Inspection Reports for
Andrus On Hudson
185 Old Broadway, Hastings-on-hudson, NY, 10706
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
31% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 5
Date: Jul 2, 2025
Visit Reason
Complaint Survey with 5 health citations and no life safety code citations; all deficiencies corrected by August 29, 2025.
Findings
Complaint Survey with 5 health citations and no life safety code citations; all deficiencies corrected by August 29, 2025.
Deficiencies (5)
ADL care provided for dependent residents
Infection prevention & control
Nurse aide peform review-12 hr/yr in-service
Nutrition/hydration status maintenance
Nutritive value/appear, palatable/prefer temp
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Jul 2, 2025
Visit Reason
The inspection was conducted as part of the recertification and abbreviated surveys from June 25, 2025 to July 2, 2025 to assess compliance with food safety and preparation standards.
Findings
The facility failed to ensure that residents were provided food and drink that was palatable, attractive, and at a safe and appetizing temperature. Specifically, cold foods such as tuna salad and yogurt were served at unsafe temperatures above 40 degrees Fahrenheit, and temperature logs for cold foods were not maintained.
Deficiencies (1)
10 NYCRR 415.14 (d)(1)(2): The facility did not keep prepared cold foods at or below 40 degrees Fahrenheit as required. Tuna salad and yogurt were observed and tested at temperatures of 57 and 58 degrees Fahrenheit respectively during meal service.
Report Facts
Temperature of yogurt: 58
Temperature of tuna salad: 57
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Interviewed regarding cold food handling procedures and temperature observations | |
| Dietary Operation Manager | Measured temperature of tuna salad on test tray | |
| Dietary Aide #11 | Reported routine cold food handling practices and concerns about food safety | |
| Dietary Supervisor #10 | Interviewed about temperature documentation practices for cold foods |
Inspection Report
Annual Inspection
Capacity: 60
Deficiencies: 9
Date: Jun 27, 2025
Visit Reason
Certification Survey with 9 Life Safety Code citations and no health citations; deficiencies mostly widespread and uncorrected at time of report.
Findings
Certification Survey with 9 Life Safety Code citations and no health citations; deficiencies mostly widespread and uncorrected at time of report.
Deficiencies (9)
Electrical equipment - power cords and extens
Electrical systems - essential electric syste
Ep testing requirements
Fire drills
Fundamentals - building system categories
Hazardous areas - enclosure
Illumination of means of egress
Sprinkler system - installation
Sprinkler system - maintenance and testing
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Feb 8, 2024
Visit Reason
Complaint Survey with 1 health citation for abuse and neglect; deficiency corrected by March 25, 2024.
Findings
Complaint Survey with 1 health citation for abuse and neglect; deficiency corrected by March 25, 2024.
Deficiencies (1)
Free from abuse and neglect
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Feb 8, 2024
Visit Reason
The abbreviated survey was conducted to investigate allegations of abuse involving a Certified Nursing Assistant and Resident #1 based on a complaint and review of Closed-Circuit Television footage.
Complaint Details
The complaint was reported by a staff witness who remained anonymous. The allegation could not be fully substantiated due to lack of specific date/time recall, but video evidence confirmed inappropriate handling. The resident showed no signs of injury. The CNA was terminated.
Findings
The facility failed to ensure Resident #1's right to be free from abuse when a Certified Nursing Assistant was observed roughly handling the resident on 1/14/2024. The CNA was terminated following the incident, and no physical or psychosocial harm was found on assessment.
Deficiencies (1)
F 0600: The facility did not protect Resident #1 from abuse when a Certified Nursing Assistant roughly handled the resident by pulling, lifting, carrying, and swinging them into their room on 1/14/2024.
Report Facts
Residents sampled: 3
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | Accused of rough handling Resident #1 and terminated | |
| Administrator | Reviewed video footage and provided statements on the incident | |
| Assistant Administrator | Reviewed video footage and provided statements on the incident | |
| Director of Nursing Services | Reviewed video footage, assessed residents, and provided statements on the incident | |
| Medical Director | Reviewed video footage and assessed resident for harm |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Jan 2, 2024
Visit Reason
Complaint Survey with 2 health citations related to care plan timing and accident hazards; deficiencies corrected by March 1, 2024.
Findings
Complaint Survey with 2 health citations related to care plan timing and accident hazards; deficiencies corrected by March 1, 2024.
Deficiencies (2)
Care plan timing and revision
Free of accident hazards/supervision/devices
Inspection Report
Abbreviated Survey
Deficiencies: 2
Date: Jan 2, 2024
Visit Reason
The abbreviated survey was conducted to assess compliance with care plan revisions and supervision to prevent accidents following incidents involving resident falls and injuries.
Findings
The facility failed to update a resident's care plan with specific interventions after a fall from a mechanical lift and did not provide adequate supervision to prevent falls for two other residents, resulting in injuries. Staff negligence and failure to follow protocols were identified, including a staff member leaving their post and another using a cell phone while supervising residents.
Deficiencies (2)
F 0657: The facility did not revise Resident #3's care plan with interventions to monitor for sudden movements during transfers after a fall from a mechanical lift on 10/22/2023. Staff were re-inserviced on mechanical lift use but the care plan was not updated.
F 0689: The facility failed to provide adequate supervision to prevent accidents for Residents #1 and #2. Staff #1 left their post unsupervised, resulting in Resident #1 falling from a wheelchair. Staff #2 was distracted by a cell phone and failed to properly supervise Resident #2, who fell when their wheelchair rolled backwards.
Report Facts
Residents affected: 1
Residents affected: 2
Staff suspension duration: 2
Date of Resident #3 fall: Oct 22, 2023
Date of Resident #1 fall: Nov 16, 2023
Date of Resident #2 fall: May 31, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #3 | Certified Nurse Aide | Assisted with Resident #3 transfer and involved in fall incident |
| Staff #4 | Registered Nurse / Assistant Director of Nursing | Conducted assessments and investigations related to Resident #3 and Resident #1 falls |
| Staff #5 | Assistant Director of Nursing | Acknowledged failure to update Resident #3 care plan and provided staff in-service |
| Staff #1 | Certified Nursing Aide | Left post unsupervised leading to Resident #1 fall; suspended for 2 days |
| Staff #2 | Certified Nurse Aide | Used cell phone while supervising Resident #2, leading to fall; terminated |
| Staff #6 | Recreation Therapist | Conducted BINGO activity during Resident #1 fall incident |
| Staff #10 | Administrator | Notified of Resident #2 fall investigation and staff termination |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: May 26, 2023
Visit Reason
Complaint Survey with 1 health citation for physician supervision of resident care; deficiency corrected by July 15, 2023.
Findings
Complaint Survey with 1 health citation for physician supervision of resident care; deficiency corrected by July 15, 2023.
Deficiencies (1)
Resident's care supervised by a physician
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: May 26, 2023
Visit Reason
The abbreviated survey was conducted to assess compliance with physician supervision and medication administration practices, specifically regarding the proper physician orders for crushing medications for residents with swallowing difficulties.
Findings
The facility failed to ensure that the medical care of one resident was appropriately supervised by a physician, as there was no physician order to crush medications despite medications being administered crushed. Staff interviews and record reviews confirmed the lack of a formal physician order for crushing medications for Resident #1.
Deficiencies (1)
F 0710: Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. The facility failed to have a physician order for crushing medications for Resident #1, despite medications being administered crushed due to swallowing difficulties.
Report Facts
Residents affected: 1
Medication Administration Record review period: 84
Date of Quarterly MDS: Mar 11, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Administered medications as ordered on 3/17/2023 |
| LPN #2 | Licensed Practical Nurse | Administered crushed medications and stated a doctor's order is needed |
| LPN #3 | Licensed Practical Nurse | Reported procedures for medication administration and choking incidents |
| LPN #4 | Licensed Practical Nurse | Administered medications on 3/18/2023 and observed no adverse effects |
| RNUM #1 | Registered Nurse Unit Manager | Stated policy on crushed medications and physician orders |
| ST | Speech Therapist | Conducts swallow evaluations and makes diet recommendations |
| PC | Pharmacy Consultant | Reviews medication regimens and requires physician orders for crushing medications |
| RD | Registered Dietician | Guides special diet orders based on Speech Therapist recommendations |
| PCP | Primary Care Physician | Resident #1's physician, stated no physician order for crushing medications was found |
| DON | Director of Nursing | Described facility policies and procedures for medication administration and physician orders |
Inspection Report
Abbreviated Survey
Deficiencies: 2
Date: Mar 17, 2023
Visit Reason
The survey was conducted as part of recertification and abbreviated surveys to assess compliance with safety and supervision regulations in the nursing home.
Findings
The facility failed to ensure adequate supervision and a safe environment for residents, resulting in a broken closet door hazard and an undetected elopement of a resident at risk. The facility's policies on accident prevention and elopement were not fully effective or followed.
Deficiencies (2)
F 0689: The facility did not ensure residents were adequately supervised and the environment was free from accident hazards. A broken closet door in a resident's room remained off the track after previously falling on the resident, and staff failed to report it promptly.
F 0689: The facility failed to prevent elopement of a resident identified as at risk. The resident exited the building undetected despite having a wander guard and staff interventions in place.
Report Facts
Residents affected: 2
BIMS score: 5
BIMS score: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #2 | Licensed Practical Nurse | Reported broken closet door incident and assisted in redirecting resident during elopement event |
| CNA #1 | Certified Nurse Assistant | Observed broken closet door and failed to report it immediately |
| RNUM #1 | Registered Nurse Unit Manager | Informed about broken closet door and arranged maintenance |
| CNA #6 | Certified Nursing Assistant | Observed resident agitation and missing resident during elopement event |
| Director of Maintenance | Unaware of broken closet door until informed by nursing staff | |
| DON | Director of Nursing | Reviewed elopement event and wander guard system procedures |
| ADON | Assistant Director of Nursing | Responded to resident found outside the building |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Mar 17, 2023
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory standards for resident care, safety, and infection control at the nursing home.
Findings
The facility was found deficient in revising comprehensive care plans for residents requiring mobility aids, ensuring adequate supervision and accident prevention, maintaining food safety and infection control standards, and properly managing infection prevention protocols including COVID-19 testing procedures.
Deficiencies (5)
F 0657: The facility failed to revise the comprehensive care plan for Resident #52 to include the use of prescribed wheelchair elevating leg rests and calf/foot board as ordered.
F 0684: Resident #52 was not provided positioning devices for their wheelchair as ordered, resulting in improper positioning and lack of prescribed equipment.
F 0689: The facility did not ensure adequate supervision and a safe environment for residents, as a broken closet door remained unrepaired and a resident at risk for elopement exited the building undetected.
F 0812: Wait staff #1 failed to perform hand hygiene between serving residents during a lunch meal, risking cross contamination and infection.
F 0880: Infection control practices were not maintained; housekeeping improperly distributed clean laundry, CNA handled clean linen with dirty gloves, and the front desk concierge mishandled COVID-19 test specimens without gloves or hand hygiene.
Report Facts
Residents reviewed for positioning and mobility: 4
Residents reviewed for accidents: 3
Residents reviewed for infection control: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #3 | CNA | Mentioned in relation to Resident #52's wheelchair missing leg rests. |
| Registered Nurse Unit Manager #1 | RNUM | Stated nursing is responsible for Resident #52's care plan and acknowledged missing wheelchair equipment in care plan. |
| Physical Therapist #1 | PT | Responsible for developing care plans for wheelchair users; noted missing equipment in Resident #52's care plan. |
| Licensed Practical Nurse #4 | LPN | Stated Resident #52 was supposed to have elevating leg rests on wheelchair. |
| Certified Nurse Assistant #1 | CNA | Observed broken closet door and failed to report it. |
| Director of Maintenance | Director of Maintenance | Unaware of broken closet door until informed. |
| Certified Nursing Assistant #6 | CNA | Reported resident agitation and missing resident during elopement incident. |
| Licensed Practical Nurse #2 | LPN | Redirected resident during elopement risk and participated in search. |
| Wait Staff #1 | Wait Staff | Observed not performing hand hygiene during meal service. |
| Dietary Supervisor #1 | Dietary Supervisor | Reported hand hygiene training and policies for wait staff. |
| Housekeeper #1 | Housekeeper | Observed improperly distributing clean laundry. |
| Certified Nursing Assistant #4 | CNA | Observed handling clean linen with dirty gloves. |
| Concierge #1 | Concierge | Observed mishandling COVID-19 test specimens without gloves or hand hygiene. |
| Director of Nursing | DON | Provided statements on infection control and elopement procedures. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Aug 29, 2022
Visit Reason
Complaint Survey with 2 health citations for care plan development and reporting of alleged violations; deficiencies corrected by October 28, 2022.
Findings
Complaint Survey with 2 health citations for care plan development and reporting of alleged violations; deficiencies corrected by October 28, 2022.
Deficiencies (2)
Develop/implement comprehensive care plan
Reporting of alleged violations
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Jul 26, 2019
Visit Reason
The inspection was a recertification survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The survey found multiple deficiencies including failure to update care plans to reflect residents' current needs, inadequate monitoring of medication effects, failure to provide necessary treatments such as podiatry and dental care, improper food storage practices, and insufficient rehabilitation follow-up.
Deficiencies (7)
F 0657: The facility failed to review and revise comprehensive care plans to address residents' changing needs, including respiratory care, medication use, and urinary tract infection care plans.
F 0676: The facility did not provide appropriate treatment and services to maintain or improve residents' abilities to perform activities of daily living for 4 residents, including failure to address decline in mobility, grooming, prosthesis use, and rehabilitation recommendations.
F 0677: The facility failed to provide necessary care and assistance for activities of daily living to a resident with bilateral below knee amputation, including failure to apply prosthesis and stump shrinkers.
F 0684: The facility did not ensure a resident received recommended podiatry treatment for neuropathy symptoms, including topical medications.
F 0757: The facility failed to monitor a resident for medication effects, side effects, and adverse reactions related to an antipsychotic medication used to treat hiccups.
F 0791: The facility did not provide necessary dental services in a timely manner for a resident needing denture adjustments.
F 0812: The facility failed to properly store food, with undated, outdated, and expired foods found in refrigerated units during initial and follow-up kitchen tours.
Report Facts
Residents reviewed for Activities of Daily Living: 4
Residents reviewed for unnecessary medication: 5
Residents affected by deficiencies: 1
Residents affected by dental service deficiency: 1
Dates of food items found outdated or undated: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse Manager | Named in findings related to failure to update care plans and monitor medication |
| RN #2 | Registered Nurse Manager | Interviewed regarding urinary incontinence care plan deficiency |
| RN #3 | Unit Registered Nurse | Interviewed regarding awareness of resident decline in ADLs |
| CNA #3 | Certified Nursing Assistant | Reported resident does not have rolling walker and is not ambulated |
| Physical Therapy Supervisor | Interviewed regarding prosthesis use and therapy documentation | |
| Food Service Director | FSD | Interviewed regarding food dating and storage practices |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Sep 28, 2017
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with safety regulations, specifically focusing on accident hazards and supervision to prevent avoidable accidents.
Complaint Details
Complaint Intake Number NY00207522 involved a resident with dementia who left the facility without staff awareness due to a malfunctioning wander-guard device. The complaint was substantiated based on investigation findings.
Findings
The facility failed to ensure that an electronic wander-guard device used to prevent resident elopement was properly maintained. The battery in the device had expired in March 2016, which contributed to a resident leaving the facility unnoticed.
Deficiencies (1)
F 0323: The facility did not ensure that an electronic wander-guard device used by a resident to prevent elopement was maintained according to manufacturer guidelines. The device's battery had expired, compromising resident safety.
Report Facts
Residents Affected: 1
Battery expiration date: 201603
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding the oversight of checking expiration dates on wander-guard bracelets | |
| Sale Representative Manager | Interviewed about the functionality and expiration of wander-guard device batteries |
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