Above 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 The Riverside during CMS and state inspections, most recent first.
A resident with intact cognition and limited upper-extremity ROM was served reheated hot water by a CNA, spilled it onto the right thigh, and sustained a burn that became a blister and was later identified as a 2nd-degree burn. In a separate incident, a resident with Alzheimer’s disease and osteoporosis who required 2-person transfer assistance was moved by a CNA without the required second staff member; the resident’s leg became caught in the wheelchair and resulted in four skin tears to the right lower leg.
Failure to Timely Report and Investigate Alleged Neglect: A resident with DM and AFib spilled hot water on the right thigh after reaching over a breakfast tray, and the facility later documented erythema, tenderness, and treatment orders. The incident was not reported to the state within the required 2 hours, and the follow-up investigative report was not submitted within 5 working days; the DON and Administrator stated the report was delayed because blistering was not seen immediately and could not explain the late investigation submission.
Failure to Thoroughly Investigate Abuse Allegation: A resident with dementia, psychotic disorder, and hemiplegia alleged that a CNA was rough during turning and perineal care and also struck the resident on the lip. Staff assessed the lip with no visible injury and the facility’s investigation focused on the lip incident, concluding there was no credible evidence of abuse; however, the record contained no documented investigation of the resident’s allegation of rough perineal care or rough handling during repositioning.
A resident with Alzheimer’s disease, psychotic disorder, and hemiplegia was documented as requiring two staff for care due to accusatory behaviors, but a CNA provided care alone despite the care plan. The resident complained the aide was rough during turning and perineal care and alleged being struck on the lip, while staff interviews confirmed the resident’s two-person assist requirement and that assistance was not obtained.
A resident was unable to participate in care plan meetings due to scheduling conflicts with dialysis appointments. Despite being informed of the issue, the facility did not reschedule the meetings to accommodate the resident's availability, contrary to their policy. Staff interviews confirmed awareness of the conflict, but meetings proceeded without the resident's involvement.
The facility failed to implement comprehensive care plans for two residents, one with dementia and another on opioid and antidepressant medications. Despite severe cognitive impairment and medication needs, care plans were not initiated or monitored, as revealed by interviews with the DON and Social Work Department. This oversight highlights a gap in adherence to the facility's care planning policies.
The facility failed to provide an ongoing activities program for residents in the Memory Care unit, resulting in two residents with severe cognitive impairments not receiving activities that met their preferences and abilities. Observations showed residents often left without engaging activities, relying on television for entertainment. Staff interviews revealed inconsistencies in activity provision, particularly when the assigned activity aide was off duty.
A resident with severe cognitive impairment was physically abused by a CNA, as captured on a video recording device in the resident's room. The incident involved the CNA grabbing and hitting the resident, resulting in purplish discolorations on the resident's hands and arm. The abuse was reported by the resident's wife, and the CNA was subsequently terminated after refusing to provide a statement. The facility's failure to prevent this incident highlights a deficiency in protecting residents from abuse.
Unsafe Hot Liquid Service and Improper Transfer Assistance
Penalty
Summary
The facility failed to ensure the resident environment remained free of accident hazards and failed to provide adequate supervision to prevent accidents for two residents. One resident, who had diagnoses of diabetes mellitus and atrial fibrillation and was documented as cognitively intact with impaired range of motion in both upper extremities, was eating breakfast in bed when a CNA reheated a cup of water in the microwave and placed it on the resident’s tray. The resident reached over the tray, spilled the hot water onto the right thigh, and sustained a burn that later developed into a blister and was determined by the wound care physician to be a second-degree burn. The facility’s investigation documented that the CNA heated the water and placed it on the tray, and the resident stated they reached for the mug and knocked it over onto the leg. The resident’s care record indicated setup assistance for eating, and the facility’s microwave reheating policy required use of a thermometer, stirring, and temperature checks before serving hot liquids. Interviews later confirmed the CNA did not recall the incident and did not state whether the temperature was checked before serving the liquid. A second resident, who had Alzheimer’s disease, osteoporosis, severely impaired cognition, and dependence on staff for all ADLs, required substantial maximal assistance of two staff for bed-to-chair and chair-to-bed transfers. During a transfer from bed to wheelchair, a CNA transferred the resident without the required second staff member. The resident’s right leg became caught between the wheelchair frame and leg rest, and the resident sustained four skin tears to the right lower leg. The incident investigation concluded the CNA did not follow the resident’s care plan requiring two-person assistance for transfers.
Failure to Timely Report and Investigate Alleged Neglect
Penalty
Summary
The facility failed to ensure that an alleged violation involving neglect for Resident #14 was reported to the New York State Department of Health within the required 2-hour timeframe and that the results of the investigation were submitted to the State Survey Agency within five working days. Resident #14 had diagnoses including diabetes mellitus and paroxysmal atrial fibrillation, and the MDS documented intact cognition, need for setup or supervision with most ADLs, and impairment of both upper extremities. On 02/21/2025, the resident spilled hot water on the right thigh while reaching over the breakfast tray, and the nurse documented erythema and tenderness to the area with physician orders for treatment. The facility incident report stated that CNA #11 heated water in the microwave and placed it on the resident’s tray, after which the resident reached over the tray and spilled the water onto the right thigh. The facility investigation concluded there was no credible evidence that the incident was caused by abuse, neglect, or mistreatment, but the incident was not reported to the state within 2 hours and the follow-up investigative report was not submitted within five working days. The DON and Administrator stated that the incident was not reported timely because blistering was not identified immediately and later appeared, and they were unable to explain why the five-day investigation report was not submitted on time.
Failure to Thoroughly Investigate Abuse Allegation
Penalty
Summary
The facility failed to ensure that all allegations of abuse were thoroughly investigated for one resident who had Alzheimer’s disease, psychotic disorder, hemiplegia, moderately impaired cognition, and required assistance with turning and toileting hygiene. On 03/10/2026, the resident told RN #8 that the assigned CNA was rough while turning them and providing perineal care, and also alleged being struck on the lip with a hard object. RN #8 assessed the resident and noted no visible injury to the lips, and the ADON and DON were notified. The resident later told psychiatry that the night nurse came at 3:00 AM to change them, cleaned their private parts roughly, and turned them roughly in bed, stating this happened every single night. The facility incident report and summary of investigation focused on the lip allegation and concluded there was no credible evidence to substantiate abuse, neglect, or mistreatment. However, review of the investigative report and staff written statements showed no documented evidence that the resident’s allegation of rough perineal care and rough handling during repositioning was investigated. Interviews with staff reflected that the facility’s investigation centered on the reported lip contact, which staff described as accidental contact from a call bell or the resident turning their face. RN #8, the ADON, the DON, and the Administrator stated the resident only reported being hit on the lip, while the DON stated the investigation focused only on the lip injury because the resident rambles on about many issues. The physician stated it was possible the resident had reported being handled roughly during care, but no examination of the perineal area was performed.
Failure to Follow Two-Person Assist Care Plan
Penalty
Summary
The facility failed to ensure Resident #29 received care in accordance with the resident’s plan of care and professional standards of practice. Resident #29 had diagnoses including Alzheimer’s disease, psychotic disorder, and hemiplegia. The resident’s MDS documented moderately impaired cognition, no physical or verbal behavioral symptoms directed toward others, and no rejection of care, while the Kardex and CNA documentation identified the resident as requiring two staff members for care due to accusatory behaviors. On 03/20/2026, CNA #23 provided care to Resident #29 without a second staff member, despite the documented two-person assist requirement. The incident record stated the resident complained the aide was rough during turning and perineal care and alleged being struck on the lip with a hard object, although RN #8 found no discoloration, induration, redness, or swelling to the lip. Interviews with the ADON, LPN #6, CNA #23, the DON, and the Administrator confirmed that the resident required two-person assistance and that CNA #23 did not obtain assistance before providing care.
Resident Excluded from Care Plan Meetings Due to Scheduling Conflicts
Penalty
Summary
The facility failed to ensure that a resident participated in the development and implementation of their person-centered care plan. Specifically, the care planning meetings were consistently scheduled on a day when the resident was unavailable due to dialysis appointments. Despite being informed of the scheduling conflict, the facility did not reschedule the meetings to accommodate the resident's availability. This issue was evident in the case of a resident with intact cognition, who was unable to attend care plan meetings scheduled on Mondays, the same day as their dialysis treatments. Interviews with facility staff, including the social worker, discharge planner, and director of social services, revealed awareness of the scheduling conflict. However, the care plan meetings proceeded without the resident's participation. The facility's policy stated that every effort should be made to schedule care plan meetings at a convenient time for the resident, but this was not adhered to in practice. The deficiency was identified during a recertification survey, highlighting a lack of coordination in scheduling care plan meetings that accommodate the resident's medical appointments.
Deficiency in Comprehensive Care Planning for Residents
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for two residents, leading to deficiencies in addressing their medical and psychosocial needs. Resident #100, diagnosed with Non-Alzheimer's Dementia, did not have a care plan in place to address their cognitive impairment. Despite being admitted with severe cognitive impairment and a history of falls, the care team, including the Director of Nursing and the Social Work Department, did not ensure that a care plan was initiated or implemented. Interviews with the Director of Nursing and the Director of Social Work revealed a lack of clarity and oversight in the responsibility for initiating and monitoring care plans for residents with cognitive impairments. Resident #186, who was receiving Oxycodone for pain management and Citalopram for depression, also lacked a comprehensive care plan addressing the use of these medications. The resident's medical records showed no evidence of care plans that included the purpose and potential side effects of the medications. Interviews with the Registered Nurse Manager and the Director of Nursing indicated that care plans should have been created by the nurse manager on duty when the medication orders were placed, but no explanation was provided for the oversight. The facility's policy on Comprehensive Care Planning, revised in October 2024, mandates the development of care plans with measurable objectives to meet residents' needs. However, the failure to implement these care plans for Residents #100 and #186 highlights a significant gap in the facility's adherence to its own policies and procedures, resulting in deficiencies noted during the recertification survey.
Deficiency in Activities Program for Memory Care Residents
Penalty
Summary
The facility failed to provide an ongoing activities program that met the interests and supported the physical, mental, and psychosocial well-being of residents in the Memory Care unit. Specifically, two residents with severe cognitive impairments were not provided with activities that aligned with their preferences and cognitive abilities. The activities calendar was posted, but observations revealed that residents were often left without engaging activities, with the television being the primary source of entertainment. Resident #247, diagnosed with Hypertension and Alzheimer's Disease, was observed multiple times in the dining room with no activities provided, despite their care plan indicating a preference for recreational programs and independent leisure activities. The resident's activities attendance record showed gaps in activity offerings, and there were no supplies for independent use in their room. Similarly, Resident #384, with a history of Cerebrovascular Accident and Alzheimer's Dementia, expressed a desire for activities such as reading and music, but was often found in the dining room with no activities other than watching television. Interviews with staff, including CNAs and the Recreation Director, revealed inconsistencies in activity provision, particularly when the assigned activity aide was off duty. The Recreation Director admitted that there was no coverage for activities when the aide was absent, and activities were limited to short sessions of painting, nail painting, and cognitive games. The lack of structured activities and reliance on television as a form of engagement contributed to the deficiency in meeting the residents' needs.
Resident Abuse by CNA Captured on Video
Penalty
Summary
The facility failed to protect a resident from physical abuse, as evidenced by an incident involving a Certified Nursing Assistant (CNA) and a resident with severe cognitive impairment. The incident occurred when a video recording device placed in the resident's room captured the CNA grabbing and hitting the resident on the hands and arms. The resident, who had diagnoses including Non-Alzheimer's Dementia and muscle weakness, was unable to communicate about the incident due to severely impaired cognition. The abuse was discovered when the resident's wife reviewed the footage and reported it to the Assistant Director of Nursing. Upon review, the Assistant Director confirmed the rough handling and observed purplish discolorations on the resident's hands and arm, although the resident did not show signs of distress or pain. The facility's policy on abuse reporting clearly states that abuse by anyone, including staff, is not condoned, yet the incident still occurred. The CNA involved in the incident was terminated after refusing to provide a statement regarding the event. The Director of Nursing and the Administrator were informed of the incident, and the New York Police Department was notified, although the resident's wife declined to press charges. The facility's failure to prevent this incident highlights a deficiency in ensuring the safety and protection of residents from abuse, particularly those with cognitive impairments who are dependent on staff for daily care.
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What surveyors actually found near you
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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 New York
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Harborage Llc | 1 mi | ★★★★★ | 35 | 1 |
| The New Jewish Home, Manhattan | 1.1 mi | ★★★★★ | 2 | 0 |
| Hudsonview Health Care Center | 1.3 mi | ★★★★★ | 1 | 0 |
| Amsterdam Nursing Home Corp (1992) | 1.3 mi | ★★★★★ | 0 | 0 |
| Terence Cardinal Cooke Health Care Center | 1.5 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 October 2026) and official state health department websites.