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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sprain Brook Manor Rehab during CMS and state inspections, most recent first.
Failure to prevent accidents and provide adequate supervision: A high fall-risk resident with severe cognitive impairment was left unsupervised in the dayroom and suffered an unwitnessed fall with serious head and facial injuries. Another resident was transferred with a mechanical lift using a sling that was not properly inspected, and the sling failed, causing a fall and facial bruising and swelling. A third resident with dementia, fragile skin, and anticoagulant use was observed resting the head on a table and later had facial ecchymosis, with no documented intervention to prevent further bruising.
Mechanical lift and sling competency failures led to unsafe transfers for two residents. Two CNAs did not properly inspect a sling before transferring one resident, and the sling failed during the lift, causing the resident to fall and sustain facial bruising and bleeding. In a separate transfer, two CNAs did not verify even sling attachment or the lift battery charge, and the Hoyer lift lost power mid-transfer. Interviews showed gaps in CNA training and understanding of sling loop placement and lift use.
Improper Use of Furniture as a Restraint: A resident with dementia and repeated falls was observed unable to move freely in bed after another resident’s recliner and a large chair were positioned against both sides of the bed, with a dresser also blocking one side. Staff stated the items should not have been used to block the bed, and the DON and Administrator said the facility did not use restraints.
A resident with diabetes, dysphagia, and liver cancer experienced a six-month delay in receiving replacement dentures after losing them. The delay was due to multiple fittings and unclear communication among staff. The resident's diet was modified to accommodate chewing difficulties.
A resident with a urinary catheter was observed with their catheter bag exposed and visible from the hallway, compromising their dignity and privacy. The resident's care plan lacked interventions for a privacy bag, and the assigned CNA acknowledged not covering the catheter bag, stating they were now aware of the requirement.
Two residents experienced unwitnessed falls, and their care plans were not updated with new interventions. One resident, with multiple diagnoses including cancer and diabetes, suffered a tibia fracture after a fall. Another resident, with a history of cerebrovascular accident and diabetes, also had a fall. Staff interviews revealed that care plans were not revised with new interventions, only monitoring notes were added.
A resident with severe cognitive impairment and skin conditions did not receive proper skin care as per facility policy. Despite documentation indicating skin checks were performed, no skin treatment was administered, and staff were unaware of the resident's skin impairments. The DON stated that CNAs were responsible for nail care and reporting skin issues, but a CNA claimed nail care was not part of their tasks.
The facility did not adhere to professional food safety standards, as observed during a survey. Opened perishable food was improperly covered, and expired food was not discarded. In the kitchen, frozen vegetables were found exposed to air, and expired Honey Dijon sauce was overlooked due to small print on the expiration date. The Dietary Supervisor confirmed the oversight.
Failure to prevent accidents and provide adequate supervision
Penalty
Summary
The facility failed to ensure residents were free from accident hazards and provided adequate supervision to prevent accidents for three residents. The report states that Resident #5 was a high fall risk with a history of falls and severe cognitive impairment, yet on 02/07/2026 the resident had an unwitnessed fall in the dayroom while the area was not being monitored by staff. Resident #5 was found face down on the floor bleeding from the left side of the face and was transferred to the hospital. The hospital discharge summary documented a brain injury guideline 3, subarachnoid hemorrhage, facial fractures, a forehead laceration, and other injuries, and the death certificate listed complications of blunt force impact trauma from an unwitnessed low-level fall from a wheelchair. The facility also failed to properly inspect a mechanical lift sling before use during the transfer of Resident #1 on 03/29/2026. Resident #1 had diagnoses including surgical amputation and muscle weakness, was moderately cognitively impaired, had limited range of motion of both upper and lower extremities, and was totally dependent on staff for transfers. During the transfer from wheelchair to bed, the sling strap gave way and the resident fell to the floor, sustaining swelling and bruising to the left side of the face and bleeding from the mouth. The investigation and interviews described that the sling stitching attaching the strap to the corner was completely unraveled, and staff did not recall the condition of the sling before the transfer. The facility further failed to provide adequate protection for Resident #12, who had dementia, repeated falls, fragile skin, and anticoagulant use. On 06/23/2026, the resident was observed in the dayroom with the left side of the face lying flat on the table, and later was observed with dark purple and faded green and yellow ecchymotic areas to the left peri-orbital area and jawline. The record stated there was no documented evidence that interventions were provided to prevent further facial bruising while the resident rested their head on the table. Interviews indicated staff knew the resident frequently rested their head on the dining table and that a pillow under the head had been discussed, but the report did not document that this intervention had been implemented.
Mechanical Lift and Sling Competency Failures
Penalty
Summary
Nurse aides did not demonstrate competency in the safe use of mechanical lifts and transfer slings for residents who were totally dependent on staff for transfers. The facility policy required slings to be attached properly and checked before each use for wear, tears, and loose stitching, but staff did not adequately inspect the equipment or verify proper attachment during transfers. For one resident with surgical amputation, muscle weakness, limited range of motion, and moderate cognitive impairment, two CNAs used a mechanical lift to transfer the resident from a wheelchair to bed. During the transfer, the sling failed and the resident fell to the floor, sustaining swelling and bruising to the left side of the face and bleeding from the mouth. The investigation and staff interviews indicated the sling stitching had unraveled and that the aides did not properly inspect the sling before use. For another resident with COPD and dementia who was severely cognitively impaired and totally dependent for transfers, two CNAs transferred the resident with a mechanical lift without confirming the sling was attached evenly and without checking the lift battery charge. During the transfer, the lift lost power and staff had to manually maneuver the resident to complete the transfer back to bed. Interviews also showed one aide did not know the purpose of the color-coded sling loops and stated she had not received facility training because education was provided during the day shift.
Improper Use of Furniture as a Restraint
Penalty
Summary
Resident #12, who had diagnoses of dementia and repeated falls, was found by surveyors to be unable to move freely while in bed. The resident was observed on 06/28/2026 with the head positioned lower than the legs and unable to sit up. A recliner labeled with another resident’s name was placed horizontally against the right side of the bed, and a large chair was positioned with its back against the upper half of the left side of the bed, with a bedside dresser also on the left side, blocking the resident’s ability to move on either side. The record showed Resident #12 was severely cognitively impaired, had trouble sleeping, and had no inappropriate behavior documented on the MDS. Care plans addressed disturbed sleeping patterns and fragile skin, with interventions to provide a quiet and comfortable atmosphere and to handle the resident gently during care. During interviews, the CNA assigned to the resident stated no devices should be used to block the side of a bed to restrain a resident and did not know why the recliner was in the room. The RN charge nurse stated the recliner should have been removed and that the large sitting chairs should not be placed against any resident bed. The DON and Administrator stated the facility did not use restraints.
Delayed Denture Replacement for Resident
Penalty
Summary
The facility failed to provide timely dental services to a resident, resulting in a significant delay in replacing lost dentures. The resident, who had diagnoses including diabetes, dysphagia, and liver cancer, lost their dentures on June 28, 2023. Despite the facility's awareness of the issue, the resident did not receive replacement dentures until December 6, 2023, a delay of six months. During this period, the resident experienced difficulty chewing, which necessitated a change in diet consistency from regular solids to chopped food. The delay in providing dental services was attributed to several factors, including multiple fittings and complaints from the resident, as well as an initial wait period to see if the dentures would be found. Interviews with facility staff, including a registered nurse unit manager, a registered dietician, and the director of nursing, revealed a lack of clear communication and follow-up regarding the dental consults. The dentist acknowledged that the process typically takes 2-3 months, indicating that the six-month delay was excessive.
Resident Dignity Compromised Due to Unconcealed Catheter Bag
Penalty
Summary
The facility failed to ensure the dignity and privacy of a resident with a urinary catheter. Resident #95, who had diagnoses including subdural hemorrhage, hemiplegia, and urinary retention, was observed on two occasions with their catheter bag exposed and visible from the hallway. The resident's catheter bag was not covered with a privacy bag while they were in bed and in a wheelchair, which allowed for direct observation by other residents and their families. The resident's urinary catheter care plan did not include any intervention to provide a privacy bag over the catheter bag. Staff #4, the certified nurse aide assigned to the resident, acknowledged not placing a privacy bag over the catheter bag and stated they were now aware of the requirement to do so.
Failure to Update Care Plans After Resident Falls
Penalty
Summary
The facility failed to ensure that Comprehensive Care Plans (CCP) were reviewed and revised in a timely manner for two residents who experienced unwitnessed falls. Resident #7, admitted with diagnoses including cancer, congestive heart failure, diabetes, and lack of coordination, had a fall on 3/9/24 resulting in a left tibia fracture. Despite the fall, the Fall/Injury Care Plan was not updated with new interventions. The resident's care plan, initially created on 11/26/23, documented previous falls but lacked evidence of revision after the incidents on 1/1/24 and 3/9/24. Staff interviews revealed that the care plan was not updated with new interventions following the falls, contrary to the facility's practice. Similarly, Resident #215, with a history of cerebrovascular accident, diabetes, and lack of coordination, experienced a fall on 4/18/24. The resident's Fall/Injury Care Plan, created on 9/20/23, documented previous falls but was not revised with new interventions after the latest incident. Staff interviews indicated that the care plans were not updated with new interventions following the fall, and only monitoring notes were added. This lack of timely updates to the care plans for both residents highlights a deficiency in the facility's process for managing and preventing falls.
Failure to Provide Adequate Skin Care for Resident
Penalty
Summary
The facility failed to provide treatment and care in accordance with professional standards for a resident with skin conditions. The resident, who had a history of cerebral infarction, local skin infection, and adult failure to thrive, was dependent on staff for all activities of daily living and had severely impaired cognition. Despite the comprehensive care plan and Resident Nursing Instructions requiring weekly skin checks and the application of Vitamin A&D ointment every shift, there was no documentation of skin treatment being administered from February to May 2024. Certified Nurse Aide documentation indicated that skin checks were performed every shift, yet no issues were reported in the Nursing Progress notes. During observations, the resident was found with dry skin, excoriated areas, scratch marks, and dry scabs on their legs. A Registered Nurse was unaware of these skin impairments and stated there were no current orders for skin treatment. The nurse expected Certified Nurse Aides to report any skin impairments and maintain the resident's nails to prevent scratching. However, a Certified Nurse Aide stated that nail care was not part of their task assignment, contradicting the Director of Nursing's statement that it was included in the facility's policy and Resident Nursing Instructions.
Food Storage Deficiency
Penalty
Summary
The facility failed to ensure food was stored in accordance with professional standards for food safety practice during a recertification survey. Specifically, opened perishable food was not covered properly, and expired food was not discarded. During an initial tour of the kitchen, surveyors observed two cardboard boxes of frozen vegetables in the freezer for meat products with inner plastic wrap that was opened, leaving the vegetables exposed to the air. These boxes were dated with a specific date. Additionally, in the dry storage room, a box of Honey Dijon sauce was found with an expiration date that had passed. The Dietary Supervisor acknowledged that all boxes need to be kept closed with inner plastic wrap between uses and admitted that the expiration date on the sauce was overlooked due to its small print.
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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 Scarsdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Andrus On Hudson | 2.3 mi | ★★★★★ | 0 | 0 |
| Elizabeth Seton Children's Center | 2.4 mi | ★★★★★ | 0 | 0 |
| St Cabrini Nursing Home | 2.6 mi | ★★★★★ | 2 | 0 |
| Adira At Riverside Rehabilitation And Nursing | 2.8 mi | ★★★★★ | 5 | 0 |
| White Plains Center For Nursing Care, L L C | 3.8 mi | ★★★★★ | 0 | 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 October 2026) and official state health department websites.