Inspection Reports for
Hudson Pointe at Riverdale Center for Nursing and Rehabilitation
3220 Henry Hudson Parkway, Bronx, NY, 10463
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
96% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
28
21
14
7
0
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Dec 1, 2025
Visit Reason
The visit was conducted as an abbreviated survey to assess compliance with reporting requirements for suspected abuse, neglect, or injuries of unknown origin.
Findings
The facility failed to timely report an unwitnessed fall resulting in injury to a resident's left eye to the New York State Department of Health. The incident was not reported within the required timeframe despite documentation and staff interviews confirming the event.
Deficiencies (1)
F 0609: The facility did not ensure timely reporting of suspected abuse, neglect, or injuries of unknown origin to the appropriate authorities. Specifically, an unwitnessed fall on 10/12/2025 resulting in injury to Resident #1's left eye was not reported as required.
Report Facts
Residents Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding the incident and reporting failure | |
| Administrator | Interviewed regarding the incident and reporting failure |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jul 26, 2024
Visit Reason
The inspection was a recertification survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility failed to promote and facilitate resident self-determination regarding bathing preferences for two residents. Additionally, Minimum Data Set (MDS) assessments did not accurately reflect the use of wander/elopement alarms for two residents. The facility also did not timely review and revise the care plan for falls for one resident with a history of falls with injury.
Deficiencies (3)
F 0561: The facility did not ensure resident bathing preferences were honored, as two residents were not offered showers as scheduled and received bed baths instead without documented refusals.
F 0641: The facility did not ensure that Minimum Data Set (MDS) assessments accurately reflected the use of wander/elopement alarms for two residents, resulting in inaccurate resident status documentation.
F 0657: The facility failed to timely review and revise the care plan for falls for a resident with an identified history of falls with injury, despite multiple assessments in 2024.
Report Facts
Residents reviewed for bathing preferences: 38
Residents with bathing preference deficiencies: 2
Residents reviewed for elopement risk: 38
Residents with inaccurate MDS assessments for wander/elopement alarms: 2
Residents reviewed for care plans: 31
Residents with care plan deficiencies: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #3 | Floor Supervisor | Interviewed regarding Resident #46 bathing care and documentation |
| Director of Nursing | Interviewed regarding bathing policies and care plan reviews | |
| Registered Nurse #4 | Interviewed regarding Resident #52 fall and care plan updates | |
| Nurse Manager | Responsible for updating care plans including Falls Care Plan | |
| Licensed Practical Nurse #1 | Interviewed regarding Resident #52 status post-fall | |
| Registered Nurse #1 | Nurse Supervisor | Interviewed regarding supervision during Resident #52 fall |
| Certified Nursing Assistant #1 | Interviewed regarding Resident #88 shower care | |
| Certified Nursing Assistant #2 | Interviewed regarding Resident #88 shower care and documentation | |
| Certified Nursing Assistant #3 | Interviewed regarding Resident #88 shower care and documentation | |
| Certified Nursing Assistant #6 | Interviewed regarding shower care policies and documentation | |
| MDS Supervisor | Interviewed regarding MDS assessment accuracy |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Jul 26, 2024
Visit Reason
Complaint Survey with 3 standard health citations and 6 life safety code citations, all Level 2 severity, corrected by October 2024.
Findings
Complaint Survey with 3 standard health citations and 6 life safety code citations, all Level 2 severity, corrected by October 2024.
Deficiencies (9)
Accuracy of assessments
Care plan timing and revision
Self-determination
Corridor - doors
Electrical systems - essential electric syste
Electrical systems - receptacles
Illumination of means of egress
Organization and administration
Sprinkler system - maintenance and testing
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Aug 21, 2023
Visit Reason
Covid-19 Survey with one Level 2 standard health citation for reporting to national health safety network, not corrected at time of report.
Findings
Covid-19 Survey with one Level 2 standard health citation for reporting to national health safety network, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Abbreviated Survey
Deficiencies: 3
Date: Mar 10, 2023
Visit Reason
The survey was conducted as an abbreviated survey to investigate allegations of abuse, use of restraints, and accident prevention at the nursing facility.
Findings
The facility failed to ensure a resident was free from physical abuse, free from physical restraints, and adequately supervised to prevent accidents. Incidents involved physical abuse by a CNA, improper use of restraints on a resident's hands, and a resident found unsupervised on the floor without injury.
Deficiencies (3)
10 NYC RR 415.4(b)(1)(i): The facility failed to protect a resident from physical abuse by a CNA who slapped and roughly handled the resident in the dining room.
The facility failed to ensure a resident was free from physical restraints when a sock and glove were tied on the resident's hand causing swelling.
The facility failed to provide adequate supervision to prevent a resident from falling, as the resident was found sitting on the floor unattended in the dining room.
Report Facts
Residents reviewed: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
BIMS score: 2
BIMS score: 9
Fall risk score: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nurse Assistant | Named in physical abuse finding involving slapping and rough handling of Resident #1 |
| Director of Nursing | Director of Nursing | Reviewed surveillance video and reported abuse incident |
| Administrator | Administrator | Notified about abuse incident and confirmed termination of CNA #1 |
| CNA #2 | Certified Nurse Assistant | Observed Resident #1 on floor and reported incident |
| LPN #1 | Licensed Practical Nurse | Documented swelling on Resident #2's hand and involved in restraint incident investigation |
| RNS #1 | Registered Nurse Supervisor | Assessed Resident #2 and involved in restraint incident investigation |
| CNA #3 | Certified Nurse Assistant | Admitted to applying socks and gloves as restraints on Resident #2 |
| CNA #4 | Certified Nurse Assistant | Observed socks and gloves on Resident #2 and notified nursing staff |
| ADON | Assistant Director of Nursing | Investigated restraint incident involving Resident #2 |
| RN #1 | Registered Nurse | Assessed Resident #1 after fall incident |
| Nurse Supervisor #1 | Nurse Supervisor | Responded to Resident #1 fall and documented assessment |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Date: Mar 10, 2023
Visit Reason
Complaint Survey with multiple Level 2 standard health citations related to abuse, accident hazards, restraints, all corrected by April 2023.
Findings
Complaint Survey with multiple Level 2 standard health citations related to abuse, accident hazards, restraints, all corrected by April 2023.
Deficiencies (3)
Free from abuse and neglect
Free of accident hazards/supervision/devices
Right to be free from physical restraints
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Jul 12, 2022
Visit Reason
The inspection was conducted as an extended recertification and abbreviated survey to assess compliance with federal regulations for nursing homes.
Findings
The facility was found deficient in multiple areas including failure to provide timely Medicare coverage notices, improper use of physical restraints without medical justification, inaccurate Minimum Data Set (MDS) assessments, failure to transmit discharge MDS timely, inadequate assessment and use of bed/side rails, and lapses in infection control practices related to glucometer sanitization.
Deficiencies (6)
F582: Facility failed to provide Resident #90 with a Notice to Medicare Provider Non-coverage prior to termination of Medicare coverage.
F604: Facility did not ensure residents were free from physical restraints unless medically necessary, resulting in Immediate Jeopardy for 14 residents using side rails as restraints without proper justification or care plans.
F640: Facility failed to transmit a Discharge Minimum Data Set (MDS) for Resident #1 within 14 days of discharge.
F641: Facility did not ensure MDS assessments accurately reflected resident status for Residents #90 and #108, including errors in documenting hearing ability and dialysis treatment.
F700: Facility failed to adequately assess residents and implement appropriate alternatives before using bed/side rails for 14 residents, lacking risk of entrapment assessments and medical necessity documentation.
F880: Facility failed to ensure infection control practices by not sanitizing glucometers between resident uses during blood glucose testing for 4 residents.
Report Facts
Residents reviewed for Physical Restraints: 14
Sample size for Physical Restraints review: 43
Residents affected by glucometer sanitization issue: 4
Staff educated on restraints and side rails: 89
Residents with side rails in use without proper assessment: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #5 | Licensed Practical Nurse | Observed not sanitizing glucometer between resident uses during blood glucose testing |
| Director of Nursing | Interviewed regarding MDS completion and side rail assessments | |
| RN Educator | Registered Nurse Educator | Provided in-service training on glucometer sanitization |
| Physician #1 | Physician | Interviewed regarding side rail use and restraint definitions |
| RNM #1 | Registered Nurse Manager | Interviewed about side rail assessments and consent process |
| CNA #7 | Certified Nursing Assistant | Interviewed about resident care and side rail use |
| LPN #3 | Licensed Practical Nurse | Interviewed about glucometer cleaning procedures |
| Director of Rehab | Interviewed about rehabilitation assessments related to side rails | |
| Director of Maintenance | Interviewed about bed and side rail maintenance |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 22
Date: Jul 12, 2022
Visit Reason
Complaint Survey with multiple Level 2 and one Level 4 standard health citations including bedrails and physical restraints, plus multiple life safety code citations, all corrected by mid-2022.
Findings
Complaint Survey with multiple Level 2 and one Level 4 standard health citations including bedrails and physical restraints, plus multiple life safety code citations, all corrected by mid-2022.
Deficiencies (22)
Accuracy of assessments
Bedrails
Choose/be notified of room/roommate change
Encoding/transmitting resident assessments
Infection prevention & control
Medicaid/medicare coverage/liability notice
Reporting of alleged violations
Right to be free from physical restraints
Building construction type and height
Cooking facilities
Corridors - areas open to corridor
Electrical systems - essential electric syste
Fire alarm system - installation
Fire alarm system - testing and maintenance
Gas equipment - cylinder and container storag
Illumination of means of egress
Means of egress - general
Portable fire extinguishers
Sprinkler system - installation
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrie
Vertical openings - enclosure
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Aug 20, 2019
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory requirements for the nursing home.
Findings
The facility failed to develop and implement a comprehensive care plan for a resident with Diabetes Mellitus and did not maintain infection control practices, including failure to review infection control policies annually and improper catheter tubing placement.
Deficiencies (2)
F 0656: The facility did not develop a comprehensive care plan for a resident with Diabetes Mellitus, despite documented insulin treatment and diagnosis.
F 0880: The facility failed to maintain infection control practices by not reviewing infection control policies annually and allowing catheter tubing to lie on the floor for a resident.
Report Facts
Residents reviewed for Unnecessary Medications: 34
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #1 | Responsible for creation of care plans and acknowledged missing the diabetes care plan | |
| Assistant Director of Nursing (ADON) | Head of infection control program, provided information on infection control policy review and staff education | |
| Certified Nursing Assistant (CNA) #1 | Assigned to resident care, acknowledged catheter tubing infection control issue |
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