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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.

Nyack Ridge Rehabilitation and Nursing 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.

Nyack Ridge Rehabilitation and Nursing Center

Overview of Nyack Ridge Rehabilitation and Nursing Center
Nyack Ridge Rehabilitation & Nursing Center is a skilled nursing and rehabilitation facility located in Valley Cottage, NY. It offers a range of services including subacute rehabilitation, Alzheimer's and dementia care, and respite care. The center is known for its compassionate care and has been serving the community for over 40 years.
(845) 268-6861

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.
3/5
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.
3/5

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 28m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 160

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the state average
Occupancy rate 94.8%
Residents per day (avg) 142
Occupancy rate
94.8%
Residents per day (avg)
142

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

33% of new residents, often for short stays.

Typical stay 2 months

Medicaid

33% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$22.0M
Profit
$689.9K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$22.0M
Profit
$689.9K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$8.5M
38.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$12.7M
Total costs $21.2M
Bed community size
160-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.

About this community

License Details

Facility TypeNursing Home
StatusActive
CountyRockland

Additional Licensing Details

License Number4350306N
CMS Certification Number335365

Ownership & Operating Entity

Owner NameNyack Operating, LLC (For Profit)

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

4 services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Additional Services

3 services
Subacute Rehabilitation
Long Term Care
Alzheimer’s And Dementia Care

Amenities & Lifestyle

9 amenities
Well-Appointed Rooms With Scenic Views
Direct Tv & Bedside Phones
Fine Dining /Variety Of Menu Selections
Outdoor Patio
Housekeeping & Laundry
Beauty & Barber Services
Library
Religious Services
Resident Council
Specific ProgramsClinical Services, Subacute Rehab, Long Term Care, Alzheimer’s & Dementia Care, Respite Care, Amenities

Contact Nyack Ridge Rehabilitation and Nursing 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.

8 inspections

8 with citations, 0 without citations

New York average: 9 inspections (5 with citations)

96 complaints

60 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 January 14, 2025
Complaint Investigation

67 total citations

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

New York average: 29 citations

54 deficiencies

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

New York average: 22 deficiencies

Health Inspection History

Inspections
Total health inspections 4

State average N/A


Last Health inspection on Jan 2025

Total health citations 44

State average N/A

Citations per inspection
11

State average N/A


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

29 of 44 citations resulted from standard inspections; 9 of 44 resulted from complaint investigations; and 6 of 44 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
In line with State average

State average: N/A


Serious Health citations More info 0
In line with State average

State average: N/A

1 critical citation More info State average: N/A

0 serious citations More info State average: N/A

42 moderate citations More info State average: N/A

1 minor citation 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. Jan 14, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Jan 14, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 14, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 14, 2025
Corrected

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

Filter by care type
Nyack Ridge Rehabilitation and Nursing 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.

Valley Cottage
-
160
-
-
-
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
-

Places of interest near Nyack Ridge Rehabilitation and Nursing Center

Address 278.3 miles from city center

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Staffing Data (Q2 2025)

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

Total staff 151
Employees 118
Contractors 33
Staff to resident ratio 0.94:1
0% compared with State average

State average ratio: 0:0

Avg staff/day 77
Average shift 7.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 53,040
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 64
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

12.3%

6,518 contractor hours this quarter

Licensed Practical Nurse: 7 Respiratory Therapist: 6 Occupational Therapy Assistant: 5 Certified Nursing Assistant: 4 Therapeutic Recreation Specialist: 4 Respiratory Therapy Technician: 3 Registered Nurse: 1 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant6046426,22991100%7.6
Licensed Practical Nurse227299,97091100%7.7
Registered Nurse221236,34991100%7.8
Respiratory Therapist0661,9258088%6.6
Other Dietary Services Staff5051,80691100%7.4
Respiratory Therapy Technician1341,4987886%7.8
Therapeutic Recreation Specialist0441,3726875%7.4
RN Director of Nursing2025735055%7.1
Nurse Practitioner1014966268%8
Mental Health Service Worker1014325459%8
Dietitian1014205662%7.5
Qualified Social Worker0114195358%7.9
Physical Therapy Assistant0113925864%6.8
Occupational Therapy Aide1013903943%10
Administrator1013844853%8
Clinical Nurse Specialist1012483134%8
Occupational Therapy Assistant055743538%1.9
Medical Director011651314%5
64 Certified Nursing Assistant
% of Days 100%
29 Licensed Practical Nurse
% of Days 100%
23 Registered Nurse
% of Days 100%
6 Respiratory Therapist
% of Days 88%
5 Other Dietary Services Staff
% of Days 100%
4 Respiratory Therapy Technician
% of Days 86%
4 Therapeutic Recreation Specialist
% of Days 75%
2 RN Director of Nursing
% of Days 55%
1 Nurse Practitioner
% of Days 68%
1 Mental Health Service Worker
% of Days 59%
1 Dietitian
% of Days 62%
1 Qualified Social Worker
% of Days 58%
1 Physical Therapy Assistant
% of Days 64%
1 Occupational Therapy Aide
% of Days 43%
1 Administrator
% of Days 53%
1 Clinical Nurse Specialist
% of Days 34%
5 Occupational Therapy Assistant
% of Days 38%
1 Medical Director
% of Days 14%

Facility Characteristics

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

Total census
160 residents
Residents by payment source
Medicare
160 residents (100%)
Programs & Services
Residents' Group

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

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. 8.0
18% better than 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. 8.4
54% 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 8.9%
46% better than State average

State average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.3%
56% 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 9.0%
58% 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 2.9%
In line with State average

State average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.7%
50% worse than State average

State average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.7%
96% worse than State average

State average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.3%
68% worse than State average

State average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.4%
59% better than State average

State average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.6%
16% 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 100.0%
5% better than 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 97.8%
28% better than State average

State average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.7%
112% worse than State average

State average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
25% 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 $39K
41% 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 $39K
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. Sep 25, 2023
$39K

Last updated: Jan 2026

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