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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Riverspring Residences operates 69 beds across independent living, assisted living, and memory care at 5901 Palisade Avenue, Riverdale, Bronx, under The Hebrew Home for the Aged at Riverdale. Occupancy at 91.2 percent reflects strong demand. Average length of stay is 153 days, balancing short-term rehabilitation (47 percent Medicare) with longer-stay private-pay residents (49 percent of admissions).
Staffing depth is substantive. 447 staff (374 employees, 73 contractors) support a 1.01 to 1 patient-to-staff ratio. Direct nursing includes 90 RNs, 26 LPNs, and 225 CNAs, plus 25 clinical nurse specialists and therapy specialists. This ranks fifth statewide in payroll investment at 63 million dollars annually.
Clinical outcomes correlate with this staffing level. Falls with major injury occur in 1.1 percent of residents versus the state average of 3.0 percent. Depressive symptoms affect 4.4 percent versus 18.1 percent statewide. Functional decline scores average 12.2 versus 18.1 statewide. Short-stay antipsychotic initiation runs 63 percent lower than peers.
The Inspection Reports show one inspection (November 2021) with one documentation deficiency. CMS Health Inspection History simultaneously documents three inspections since 2019 with thirteen total health citations (most recent May 2024), centered on resident rights, quality of life and care, and infection control. All violations remain moderate to minor. Zero critical or serious citations.
Zero resident complaints. Zero fines. Zero enforcement actions. Administrative deficiencies have not triggered care quality complaints.
The most recent fiscal year generated a net operating loss of 15.6 million dollars on 81.5 million in revenue, producing a negative 19.1 percent profit margin. Operating expenses of 121.5 million substantially exceed revenue. The deficit persists despite occupancy improvements, indicating current revenue cannot service accumulated debt. Facilities operating at negative margins lack resilience for unexpected expenses, capital replacement, or labor market pressures.
Amenities include restaurant-style dining with chef preparation, fitness center, salon, 24-hour concierge, scheduled transportation, wheelchair accessibility, emergency alert systems, and included utilities. Services span rehabilitation, respite care, home care options, geriatric care management, and 24-hour nursing.
Strong staffing and clinical outcomes cannot offset operational insolvency.
Before placement, request detailed financial disclosures regarding debt obligations, capital reserve status, and any pending restructuring.
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 191st out of 388 homes in New York. 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 |
|---|---|---|
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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.
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3h 11m per day | ■ Avg State avg: 3h 12m per day · National avg: 3h 25m per day |
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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. We don't score profiles with fewer than 3 inspections on record because a small inspection history reads as "below average" on every count-based metric — that would over-reward a facility just for being new.
Limited inspection history. Not enough information to score against the New York benchmark.
New York nursing homes benchmark: C 74/100
Inspection score not available. Not enough information to score against the New York benchmark.
This scorecard compares key inspection, citation, 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
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This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
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Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
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1 | 9 | This facility has 89% fewer total inspections than a typical New York nursing home (1 vs. NY avg 9).↓ 89% better |
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Inspections with citations
Inspections that resulted in at least one regulatory citation.
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1 | 4 | This facility has 75% fewer inspections with citations than a typical New York nursing home (1 vs. NY avg 4).↓ 75% better |
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Inspection citation rate
Percentage of inspections that resulted in at least one citation.
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100% | 44% | This facility has 56 percentage points higher inspection citation rate than a typical New York nursing home (100% vs. NY avg 44%).↑ 56% worse |
Citations
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This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
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Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
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1 | 13 | This facility has 92% fewer total citations than a typical New York nursing home (1 vs. NY avg 13).↓ 92% better |
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Citations per year
Average citations per year since 2021.
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0.2 | 2.6 | This facility has 92% fewer citations per year than a typical New York nursing home (0.2 vs. NY avg 2.6).↓ 92% better |
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Citations per inspection
Average citations per inspection.
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1 | 1.4 | This facility has 29% fewer citations per inspection than a typical New York nursing home (1 vs. NY avg 1.4).↓ 29% better |
Complaints & Investigations
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This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
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Total complaints
Formal expressions of concern made by residents, families, or staff.
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0 | 79 | This facility has 100% fewer total complaints than a typical New York nursing home (0 vs. NY avg 79).↓ 100% better |
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Complaints per year
Average complaints per year since 2021.
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0 | 15.8 | This facility has 100% fewer complaints per year than a typical New York nursing home (0 vs. NY avg 15.8).↓ 100% better |
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Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
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0 | 15 | This facility has 100% fewer complaint investigations than a typical New York nursing home (0 vs. NY avg 15).↓ 100% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection of RiverSpring Residences on November 4, 2021, identified one deficiency related to records and reports. Earlier inspections were mostly free of deficiencies, and no enforcement actions such as fines or license suspensions were listed in the available reports. Inspectors cited issues primarily involving documentation. There were no complaint investigations noted during this period. The inspection history suggests a generally stable compliance pattern with isolated documentation concerns.
State average 3.6
Last Health inspection on May 2024
State average 18.5
State 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 State average
State average: 0.2
100% better than State average
State average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
477% better 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 hours
Assists 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 hours
Helps 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 average
New 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 average
New 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 average
New York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
12.8%
23% better than New York average
New 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 average
New York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
62% better than New York average
New York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
6.9%
In line with New York average
New York average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.8%
46% better than New York average
New York average: 1.4%
Percent of long-stay residents who lose too much weight
4.5%
26% better than New York average
New York average: 6.1%
Percent of long-stay residents who have depressive symptoms
4.4%
76% better than New York average
New York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
8.1%
35% better than New York average
New York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.6%
10% worse than New York average
New York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with New York average
New York average: 95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
In line with New York average
New York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
63% better than New York average
New York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.5%
In line with New York average
New 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
442
Residents 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 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 #5 / 383Payroll — State benchmarkedThis home is ranked 5th out of 383 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.
245.9 miles from city center
Estimated distance in miles from New York's city center to RiverSpring Residences's address, calculated via Google Maps.
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RiverSpring Residences is located in New York.
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| RiverSpring Residences |
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. |
- | - | 69 | - | 56 | - |
| Notre Dame du Lac |
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. |
Worcester (Booth Apartments Area) | - | 110 | - | 13 | - |
| HeartLands Senior Living at Ellicott City |
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. |
Ellicott City (Plum Tree) | - | 182 | A+ | 14 | Studio / 1 Bed / 2 Bed |
| The Marshes of Skidaway Island |
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.
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. |
Savannah (Skidaway Island Park Road) | - | 31 | - | 11 | Cottages / Town Homes / Villas |
| Celebration Villa of Teays Valley |
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.
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.
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. |
Hurricane | - | 77 | - | 29 | Studio / Deluxe Studio |
The legal owner and operator of RiverSpring Residences is 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.
Yes — see the floorplan options available at RiverSpring Residences on this page.
RiverSpring Residences has 69 beds.
Yes — there are 16 photos of RiverSpring Residences in the photo gallery on this page.
RiverSpring Residences is located at 5901 Palisade Avenue.
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