We arrange tours, appointments, and even moving support so you don’t have to
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.
Castleton-on-Hudson’s Riverside Center for Rehabilitation and Nursing operates as an 80-bed for-profit skilled nursing facility under RSRNC, LLC ownership, serving a mixed Medicaid (81%), private-pay (13%), and Medicare (6%) resident census of 77. Average stay is 162 days.
CMS assigns a 2-star overall rating: 2-star health inspection (score 61/100 vs. benchmark 74/100, grade D-), 4-star staffing, and 3-star quality measures. U.S. News designates short-term rehabilitation as Evaluated.
Nine inspections since 2018 yielded citations at a 44% rate (matching state average).
The July 2023 complaint investigation documented 25 health citations. One serious deficiency appeared; 24 were moderate. Three enforcement actions span the period. The inspection summary identifies ongoing compliance problems without demonstrated trajectory toward improvement.
With 102 complaints filed (127.5/100 beds), the facility exceeds average (49.9/bed) by 156%. Annual complaint rate is 13.3 versus state mean of 11.3.
CMS database shows zero penalties in the past three years.
Total nursing reaches 4 hours 31 minutes/day (29% above state); this is driven by licensed practical nurse hours (1h 16m, +65% above state) and certified nursing aide coverage (2h 9m, at average).
Registered nurses contribute only 30 minutes/resident/day; 29% below standard. Weekend RN presence of 16 minutes/day represents 43% below baseline.
Q4 2025 census shows 10 RNs, 43 LPNs, 46 CNAs; 21 staff are contractors (4.6% of hours).
Employee influenza vaccination reached 91%.
Depressive symptoms register 0% (100% better), UTI 0.4% (74% better), and weight loss 4.3% (30% better).
However, falls with major injury are 5.3%; double the average of 3.0%. Pressure ulcers appear in 10.6% of high-risk long-stay residents (48% above state). Antipsychotic use spans 19.1% of the long-stay population, 52% worse than average of 12.6%. Walking ability declines in 18.2% (10% worse). Incontinence in low-risk residents is 26.3% (23% worse).
Pneumococcal vaccination is 68.7% (10% below state). Antipsychotic medication is newly initiated in 2.9% of short-stay admissions; nearly three times the state rate of 1.3%. Successful discharge occurs in 33.1% of cases, versus average of 50.6% (35% below).
Short-stay falls with major injury are 0%.
The facility provides comprehensive long-term care and short-term rehabilitation through departments of audiology, dental, medical social work, nutrition, optometry, pharmacy, psychology, occupational and physical therapy, and speech pathology. An active resident council and on-site nurse aide training program are established.
Financial position shows $14.4 million annual revenue with a $352,800 operating loss; payroll of $4.7 million represents 32.6% of revenue; substantially below the 53-65% typical of financially stable, well-staffed facilities.
Litigation docket includes 11 suits since 2018 (3 active, 8 closed), next court appearance May 1, 2026. Most recent filing was 2026.
Families should request documentation of corrective actions, verify staffing ratios, understand the significance of three pending lawsuits, and discuss fall prevention and medication protocols.
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 39th 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.
| 30m per day | ▼ 29% 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 16m per day | ▲ 65% 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.
| 2h 9m per day | ■ Avg 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.
| 3h 11m per day | ■ Avg State avg: 3h 10m per day · National avg: 3h 26m 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.
| 16m per day | ▼ 43% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Riverside Center for Rehabilitation and Nursing is legally operated by RSRNC, 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.
10 points below the New York State average for nursing homes (83/100)
Inspection score: 73 out of 100. Letter grade C. 10 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 3 enforcement actions. 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.
| 18 | 13 | This facility has 38% more total citations than a typical New York State nursing home (18 vs. NY avg 13).↑ 38% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 15 | 20 | This facility has 25% fewer health citations than a typical New York State nursing home (15 vs. NY avg 20).↓ 25% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 3 | 4 | This facility has 25% fewer life safety citations than a typical New York State nursing home (3 vs. NY avg 4).↓ 25% better |
|
Citations per year
Average citations per year since 2019.
| 2.6 | 1.9 | This facility has 37% more citations per year than a typical New York State nursing home (2.6 vs. NY avg 1.9).↑ 37% 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.
| 9 | 9 | This facility has total inspections in line with the New York State average (9 vs. NY avg 9).— At avg |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 4 | 4 | This facility has inspections with citations in line with the New York State average (4 vs. NY avg 4).— At avg |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 44% | 44% | This facility has inspection citation rate in line with the New York State average (44 vs. NY avg 44).— At avg |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 93 | 79 | This facility has 18% more total complaints than a typical New York State nursing home (93 vs. NY avg 79).↑ 18% worse |
|
Complaints per year
Average complaints per year since 2019.
| 13.3 | 11.3 | This facility has 18% more complaints per year than a typical New York State nursing home (13.3 vs. NY avg 11.3).↑ 18% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 1.20 | 0.50 | This facility has 140% more complaints per bed than a typical New York State nursing home (1.2 vs. NY avg 0.5).↑ 140% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 10 | 15 | This facility has 33% fewer complaint investigations than a typical New York State nursing home (10 vs. NY avg 15).↓ 33% 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 Jul 2023
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.
17 of 25 citations resulted from standard inspections; 2 of 25 resulted from complaint investigations; and 6 of 25 came from combined inspections (standard and complaint).
100% better than New York State averageNew York State average: 0.2
400% worse 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.
11
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
3
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
8
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2018
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2026
Next scheduled court appearance on record across active cases.
May 01, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
789% more staff per resident than New York average
0% compared with 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.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursAssists with medical care and medications.
43 total: 30 full-time employees and 13 contractors.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
46 total: 43 full-time employees and 3 contractors.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,347 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 3 | 46 | 13,426 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 30 | 13 | 43 | 8,072 | 92 | 100% | 8.2 |
| Registered Nurse | 10 | 0 | 10 | 2,198 | 92 | 100% | 7.4 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 877 | 64 | 70% | 7.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 851 | 76 | 83% | 6.9 |
| Therapeutic Recreation Specialist | 2 | 1 | 3 | 553 | 65 | 71% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 479 | 63 | 68% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 451 | 59 | 64% | 7.6 |
| Dietitian | 1 | 0 | 1 | 432 | 57 | 62% | 7.6 |
| Speech Language Pathologist | 1 | 0 | 1 | 424 | 56 | 61% | 7.6 |
| Administrator | 2 | 0 | 2 | 405 | 54 | 59% | 7.5 |
| Physical Therapy Aide | 2 | 0 | 2 | 309 | 60 | 65% | 4.2 |
| Qualified Social Worker | 2 | 1 | 3 | 242 | 39 | 42% | 6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 225 | 30 | 33% | 7.5 |
| Physical Therapy Assistant | 1 | 0 | 1 | 72 | 16 | 17% | 4.5 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 53 | 42 | 46% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 42 | 12 | 13% | 3.5 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
10.5
7% worse than New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
8% worse 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
14.3%
13% better than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
18.2%
10% worse 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
26.3%
23% worse than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
79% worse than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
10.6%
48% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.4%
74% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
4.3%
30% better than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
19.1%
52% worse than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
8% better than New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than New York State averageNew York State average: 95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.7%
10% worse than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
129% worse than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
76.2%
In line with New York State averageNew York State average: 78.8%
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%
Rate of successful return to home or community from a skilled nursing facility.
33.1%
35% 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.
29% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents 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 Riverside Center for Rehabilitation and Nursing 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 #367 / 382Payroll — State benchmarkedThis home is ranked 367th out of 382 homes in New York for payroll. 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 Castleton-On-Hudson's city center to Riverside Center for Rehabilitation and Nursing's address, calculated via Google Maps.
Add your location
Riverside Center for Rehabilitation and Nursing is located in Castleton-on-hudson, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| Job Haines Home |
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.
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.
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 (Bloomfield Avenue) | 40 | 97.5% | +27% | 6.31 | -2% | +63% | $0 | 4 | 1.3 | - | 37 | - | 85 | Noreen Haveron | $17.2M | $12.4M | 72.1% | 315392 | ||||
| Angels 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Los Angeles (Westlake) | 41
Facility
41
CA AVG
103
Rank
#1206 / 1658 | 90.2% | +7% | 4.73 | -54% | +12% | $33.9k | 42 | 3.8 | 4 | 37 | A+ |
92
Facility
92
CA AVG
57
Rank
#137 / 2093 | Aret Akian | $4.5M | $3.8M | 84.8% | 55704 | ||||
| Horizon Health & Subacute 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). | Fresno (East Herndon Avenue) | 180
Facility
180
CA AVG
103
Rank
#211 / 1658 | - | - | 4.73 | -29% | +12% | $22.9k | 43 | 3.1 | 2 | 155 | - |
58
Facility
58
CA AVG
57
Rank
#1129 / 2093 | Chad Galley | $4.8M | $3.6M | 74.7% | 55199 | ||||
| Mid-Wilshire Health Care 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Los Angeles (Westlake) | 80
Facility
80
CA AVG
103
Rank
#917 / 1658 | - | - | 3.66 | +193% | -13% | $54.2k | 44 | 3.7 | 4 | 74 | A+ |
96
Facility
96
CA AVG
57
Rank
#43 / 2093 | Best Health Services LLC | $8.1M | $6.0M | 74.5% | 56174 | ||||
| Riverside Center for Rehabilitation and Nursing |
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). | Castleton-On-Hudson | 80 | 96.3% | +9% | 4.51 | -36% | +26% | $7.9k | 25 | 6.3 | 1 | 76 | - | 21 | Adetutu Adetona | $14.4M | $4.7M | 32.6% | 335525 |
The legal owner and operator of Riverside Center for Rehabilitation and Nursing is RSRNC, LLC (For Profit).
Riverside Center for Rehabilitation and Nursing has a walk score of 21. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NY state health department records, Riverside Center for Rehabilitation and Nursing's license number is 4124301N.
Riverside Center for Rehabilitation and Nursing's occupancy is 96%.
Riverside Center for Rehabilitation and Nursing has 80 beds.
Riverside Center for Rehabilitation and Nursing has had 18 recently reported deficiencies.
Yes — there are 3 photos of Riverside Center for Rehabilitation and Nursing in the photo gallery on this page.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
