Inspection Reports for Nyack Ridge Rehabilitation and Nursing Center

476 Christian Herald Road, NY, 10989

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 13.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

165% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

24 18 12 6 0
2022
2023
2024
2025
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 22 Jan 14, 2025
Visit Reason
Multiple standard health and life safety code deficiencies identified, all corrected by March 13, 2025.
Findings
Multiple standard health and life safety code deficiencies identified, all corrected by March 13, 2025.
Deficiencies (22)
DescriptionSeverity
Antibiotic stewardship programLevel 2
Criminal history record check processLevel 0
Discharge summaryLevel 2
Encoding/transmitting resident assessmentsLevel 1
Food procurement,store/prepare/serve-sanitaryLevel 2
Free of accident hazards/supervision/devicesLevel 2
GrievancesLevel 2
Infection prevention & controlLevel 2
Label/store drugs and biologicalsLevel 2
Maintains effective pest control programLevel 2
Medicaid/medicare coverage/liability noticeLevel 2
Nurse aide peform review-12 hr/yr in-serviceLevel 2
Nutrition/hydration status maintenanceLevel 2
Pasarr screening for md & idLevel 2
Quality of careLevel 2
Resident rights/exercise of rightsLevel 2
Respiratory/tracheostomy care and suctioningLevel 2
Right to be free from physical restraintsLevel 2
Safe/clean/comfortable/homelike environmentLevel 2
Sufficient nursing staffLevel 2
Treatment/service for dementiaLevel 2
Treatment/svcs to prevent/heal pressure ulcerLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 3 Apr 25, 2024
Visit Reason
Standard health citations related to investigation and reporting of alleged violations and resident records; all corrected by June 18, 2024.
Findings
Standard health citations related to investigation and reporting of alleged violations and resident records; all corrected by June 18, 2024.
Deficiencies (3)
DescriptionSeverity
Investigate/prevent/correct alleged violationLevel 2
Reporting of alleged violationsLevel 2
Resident records - identifiable informationLevel 2
Inspection Report Capacity: 60 Deficiencies: 1 Oct 2, 2023
Visit Reason
One standard health citation for reporting to national health safety network with no correction noted.
Findings
One standard health citation for reporting to national health safety network with no correction noted.
Deficiencies (1)
DescriptionSeverity
Reporting - national health safety networkLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 19 Sep 28, 2023
Visit Reason
Multiple standard health and life safety code citations including a Level 4 immediate jeopardy for accident hazards; all corrected by November 1, 2023.
Findings
Multiple standard health and life safety code citations including a Level 4 immediate jeopardy for accident hazards; all corrected by November 1, 2023.
Deficiencies (19)
DescriptionSeverity
Discharge summaryLevel 2
Entering into binding arbitration agreementsLevel 2
Facility assessmentLevel 2
Free from unnec psychotropic meds/prn useLevel 2
Free of accident hazards/supervision/devicesLevel 4
Infection prevention & controlLevel 2
Infection preventionist qualifications/roleLevel 2
Investigate/prevent/correct alleged violationLevel 2
Label/store drugs and biologicalsLevel 2
Menus meet resident nds/prep in adv/followedLevel 2
Quality of careLevel 2
Resident rights/exercise of rightsLevel 2
Treatment/srvcs mental/psychoscial concernsLevel 2
Develop ep plan, review and update annuallyLevel 1
Electrical systems - maintenance and testingLevel 2
Electrical systems - otherLevel 2
Fire drillsLevel 2
Hazardous areas - enclosureLevel 2
Ramps and other exitsLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 5 Jun 12, 2023
Visit Reason
Standard health citations related to bowel/bladder incontinence, nurse aide registry, staffing info, quality of care, and environment; all corrected by September 1, 2023.
Findings
Standard health citations related to bowel/bladder incontinence, nurse aide registry, staffing info, quality of care, and environment; all corrected by September 1, 2023.
Deficiencies (5)
DescriptionSeverity
Bowel/bladder incontinence, catheter, utiLevel 2
Nurse aide registry verification, retrainingLevel 2
Posted nurse staffing informationLevel 2
Quality of careLevel 2
Safe/clean/comfortable/homelike environmentLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 1 Jan 25, 2023
Visit Reason
One standard health citation for accident hazards corrected by April 11, 2023.
Findings
One standard health citation for accident hazards corrected by April 11, 2023.
Deficiencies (1)
DescriptionSeverity
Free of accident hazards/supervision/devicesLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 2 Jul 8, 2022
Visit Reason
Standard health citations for notification of changes and pressure ulcer treatment corrected by August 25, 2022.
Findings
Standard health citations for notification of changes and pressure ulcer treatment corrected by August 25, 2022.
Deficiencies (2)
DescriptionSeverity
Notify of changes (injury/decline/room, etc. )Level 2
Treatment/svcs to prevent/heal pressure ulcerLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 1 Mar 14, 2022
Visit Reason
One standard health citation for quality of care corrected by April 25, 2022.
Findings
One standard health citation for quality of care corrected by April 25, 2022.
Deficiencies (1)
DescriptionSeverity
Quality of careLevel 2

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