5/5
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.
5/5
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.
RiverSpring Residences, located on Palisade Avenue in the Riverdale area of the Bronx, is managed by The Hebrew Home for the Aged at Riverdale. This 69-bed facility provides many types of care in one spot: nursing home help, assisted living, independent living, memory care, home care, hospice, and palliative care. Having all these options is a big plus for families who want a place that can adjust as health needs change. They accept Medicaid, Medicare, and private payments.
Right now, 63 out of 69 beds are filled, which is a 91% occupancy rate. The average resident stays for about 153 days, covering both those there for quick recovery and those living there long-term. Riverdale has a Walk Score of 56, which means you can walk to some places, but having a car is usually a good idea for getting around.
Registered nurses spend about 53 minutes a day with each resident, and the total nursing care from all staff adds up to about 3 hours and 17 minutes daily per person. They offer specific programs like Independent Living 65+, Assisted Living Medicaid, Certified Home Health Aide services, Licensed Home Care, and Geriatric Care Management.
The facility has nice apartments, dining that feels like a restaurant, a gym, a hair salon, 24-hour front desk help, and planned bus rides. Residents also have plenty of daily activities and community events to choose from.
The New York Department of Health regularly checks the facility. Previous inspections mentioned some issues with how care plans and paperwork are handled. If you take a tour, it is a good idea to ask the staff how they create and update each person’s specific care plan to make sure everyone gets exactly what they need.
RiverSpring Residences is a very complete choice for senior care in the Bronx. With its 69 beds, seven different types of care, clear staffing numbers, and acceptance of Medicaid and Medicare, it is a strong option for families looking for a place that can handle many different health situations as they evolve.
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 186th out of 394 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.
| 53m per day | ▲ 27% 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.
| 17m per day | ▼ 64% State avg: 47m 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 13m 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 10m per day | ■ Avg State avg: 3h 14m per day · National avg: 3h 27m 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.
| 4m per day | ▼ 45% 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.
| 47m per day | ▲ 65% State avg: 29m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
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.
Inspection score unavailable
Not enough inspection history to generate a score.
Average score for New York assisted living residences: B 83/100
This scorecard compares key inspection, violation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 1 | 9 | This facility has had 89% fewer total inspections than the New York average (1 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 89% fewer |
|
Inspections with violations
Inspections that resulted in at least one regulatory violation.
| 1 | 4 | This facility has 75% fewer inspections with violations than a typical New York assisted living residence (1 vs. NY avg 4).↓ 75% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 100% | 44% | This facility has 56 percentage points higher inspection violation rate than a typical New York assisted living residence (100% vs. NY avg 44%).↑ 56% worse Rank #1 / 319 Inspection violation rate — State benchmarked This home is ranked 1st out of 319 homes in New York for % of inspections with violations. Shows this facility's % of inspections with violations compared to the New York average among 319 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking. |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 0 | 6 | This facility has 100% fewer complaint visits than a typical New York assisted living residence (0 vs. NY avg 6).↓ 100% better Rank #1 / 319 Complaint visits — State benchmarked This home is ranked 1st out of 319 homes in New York for complaint-related visits. Shows this facility's complaint-related visits compared to the New York average among 319 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking. |
Violations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total violations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 14.5 | This facility has 93% fewer total violations than a typical New York assisted living residence (1 vs. NY avg 14.5).↓ 93% better Rank #1 / 319 Total violations — State benchmarked This home is ranked 1st out of 319 homes in New York for violations. Shows this facility's violations compared to the New York average among 319 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking. |
|
Violations per inspection
Average violations per inspection.
| 1 | 1.6 | This facility has 38% fewer violations per inspection than a typical New York assisted living residence (1 vs. NY avg 1.6).↓ 38% better Rank #1 / 319 Violations per inspection — State benchmarked This home is ranked 1st out of 319 homes in New York for violations per inspection. Shows this facility's violations per inspection compared to the New York average among 319 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking. |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 0 | 79 | This facility has 100% fewer total complaints than a typical New York assisted living residence (0 vs. NY avg 79).↓ 100% better |
|
Complaints per year
Average complaints per year since 2021.
| 0 | 15.8 | This facility has 100% fewer complaints per year than a typical New York assisted living residence (0 vs. NY avg 15.8).↓ 100% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York average 3.6
Last Health inspection on May 2024
New York average 18.5
New York average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 13 citations resulted from standard inspections; and 1 of 13 resulted from complaint investigations.
100% better than New York averageNew York average: 0.2
100% better than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
477% more staff per resident than New York average
14% worse 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.
90 total: 83 full-time employees and 7 contractors.
90
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursAssists with medical care and medications.
26 total: 24 full-time employees and 2 contractors.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursHelps with daily care and mobility.
225 total: 203 full-time employees and 22 contractors.
225
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
15,140 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 203 | 22 | 225 | 73,914 | 92 | 100% | 6.4 |
| Registered Nurse | 83 | 7 | 90 | 22,112 | 92 | 100% | 6.8 |
| Licensed Practical Nurse | 24 | 2 | 26 | 9,276 | 92 | 100% | 7 |
| Clinical Nurse Specialist | 25 | 0 | 25 | 6,989 | 92 | 100% | 6.8 |
| Mental Health Service Worker | 14 | 0 | 14 | 3,403 | 67 | 73% | 7 |
| Speech Language Pathologist | 0 | 8 | 8 | 2,654 | 89 | 97% | 7.2 |
| Physical Therapy Aide | 0 | 8 | 8 | 2,562 | 92 | 100% | 7.2 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 2,052 | 90 | 98% | 7.8 |
| Occupational Therapy Aide | 0 | 5 | 5 | 1,324 | 65 | 71% | 6.3 |
| Physical Therapy Assistant | 0 | 8 | 8 | 1,062 | 78 | 85% | 6.6 |
| Qualified Social Worker | 0 | 4 | 4 | 877 | 74 | 80% | 6.5 |
| Administrator | 2 | 0 | 2 | 789 | 62 | 67% | 6.9 |
| Other Physician | 3 | 0 | 3 | 560 | 64 | 70% | 7 |
| Therapeutic Recreation Specialist | 0 | 1 | 1 | 502 | 66 | 72% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 406 | 58 | 63% | 7 |
| Medical Director | 1 | 0 | 1 | 329 | 47 | 51% | 7 |
| Other Dietary Services Staff | 10 | 0 | 10 | 127 | 4 | 4% | 6.4 |
| Dental Services Staff | 5 | 0 | 5 | 89 | 3 | 3% | 6.9 |
| Dietitian | 2 | 0 | 2 | 42 | 3 | 3% | 7 |
| Other Social Services Staff | 1 | 0 | 1 | 21 | 3 | 3% | 7 |
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.
6.5
34% better than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
33% better than New York averageNew York average: 18.1
Percent of long-stay residents whose need for help with daily activities has increased
7.1%
57% better than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
12.8%
23% better than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.8%
21% better than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
62% better than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
6.9%
In line with New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.8%
46% better than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
4.5%
26% better than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
4.4%
76% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
8.1%
35% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.6%
10% worse than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with New York averageNew York average: 95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
In line with New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
63% better than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.5%
In line with New York averageNew York average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
47% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
442Residents meet regularly to discuss policies, care quality, and activities
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 RiverSpring Residences from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #6 / 388Payroll — State benchmarkedThis home is ranked 6th out of 388 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #67 / 388Payroll % — State benchmarkedThis home is ranked 67th out of 388 homes in New York for payroll %. Shows payroll as a percentage of revenue versus the New York average. Well-run New York facilities typically land around 53–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (49% of admissions), and a typical private pay stay runs around 5 - 6 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
5901 Palisade Avenue, New York, NY 10471
Add your location
RiverSpring Residences is located in New York City, New York State.
Here are the financial assistance programs available to residents in New York City.
RiverSpring Residences is legally operated by The Hebrew Home for the Aged at Riverdale.
RiverSpring Residences has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to NY state health department records, RiverSpring Residences's license number is 020-S-007.
RiverSpring Residences's occupancy is 91.2%.
Yes — see the floorplan options available at RiverSpring Residences on this page.
Yes, RiverSpring Residences allows residents to bring their pets.
RiverSpring Residences is registered as a non-profit in NY.
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