Deficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Abbreviated Survey
Deficiencies: 2
Date: May 6, 2024
Visit Reason
The inspection was conducted as part of recertification and abbreviated surveys to assess compliance with safety and supervision standards in the nursing home.
Findings
The facility failed to ensure adequate supervision and accident hazard prevention for two residents. Resident #18 was observed multiple times without required floor mats beside the bed, and Resident #74, who had exit-seeking behavior, was able to leave the facility undetected and found in a hospital parking lot.
Deficiencies (2)
F 0689: The facility did not ensure adequate supervision and accident hazard prevention for Resident #18, who was observed multiple times without floor mats beside the bed as required by care plan and facility policy.
F 0689: Resident #74, with documented exit-seeking behavior and a functional wander guard, was not adequately supervised and exited the facility undetected, being found in a hospital parking lot.
Report Facts
Residents affected: 2
Date survey completed: May 6, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding Resident #74's elopement incident and supervision. | |
| Staff #2 (registered nurse unit manager) | Interviewed about Resident #18's floor mat supervision. | |
| Staff #9 (registered nurse) | Interviewed about Resident #18's floor mat supervision. | |
| Staff #10 (certified nurse aide) | Interviewed about Resident #18's floor mat supervision. | |
| Staff #15 (licensed practical nurse) | Documented Resident #74's monitoring and elopement incident. | |
| Staff #13, Staff #16, Staff #17 (Certified Nurse Aides) | Provided written statements about last sightings of Resident #74. |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: May 6, 2024
Visit Reason
The inspection was a Recertification Survey conducted from 04/30/2024 to 05/06/2024 to assess compliance with regulatory requirements for nursing home operations and resident care.
Findings
The facility was found deficient in multiple areas including incomplete preadmission screening for intellectual disabilities, inadequate assistance with activities of daily living, improper wheelchair positioning, insufficient supervision to prevent accidents and elopement, failure to provide special adaptive eating utensils as ordered, and improper food storage practices.
Deficiencies (6)
PASARR screening for Mental disorders or Intellectual Disabilities was incomplete for 2 of 16 residents, missing screener identification numbers on pre-admission forms.
Resident #1 requiring assistance with eating was fed by a companion without proper certification, contrary to facility policy.
Resident #19 was observed multiple times in a wheelchair without footrests, causing unsafe positioning and discomfort.
The facility failed to provide adequate supervision and accident prevention measures for Residents #18 and #74, resulting in a fall and an elopement incident.
Resident #9 did not receive physician-ordered built-up (red foam) utensils consistently, impairing their ability to eat independently.
Food safety practices were deficient as multiple food items were expired, unlabeled, or stored improperly, including dented cans and unlabeled leftovers.
Report Facts
Residents reviewed for PASARR screening: 16
Residents reviewed for activities of daily living: 2
Residents reviewed for wheelchair positioning: 2
Residents reviewed for accidents: 4
Resident reviewed for adaptive equipment: 1
Expired food items observed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Companion | Fed Resident #1 without proper certification. |
| Staff #2 | Registered Nurse Manager | Supervised companion feeding Resident #1 and commented on wheelchair footrest issues. |
| Staff #3 | Certified Nurse Aide | Provided set up assistance to Resident #9 and commented on utensils. |
| Staff #4 | Certified Occupational Therapy Assistant | Recommended adaptive eating utensils for Resident #9. |
| Staff #5 | Certified Dietary Manager | Reported not receiving order for built-up utensils. |
| Staff #6 | Certified Nurse Aide | Aware Resident #19 needed footrests but did not apply them. |
| Staff #7 | Unspecified | Commented on wheelchair footrest requirements for Resident #19. |
| Staff #8 | Occupational Therapist | Confirmed wheelchair footrest use policy. |
| Staff #9 | Registered Nurse | Commented on safety measures for Resident #18. |
| Staff #10 | Certified Nurse Aide | Aware of floor mat safety requirements for Resident #18. |
| Staff #13 | Certified Nurse Aide | Last to see Resident #74 before elopement. |
| Staff #15 | Licensed Practical Nurse | Documented monitoring and elopement incident for Resident #74. |
| Director of Nursing | Director of Nursing | Provided interviews regarding multiple deficiencies including elopement and feeding. |
| Director of Rehabilitation | Director of Rehabilitation | Commented on therapy communication for Resident #19. |
| Dining Service Director | Dining Service Director | Commented on expired food items and food safety. |
| Former Director of Nursing | Former Director of Nursing | Explained companion role and feeding policy. |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: May 12, 2022
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory requirements related to residents' advance directives, specifically Do Not Resuscitate (DNR) orders.
Findings
The facility failed to ensure that DNR orders were effectively implemented for three residents who had written consents for DNR. Physician orders addressing DNR status were missing or not current for these residents despite documented consents.
Deficiencies (1)
F 0578: The facility did not effectively implement a system to carry out Do Not Resuscitate (DNR) orders for residents with written consents. Physician orders for DNR status were missing or not maintained for three residents.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #3 | Licensed Practical Nurse | Responsible for reviewing monthly order renewals and updating the Medical Doctor when a change is needed; acknowledged overlooking DNR orders. |
| Director of Nursing | Director of Nursing | Interviewed regarding the admission process and order entry system. |
| Medical Director | Medical Director | Interviewed about monthly order reviews and noted surprise that DNR orders were missing. |
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Dec 18, 2019
Visit Reason
The inspection was a recertification survey to assess compliance with regulatory standards for medication management and food safety at the nursing home.
Findings
The facility failed to ensure that expired medications were removed from the emergency medication box and did not maintain proper food safety practices, including inadequate cooling logs and unsafe hot food holding temperatures.
Deficiencies (2)
F 0761: The facility did not ensure medications in the emergency box were removed when expired; multiple medications had passed their expiration dates.
F 0812: The facility did not ensure food was prepared and stored according to professional standards; cooling temperatures and timeframes were not recorded and hot food was held below safe temperatures.
Report Facts
Expired medications: 16
Temperature readings: 114
Temperature readings: 126
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) | Present during medication storage room observation | |
| Director of Nursing | Interviewed regarding expired medication list and corrective actions | |
| Pharmacy Account Manager | Interviewed about medication expiration dates and removal procedures | |
| Executive Chef | Interviewed about food cooling procedures and hot food holding temperatures | |
| Food Service Worker | Observed handling hot food temperatures |
Inspection Report
Deficiencies: 0
Date: Inspection Report
Visit Reason
Inspection history and citations/enforcement summary for Kendal on Hudson
Findings
No citations or enforcement actions recorded from August 1, 2021 through July 31, 2025.
Report Facts
Total inspections: 0
Inspection Report
Capacity: 60
Deficiencies: 0
Visit Reason
Inspection history summary for Kendal on Hudson from Oct 2021 to Sep 2025
Findings
No violations or deficiencies explicitly stated on the page; no enforcement actions during the reporting period.
Report Facts
Total inspections: Inspection period Oct 2021 to Sep 2025; no inspection count explicitly stated
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