the facility had not been able to catch up and ensure they were all completed. The Administrator stated they were aware performance reviews should have been completed every 12 months and that the facility was completing them annually based on hire date and was behind.
Uneven meal service disrupted residents’ dignified dining experience
Penalty
Summary
The facility did not ensure a dignified dining experience for five residents during lunch service. Residents #57 and #85 were seated at the same table with Resident #118, and Residents #33 and #54 were seated together at another table. Resident #118 received a lunch tray at 12:14 PM and began eating while Residents #57 and #85 waited; Resident #57 did not receive a tray until 12:34 PM and Resident #85 until 12:36 PM. At the other table, Resident #54 received a tray at 12:16 PM and Resident #33 did not receive a tray until 12:36 PM, leaving tablemates served at different times. The residents involved had significant care needs and impaired cognition. Resident #85 had dementia, major depressive disorder, and hypertension, and required supervision or touch assistance with eating. Resident #118 had diabetes, major depressive disorder, and COPD, with severely impaired cognition and a need for supervision or touch assistance with eating. Resident #57 had dementia, CKD, and hypothyroidism, with severely impaired cognition and a need for supervision or touch assistance with eating. Resident #33 had hypertension, hyperlipidemia, and anxiety disorder, with severely impaired cognition and a need for supervision or touch assistance with eating. Resident #54 had dementia, hyperlipidemia, and hypertension, with moderately impaired cognition and a need for set up or clean up assistance with eating. Staff stated trays were sent at different times based on the side of the floor residents lived on, and an LPN/Unit Manager stated residents were seated by who got along with whom rather than tray arrival time.
Dialysis Communication and Oversight Not Maintained
Penalty
Summary
Provide safe, appropriate dialysis care/services for a resident who requires such services was not met for one resident who received hemodialysis at a community-based dialysis center. The resident had diagnoses including end stage renal disease, hypertension, and diabetes mellitus, and the 02/14/2026 MDS documented the resident was cognitively intact and required hemodialysis on Monday, Wednesday, and Friday. The care plan and physician orders documented the dialysis schedule and ambulette pick-up time. The facility’s dialysis communication binder was intended to carry essential resident information to and from dialysis, including vital signs, symptoms, labs, medications, and other updates. Review of the binder showed the facility documented and signed the form on some earlier dialysis dates, but the facility nurse did not sign the return-review section. After 01/30/2026, no facility dialysis forms were found in the binder. The dialysis center then documented treatment information on blank sheets of paper for multiple subsequent treatments, and there was no documented facility communication or evidence that those dialysis center notes were reviewed. The dialysis center documented on two occasions that the resident was to remain on a renal diet and fluid restriction of 1000 milliliters total per day, but the facility dietitian stated they were unaware of any fluid restriction in place. The resident stated staff were expected to collect the communication book after dialysis, but it was not collected or reviewed, and staff did not consistently take vital signs before dialysis. The dialysis center RN stated the facility did not consistently complete the communication forms and had not called to provide additional information not documented in the book. The unit manager and assistant DON described the expected use of the communication book and post-dialysis review process, but the binder was described as disorganized and the facility had not maintained ongoing communication with the dialysis center.
Improper Medication Storage at Bedside
Penalty
Summary
Drugs and biologicals were not maintained in accordance with accepted professional standards for storage when Resident #128 had multiple medications stored at the bedside in the room. During observations on 02/24/2026 and 02/27/2026, containers of Aspirin, Tums, Tylenol, and Vitamin D3 were seen on a shelf next to the resident’s bed rather than in a locked medication storage area. The resident had diagnoses including hypertension, major depressive disorder, and vitamin D deficiency, and the quarterly MDS dated 01/13/2026 documented intact cognition. The physician’s order dated 01/20/2026 documented that the resident/representative deferred self-administration of medication to nursing staff. Additional orders included enteric coated aspirin 81 mg daily, vitamin D3 1000 units daily, and acetaminophen 325 mg, two tablets every 6 hours as needed. The facility’s medication storage policy stated medications were to be accessible only to authorized staff and locked at all times except when under direct supervision. During interviews, the RN Unit Manager stated the bedside medications likely came from the resident’s family member and should have been stored in the medication room, while an RN stated medications should be kept in the locked medication cart and/or medication room and not at the bedside, including OTC medications.
Failure to Provide Required Two-Person Assist Results in Resident Fall and Injury
Penalty
Summary
A deficiency occurred when a resident who required two-person assistance for bed mobility was provided care by only one certified nurse aide (CNA). The resident, who had diagnoses including dementia, Alzheimer's disease, and a history of cerebral infarction and ventriculoperitoneal shunt, was assessed as having moderate cognitive impairment and was totally dependent on staff for bed mobility and transfers. The care plan and CNA care guide both specified the need for two-person physical assistance for this resident. On the day of the incident, the CNA was preparing to change the resident's draw sheet and left the resident positioned on their left side while retrieving a clean sheet from the end of the bed. During this time, the resident rolled off the bed and fell to the floor. The CNA was aware of the two-person assist requirement but did not seek assistance from another staff member. The fall was witnessed by the CNA, and subsequent assessment revealed the resident sustained fractures to the L1 and L2 lumbar vertebrae and a laceration to the posterior scalp, requiring hospital admission and sutures. Interviews with facility staff confirmed that the CNA did not follow the care plan instructions and did not request help from another aide, despite knowing the resident's needs. Other staff members, including a nurse and a supervisor, indicated that the incident could have been prevented if the care plan had been followed. The resident's condition at the time of the incident included significant physical and cognitive impairments, making them highly dependent on staff for safe mobility.
Food Storage and Handling Deficiencies
Penalty
Summary
The facility did not ensure that foods were stored, prepared, distributed, and served in accordance with professional standards for food service safety. During an initial tour of the kitchen, surveyors observed a large, standing flour bin in the dry storage room with heavily soiled external surfaces. The Food Service Director (FSD) acknowledged the lack of a cleaning schedule for the flour bin and the potential risk of contamination. Additionally, an opened container of peanut butter with a soiled lid was found, and the FSD admitted that it should have been cleaned. A 3-shelf rack used for storing cleaned and sanitized kitchen equipment was also found to be heavily soiled, and the FSD confirmed that it required cleaning. The FSD was unable to provide documentation of scheduled cleaning tasks being completed. An inspection of the nourishment refrigerators revealed expired and undated food items in one of the refrigerators. The FSD stated that all staff were responsible for checking dates and discarding outdated items. Furthermore, a food server/cook was observed contaminating food with their ID tag and failing to perform hand hygiene between glove changes. The server/cook was unaware of the contamination and could not explain the lack of hand hygiene. These observations indicate a failure to maintain sanitary conditions and proper food handling practices, posing a risk of contamination and illness to residents.
Failure to Provide Bilateral Hand Splints as Ordered
Penalty
Summary
The facility did not ensure that Resident #158, who had limited range of motion and mobility, received the necessary care and equipment to maintain or improve function. Specifically, the resident was not provided with bilateral hand splint devices as ordered by the physician to improve the resident's contractures. The resident had diagnoses including pulmonary embolus, functional quadriplegia, and diabetes, and was dependent on staff for all activities of daily living. The resident's care plan, physician orders, and CNA Kardex all documented that bilateral hand rolls were to be worn at all times. During multiple observations, it was noted that the resident had a hand roll in the left hand but nothing in the right hand. Interviews with staff revealed that the CNA was unsure which hand should have the roll, and the Director of Rehabilitation confirmed that the resident did not have the hand rolls in both hands as required. The Director of Nursing also confirmed that the resident should have had hand rolls in both hands according to the care plan and Kardex instructions.
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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 Croton On Hudson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Springvale Nursing & Rehabilitation Center | 1.5 mi | ★★★★★ | 29 | 0 |
| New York State Veterans Home At Montrose | 2.3 mi | ★★★★★ | 4 | 0 |
| Northern Riverview Health Care, Inc | 3.2 mi | ★★★★★ | 23 | 0 |
| Sunshine Children's Home And Rehab Center | 3.3 mi | ★★★★★ | 0 | 0 |
| Cedar Manor Nursing & Rehabilitation Center | 3.6 mi | ★★★★★ | 2 | 0 |
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