Inspection Reports for
New Riverdale Rehab and Nursing

The state logged 157 complaints about this facility; 8 led to on-site inspections. Nine citations resulted from those complaints.

Across 14 inspections, 12 resulted in citations totaling 52 violations primarily related to standard health and life safety code issues. The facility had 2 enforcement actions with fines totaling $20,000 and multiple citations indicating minor potential harm and some actual harm.

The survey included complaint investigations (NY00371559 and NY00372528) related to abuse, neglect, and mistreatment allegations involving Residents #25, #36, #93, #117, and #242. Some allegations were not reported timely or appropriately to the State Department of Health.

The facility was found deficient in multiple areas including failure to honor resident self-determination regarding bathing preferences, failure to post survey results accessibly, unsafe and unclean resident environment, failure to prevent resident-to-resident abuse, failure to timely report suspected abuse and neglect, incomplete and untimely care planning, failure to maintain resident nutritional status, and failure to follow up on medication monitoring laboratory tests.

The complaint investigation revealed that the facility did not report two separate incidents of resident-to-resident physical abuse within the required 2-hour timeframe. The investigation concluded no reasonable cause to believe abuse occurred in one incident, but reporting was still late. Additionally, a resident with a history of removing a Wander Alert Device eloped undetected through a broken emergency exit door, which was later repaired and staff disciplined.

The facility failed to report alleged resident-to-resident abuse incidents to the New York State Department of Health within the required 2-hour timeframe for 4 residents. Additionally, the facility did not ensure a safe environment free from accident hazards, as evidenced by a resident eloping through a broken emergency exit door undetected. Corrective actions and plans of correction were implemented to address these deficiencies.

The facility was found deficient in multiple areas including failure to maintain resident dignity related to Foley Catheter privacy, environmental maintenance issues in resident units, delayed reporting of alleged abuse incidents to the state, late submission of Minimum Data Set (MDS) assessments, and inadequate supervision leading to a resident elopement incident.

The complaint investigation was substantiated based on the facility's Accident/Incident Investigation Report and surveillance video showing Housekeeping Staff #1 pushing Resident #1, causing a fall. Resident #1 reported being punched and pushed, and staff admitted to pushing the resident for fear of their life due to an alleged knife which was not found.

The facility failed to protect Resident #1 from staff abuse when Housekeeping Staff #1 pushed the resident backward in their wheelchair causing a fall. The resident did not sustain injuries. The investigation concluded that there was cause to believe resident abuse, mistreatment, or neglect occurred.

The visit was complaint-related, triggered by concerns about the facility's failure to timely report an elopement incident and failure to update the care plan after an elopement attempt. The facility concluded no evidence of abuse, neglect, exploitation, or mistreatment. The complaint was substantiated regarding delayed reporting and care plan deficiencies.

The facility failed to timely report an actual elopement of Resident #1 to the New York State Department of Health, reporting the incident six days late. Additionally, the facility did not ensure that Resident #1's care plan was reviewed and revised by the interdisciplinary team following an elopement attempt on 12/13/2022. Interviews revealed delays in reporting and lack of communication among staff regarding the incident.

The facility was found deficient in multiple areas including failure to provide appropriate Medicare notices to residents discharged from skilled services, inadequate maintenance of a clean and homelike environment, incomplete and non-measurable care plans for residents with hearing impairment, failure to assist residents in gaining access to hearing services, lack of physician review and follow-up on residents' total care programs, and improper disposal of garbage with garbage compactor doors left open.