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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
River Ridge Living Center Rehabilitation & Nursing operates as a family-owned 120-bed nursing home in Amsterdam. Heather Daw serves as the operator through River Ridge Operating, LLC. The facility accepts Medicare, Medicaid, and private-pay residents and delivers specialized rehabilitation programs, including orthopedic, cardiac, and pulmonary care tracks, along with long-term skilled nursing placement.
The facility’s CMS rating is 1 star, substantially below the New York state average. Both the overall rating and health inspection rating fall 64-68% below state benchmarks, reflecting sustained compliance and care challenges.
Total nursing care averages 3 hours 52 minutes per resident daily, which exceeds the state average. Licensed Practical Nurses contribute 1 hour 1 minute per day; 33% above state norm. This stands as a facility standout. However, Registered Nurses supply only 29 minutes per day, placing them 31% below state expectations. Weekend RN hours at 12 minutes further illustrate the gap: state average runs 28 minutes.
Q4 2025 staffing shows 230 personnel split between 109 employees and 121 contractors. The contractor-heavy model (52.6%) suggests reliance on temporary labor.
The facility reports 26 citations in total since 2020, double the state average. Complaints filed reached 140, substantially exceeding the 79-case state average. This yields a complaint-per-bed rate of 1.23, nearly 2.5 times the state norm. Five consecutive COVID-19 surveys between January and March 2024 all identified identical reporting deficiencies to the national health safety network, each marked as widespread scope.
Long-stay residents experience pressure ulcer rates of 15.8%, notably worse than the state average. Conversely, fall rates at 0.8% substantially beat the state benchmark. For short-stay rehabilitation patients, successful return-to-home rates stand at 35.3%, trailing the state average significantly. Ability to care for self at discharge reached 35.6%, running 34% below expected performance.
One active lawsuit and seven disposed cases extend back to 2015.
River Ridge operates primarily as a mixed rehabilitation and Medicaid-dominant long-term care facility serving residents who cannot achieve independent community discharge.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 95th out of 387 homes in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 23m per day | ▼ 45% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 3m per day | ▲ 36% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 57m per day | ▼ 11% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 57m per day | ▼ 7% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▼ 13% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 11m per day | ▼ 60% State avg: 28m per day · National avg: 28m per day |
Similar to the New York average: 88.3%River Ridge Living Center is legally operated by River Ridge Operating, LLC (For Profit).
In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. The score below shows how many points this facility sits above or below the typical New York State nursing home score (the benchmark); higher is better.
8 points below the New York State average for nursing homes (83/100)
Inspection score: 75 out of 100. Letter grade C. 8 points below the New York State average for nursing homes (83/100)
Enforcement actions are formal penalties or interventions imposed by New York State regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 1 enforcement action. 33% of New York State nursing homes have zero, and the statewide average is 1.6.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 26 | 13 | This facility has 100% more total citations than a typical New York State nursing home (26 vs. NY avg 13).↑ 100% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 20 | 20 | This facility has health citations in line with the New York State average (20 vs. NY avg 20).— At avg |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 6 | 4 | This facility has 50% more life safety citations than a typical New York State nursing home (6 vs. NY avg 4).↑ 50% worse |
|
Citations per year
Average citations per year since 2020.
| 4.3 | 2.2 | This facility has 95% more citations per year than a typical New York State nursing home (4.3 vs. NY avg 2.2).↑ 95% worse |
|
Citations per inspection
Average citations per inspection.
| 2 | 1.4 | This facility has 43% more citations per inspection than a typical New York State nursing home (2 vs. NY avg 1.4).↑ 43% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 13 | 9 | This facility has 44% more total inspections than a typical New York State nursing home (13 vs. NY avg 9).↑ 44% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 8 | 4 | This facility has 100% more inspections with citations than a typical New York State nursing home (8 vs. NY avg 4).↑ 100% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 62% | 44% | This facility has 18 percentage points higher inspection citation rate than a typical New York State nursing home (62% vs. NY avg 44%).↑ 18% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 140 | 79 | This facility has 77% more total complaints than a typical New York State nursing home (140 vs. NY avg 79).↑ 77% worse |
|
Complaints per year
Average complaints per year since 2020.
| 23.3 | 13.2 | This facility has 77% more complaints per year than a typical New York State nursing home (23.3 vs. NY avg 13.2).↑ 77% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 1.23 | 0.50 | This facility has 146% more complaints per bed than a typical New York State nursing home (1.23 vs. NY avg 0.5).↑ 146% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 13 | 15 | This facility has 13% fewer complaint investigations than a typical New York State nursing home (13 vs. NY avg 15).↓ 13% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York State average 3.6
Last Health inspection on Mar 2025
New York State average 18.5
New York State average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
28 of 38 citations resulted from standard inspections; 4 of 38 resulted from complaint investigations; and 6 of 38 came from combined inspections (standard and complaint).
100% better than New York State averageNew York State average: 0.2
100% better than New York State averageNew York State average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
8
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
7
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2015
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2024
Next scheduled court appearance on record across active cases.
Jun 22, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1104% more staff per resident than New York average
8% better than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 11 full-time employees and 3 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
74 total: 21 full-time employees and 53 contractors.
74
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
108 total: 45 full-time employees and 63 contractors.
108
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8,438 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 63 | 108 | 19,766 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 21 | 53 | 74 | 10,454 | 92 | 100% | 8.8 |
| Registered Nurse | 11 | 3 | 14 | 3,150 | 92 | 100% | 8.1 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,478 | 69 | 75% | 7.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,103 | 91 | 99% | 7.3 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,036 | 80 | 87% | 7.8 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 1,026 | 64 | 70% | 8.3 |
| Respiratory Therapist | 3 | 0 | 3 | 979 | 70 | 76% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 939 | 64 | 70% | 8.1 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 532 | 59 | 64% | 7.5 |
| Dietitian | 1 | 0 | 1 | 498 | 61 | 66% | 8.2 |
| Occupational Therapy Aide | 2 | 0 | 2 | 484 | 77 | 84% | 5.2 |
| Administrator | 2 | 0 | 2 | 416 | 52 | 57% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 303 | 60 | 65% | 5.1 |
| Nurse Practitioner | 1 | 0 | 1 | 275 | 38 | 41% | 7.2 |
| RN Director of Nursing | 1 | 0 | 1 | 208 | 28 | 30% | 7.4 |
| Nurse Aide in Training | 1 | 0 | 1 | 104 | 14 | 15% | 7.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 54 | 3 | 3% | 18 |
| Medical Director | 0 | 1 | 1 | 43 | 3 | 3% | 14.2 |
Includes penalties issued in 2024
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)
95% lower than New York State averageNew York State average: $66K
51% fewer fines than New York State averageNew York State average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New York State averageNew York State average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 30, 2024 · $3K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
In line with New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.3
21% better than New York State averageNew York State average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
9% better than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
13.7%
17% better than New York State averageNew York State average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.2%
34% better than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
73% better than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
15.8%
121% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.6%
59% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
1.7%
72% better than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
12.0%
34% better than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
15.7%
25% worse than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.85
8% worse than New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.81
34% worse than New York State averageNew York State average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
29% better than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.6%
19% better than New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.2%
7% better than New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
5% better than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
35.6%
34% worse than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
35.3%
30% worse than New York State averageNew York State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
35% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
109Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for River Ridge Living Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #345 / 382Payroll — State benchmarkedThis home is ranked 345th out of 382 homes in New York. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Amsterdam's city center to River Ridge Living Center's address, calculated via Google Maps.
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River Ridge Living Center is located in Amsterdam, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of River Ridge Living Center is River Ridge Operating, LLC (For Profit).
According to NY state health department records, River Ridge Living Center's license number is 2801305N.
River Ridge Living Center's occupancy is 91%.
River Ridge Living Center has 120 beds.
River Ridge Living Center has had 26 recently reported deficiencies.
Yes — there are 8 photos of River Ridge Living Center in the photo gallery on this page.
River Ridge Living Center is located at 100 Sandy Drive.
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