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Assisted Living in USA

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

River Ridge Living Center

Assisted Living in USA

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

River Ridge Living Center

Overview of River Ridge Living Center
River Ridge Living Center Rehabilitation & Nursing is a family-owned facility in Amsterdam, NY. It offers specialized care including orthopedic, cardiac, and pulmonary rehabilitation, as well as long-term care. The center emphasizes a home-like environment and a commitment to patient comfort and well-being.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 52m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 120

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the state average
Occupancy rate 88%
Residents per day (avg) 107
Occupancy rate
88%
Residents per day (avg)
107

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

51% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$12.8M
Operating loss
-$853.4K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$12.8M
Operating loss
-$853.4K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.8M
37.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.2M
Total costs $14.1M
Bed community size
120-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
88%
In line with the state average
Occupied beds
106 / 120

License Details

Facility TypeNursing Home
StatusActive
CountyMontgomery

Additional Licensing Details

License Number2801305N
CMS Certification Number335422

Ownership & Operating Entity

Owner NameRiver Ridge Operating, LLC (For Profit)

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

3 services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs

Additional Services

7 services
Subacute Rehab
Long Term Care
Orthopedic Rehab
Cardiac Rehab
Pulmonary Care
Wound Care
Short Stay

Amenities & Lifestyle

10 amenities
Home-Style Meals
Daily Snacks
Landscaped Gardens
Outdoor Patio & Gazebo
Indoor Garden Room
Beautician & Barber
Religious Services
Laundry & Housekeeping
Phone & Cable Tv
Wireless Internet
ActivitiesThe heart of our community lies in our vibrant activities department.
Specific ProgramsSubacute Rehab, Long Term Care, Orthopedic Rehab, Cardiac Rehab, Pulmonary Care, Wound Care, Short Stay, Stimulating Recreation Activities, Trips & Outings, Spiritual & Religious Programs
Religious ServicesYes
Volunteer ProgramsYes, including the Adopt-a-Grandparent program.

Dining & Nutrition

Food DescriptionIndulge in delicious and nutritious meals prepared by our excellent dietary department.

Contact River Ridge Living Center

Inspection History

In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.

9 inspections

9 with citations, 0 without citations

New York average: 9 inspections (5 with citations)

115 complaints

95.8 complaints per 100 occupied beds

New York average: 49.9 complaints per 100 occupied beds

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

New York average: 79 complaints

Latest inspection

Date March 11, 2024
Covid-19 Survey

62 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

New York average: 29 citations

20 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

New York average: 22 deficiencies

Inspection Report Summary for River Ridge Living Center

The most recent inspection on March 11, 2024, identified one Level 2 deficiency related to reporting to the national health safety network, with no actual harm but potential for minor harm. Earlier inspections showed a consistent pattern of similar reporting deficiencies during COVID-19 surveys, along with isolated issues in accident hazards, quality of care, and various health and safety code areas that were corrected within a few months. Inspectors primarily cited deficiencies in reporting compliance and some aspects of resident care and safety, with no fines or enforcement actions listed in the available reports. Complaint investigations were unsubstantiated or did not result in additional citations. The facility’s record shows repeated reporting issues but timely correction of other isolated deficiencies, indicating a mixed but stable compliance trend.

Health Inspection History

Inspections
Total health inspections 4

State average N/A


Last Health inspection on Mar 2025

Total health citations 38

State average N/A

Citations per inspection
9.5

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

28 of 38 citations resulted from standard inspections; 4 of 38 resulted from complaint investigations; and 6 of 38 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
In line with State average

State average: N/A


Serious Health citations More info 0
In line with State average

State average: N/A

0 critical citations More info State average: N/A

0 serious citations More info State average: N/A

38 moderate citations More info State average: N/A

0 minor citations More info State average: N/A
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Mar 18, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Mar 18, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Mar 18, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Mar 18, 2025
Corrected

Compare Assisted Living around Usa The information below is reported by the New York State Department of Health.

Filter by care type
River Ridge Living Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Amsterdam
-
120
-
-
-
Anton’s Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Boerne
-
10
-
-
-
Job Haines Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Bloomfield
-
40
-
85
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Conroe
-
16
-
27
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Conroe
-
12
-
8
-

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 261
Employees 113
Contractors 148
Staff to resident ratio 2.39:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 62
Average shift 7.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 44,740
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 79
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 122
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

25.2%

11,293 contractor hours this quarter

Certified Nursing Assistant: 76 Licensed Practical Nurse: 66 Registered Nurse: 4 Occupational Therapy Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant467612219,37091100%8.1
Licensed Practical Nurse1366799,51191100%8.1
Registered Nurse124163,98191100%7.9
Nurse Aide in Training130131,8977481%7.2
Physical Therapy Assistant3031,4606774%8
Other Dietary Services Staff4041,28491100%6.8
Respiratory Therapy Technician5051,0937987%7.9
Therapeutic Recreation Specialist2021,0316571%8.3
Respiratory Therapist3031,0136673%7.9
Mental Health Service Worker2029016470%7.8
Clinical Nurse Specialist3036046673%7.6
Administrator1014886167%8
Nurse Practitioner1014806066%8
Dietitian1014305560%7.8
Occupational Therapy Aide2024246673%5
RN Director of Nursing1014075156%8
Qualified Social Worker1013306369%5.2
Medical Director0112933%9.5
Occupational Therapy Assistant0111133%3.7
122 Certified Nursing Assistant
% of Days 100%
79 Licensed Practical Nurse
% of Days 100%
16 Registered Nurse
% of Days 100%
13 Nurse Aide in Training
% of Days 81%
3 Physical Therapy Assistant
% of Days 74%
4 Other Dietary Services Staff
% of Days 100%
5 Respiratory Therapy Technician
% of Days 87%
2 Therapeutic Recreation Specialist
% of Days 71%
3 Respiratory Therapist
% of Days 73%
2 Mental Health Service Worker
% of Days 70%
3 Clinical Nurse Specialist
% of Days 73%
1 Administrator
% of Days 67%
1 Nurse Practitioner
% of Days 66%
1 Dietitian
% of Days 60%
2 Occupational Therapy Aide
% of Days 73%
1 RN Director of Nursing
% of Days 56%
1 Qualified Social Worker
% of Days 69%
1 Medical Director
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
109 residents
Residents by payment source
Medicare
13 residents (11.9%)
Medicaid
66 residents (60.6%)
Private pay or other
30 residents (27.5%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.4
In line with State average

State average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.3
21% better than State average

State average: 18.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.9%
9% better than State average

State average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.7%
17% better than State average

State average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 14.2%
34% better than State average

State average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.8%
73% better than State average

State average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 15.8%
121% worse than State average

State average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
59% better than State average

State average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.7%
72% better than State average

State average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 12.0%
34% better than State average

State average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.7%
25% worse than State average

State average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than State average

State average: 91.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
In line with State average

State average: 95.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
29% better than State average

State average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.6%
19% better than State average

State average: 78.8%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $3K
95% lower than State average

State average: $66K

Number of fines 1
51% fewer fines than State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.1

Fines amount comparison
Fines amount comparison
This facility $3K
State average $66K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 30, 2024
$3K

Last updated: Jan 2026

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