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 Tarrytown Hall Care Center during CMS and state inspections, most recent first.
The facility was found to be consistently understaffed, failing to meet the minimum staffing requirements for CNAs and nurses over a 35-day period. Interviews revealed that residents experienced delays in care, with some waiting up to three hours for assistance. Staff reported working double shifts and extra hours due to chronic understaffing, impacting their ability to provide adequate care.
The facility did not conduct annual performance appraisals for CNAs, as required by their policy. During a survey, the DON and HR Director could not provide documentation for five CNAs' appraisals. The DON acknowledged the responsibility but admitted to the lack of documentation.
The facility failed to ensure that two residents were fed by staff with State-approved training. A resident with dementia and dysphagia required a pureed diet, while another with dementia and other conditions required supervision for eating. The Speech Language Pathologist provided brief in-service training, but it was not State-approved. The administration believed this training was sufficient, but the Regional Director later restricted feeding duties to Certified Nurse Aides and Licensed Nurses.
The facility did not ensure CNAs received the required 12 hours of annual in-service training, with documentation showing only 7.0 hours for some CNAs and none for others. Clerical errors in training times were noted, and missing documentation was not resolved.
The facility failed to document Pre-Admission Screening and Resident Review (PASARR) assessments for two residents, resulting in a deficiency. One resident, admitted in 2016 with mild cognitive impairment, depression, and seizure disorder, lacked a PASARR assessment in their electronic record. Another resident with cerebral vascular accident sequelae, hemiplegia, and hypertension also had no documented PASARR assessment. The facility's Director of Social Work and Administrator acknowledged the missing documentation.
A resident at risk for pressure ulcers did not receive necessary care as heel floats were not applied as per the care plan and physician orders. Observations showed the resident in bed without the required heel floats, which were found on the floor. Staff interviews revealed a lack of awareness and adherence to the care plan, with no documentation of the use of heel floats or communication of any refusal by the resident.
A resident with severe cognitive deficits experienced a privacy breach when their bathroom light was not functioning, and they were told to leave the door open for light. The issue persisted for two months before being addressed, as maintenance was not informed over the weekend despite the family's notification. The facility lacked documentation of a work order request, highlighting a communication lapse.
Staffing Deficiencies Lead to Inadequate Resident Care
Penalty
Summary
The facility was found to have insufficient nursing staff to meet the needs of its residents, as evidenced by a review of staffing schedules and interviews conducted during recertification and abbreviated surveys. From August 22, 2024, to September 25, 2024, the facility consistently failed to provide adequate staffing on all units and shifts. Specifically, the facility was understaffed for Certified Nurse Aides (CNAs) on all 35 days reviewed and for nurses on 24 out of 35 days. The staffing levels provided by the Administrator indicated that the facility did not meet the minimum staffing requirements based on the Facility Wide Assessment and resident census. Interviews with staff and residents further highlighted the staffing deficiencies. During a Resident Council meeting, the President reported that there were not enough staff to provide necessary resident care, with some residents waiting up to three hours to be changed. Additionally, a CNA stated that the facility is always understaffed, leading them to work double shifts and extra shifts weekly. The CNA expressed that it was impossible to complete all tasks for residents when staffing levels were low, indicating a significant impact on the quality of care provided.
Failure to Conduct Annual Performance Appraisals for CNAs
Penalty
Summary
The facility failed to ensure that annual performance appraisals were conducted for Certified Nurse Aides (CNAs), as required by their Staff Development Program policy. During the recertification and abbreviated surveys, it was found that the facility could not provide evidence of annual performance appraisals for five CNAs. The Director of Nursing and the Human Resources Director were unable to produce documentation for these appraisals when requested. The Director of Nursing acknowledged the responsibility for ensuring that staff received these appraisals but admitted to the lack of documentation. This deficiency was identified during an observation and interview with the Director of Nursing and Human Resources Director, where they were unable to provide the necessary documentation for the sampled staff members.
Deficiency in Feeding Assistant Training
Penalty
Summary
The facility failed to ensure that two residents were fed by staff members who had completed a State-approved training course for feeding assistance, as required by regulations. Specifically, the facility could not provide documentation that two Resident Assistants, who were observed feeding residents with specific dietary needs, had successfully completed the necessary training. Resident #52, diagnosed with dementia and dysphagia, required a pureed diet and substantial assistance for eating. Resident #22, with dementia and other health conditions, required supervision for eating and had a mechanically altered diet due to dysphagia. The Director of Nursing stated that the Speech Language Pathologist provided in-service training for Resident Assistants upon hire, which included a competency review on thickened liquids. However, the Speech Language Pathologist admitted to not being aware of the requirement for a State-approved training course and believed that feeding residents was within the scope of practice for Certified Nurse Assistants or higher. The training provided by the Speech Language Pathologist was approximately one hour long and covered diet consistencies, fluid consistencies, and resident positioning while feeding. Interviews with Resident Assistants revealed that they had only received brief training sessions upon hire, which were not State-approved. The facility's administration believed that the training provided was sufficient for Resident Assistants to feed residents, but the Regional Director of Quality Assurance and Performance Improvement later stated that only Certified Nurse Aides and Licensed Nurses would be allowed to feed residents until further investigation. This deficiency was identified during a recertification survey and abbreviated surveys conducted over several days.
Deficiency in CNA Training Hours
Penalty
Summary
The facility failed to ensure that Certified Nurse Aides (CNAs) received the required 12 hours of annual in-service training necessary for the safe delivery of care. During the recertification and abbreviated surveys, it was found that five CNAs did not complete the mandatory training hours. Specifically, documentation provided by the Director of Nursing and Human Resources Director showed only 7.0 hours of in-service training for four CNAs, and no in-service hours were documented for one CNA. The Director of Nursing admitted to not performing staff competencies in 2024 and could not provide documentation of staff competencies after April 2023 for the CNAs in question. Further investigation revealed clerical errors in the documentation of in-service training times, as noted by the Regional Director of Quality Assurance and Performance Improvement. The incorrect times were logged by four different staff members on two separate dates, and the Regional Director was unable to explain the discrepancies. Additionally, there was a possibility that the missing documentation for one CNA might be in the Human Resources office awaiting electronic scanning, but no further documentation was provided to confirm this.
Failure to Document PASARR Assessments for Two Residents
Penalty
Summary
The facility failed to ensure that Pre-Admission Screening and Resident Review (PASARR) assessments were completed for two residents, leading to a deficiency in compliance with regulatory requirements. Specifically, there was no documented evidence of PASARR assessments for two residents reviewed during the recertification survey. The facility's policy requires that all residents have the necessary pre-admission screening prior to admission and whenever there is a significant change affecting their specialized service needs. Resident #31, who was admitted in 2016, had diagnoses including mild cognitive impairment, depression, and seizure disorder. However, there was no evidence of a PASARR assessment in their electronic medical record. The Director of Social Work and the Administrator acknowledged that the assessment might not have been scanned into the electronic record, and the original document was missing. Similarly, Resident #48, with diagnoses of unspecified sequelae of cerebral vascular accident, hemiplegia, and hypertension, also lacked documented evidence of a PASARR assessment. The Director of Social Work admitted that the assessment might not have been scanned, and the original document was not available.
Failure to Provide Pressure Ulcer Care
Penalty
Summary
The facility failed to provide necessary pressure ulcer care for a resident at risk, as observed during a recertification survey. The resident, who had a history of cerebral vascular accident, hemiplegia, and hypertension, was assessed as being at risk for pressure ulcers and had an open lesion on the foot. The care plan and physician orders required the use of heel floats for pressure reduction while the resident was in bed. However, during multiple observations, the resident was found in bed without the heel floats, which were instead observed on the floor. There was no documented evidence in the Medication Administration Record or Treatment Administration Record that the heel floats were applied. Interviews with staff revealed a lack of awareness and adherence to the care plan. A Certified Nurse Aide was unaware of the positioning devices required for the resident, and a Licensed Practical Nurse acknowledged the resident should have had offloading booties but did not know why they were not applied. The Director of Nursing stated that staff should have applied the offloading device as per the care plan and physician's order, and any refusal by the resident should have been documented and communicated to the medical provider. The deficiency was identified as a failure to ensure residents at risk for pressure ulcers received necessary treatment and services consistent with professional standards of practice.
Resident Privacy Compromised Due to Bathroom Light Issue
Penalty
Summary
The facility failed to respect a resident's right to privacy, resulting in a deficiency related to dignity. Resident #80, who has severe cognitive deficits and requires assistance with toileting and showering, was affected by this deficiency. The resident's bathroom light was not functioning, and they were instructed to leave the door open for light while using the bathroom, compromising their privacy. This issue persisted for approximately two months before being addressed. The deficiency was identified during a survey conducted from September 24 to September 28, 2024. Interviews revealed that the resident's family had informed the facility about the issue, but maintenance was not notified until the following Monday, as they were unavailable over the weekend. The Director of Maintenance stated that they could have addressed the issue over the weekend if they had been informed. There was no documented evidence of a work order request for the bathroom light repair in the facility's logbook, indicating a lapse in communication and documentation within the facility.
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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 Tarrytown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kendal On Hudson | 0.3 mi | ★★★★★ | 0 | 0 |
| The Steven And Alexandra Cohen Ped L T C Pavilion | 3.2 mi | ★★★★★ | 0 | 0 |
| Briarcliff Manor Center For Rehab And Nursing Care | 3.5 mi | ★★★★★ | 0 | 0 |
| The Grove At Valhalla Rehab And Nursing Center | 3.7 mi | ★★★★★ | 20 | 0 |
| The Knolls | 3.7 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 July 2026) and official state health department websites.