RiverSpring Residences
Nursing Home, Assisted Living, Home Care, Hospice Care, Independent Living, Memory Care, Palliative Care & Skilled Nursing · New York City, NY
CMS overall rating Info 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

Nursing Home, Assisted Living, Home Care, Hospice Care, Independent Living, Memory Care, Palliative Care & Skilled Nursing · New York City, NY
CMS overall rating Info 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.
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RiverSpring Residences accepts Medicaid, Medicare, and private pay.

Overview of RiverSpring Residences

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 62.7% Above NY avg. ▲ 62.7% Above NY avg.NY average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 41.3% Above NY avg. ▲ 41.3% Above NY avg.NY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 10.4% Above NY avg. ▲ 10.4% Above NY avg.NY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 30.9% Above NY avg. ▲ 30.9% Above NY avg.NY average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs New York averages

Rank #213 / 395Nurse hours — State benchmarkedThis home is ranked 213th out of 395 homes we track in New York for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the New York average, with a ranking across 395 New York facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 213th out of 395 homes we track 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.

3h 10m

12% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
49m
+18% State avg: 41m per day · National avg: 42m per day
LPN / LVN Info 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.
19m
−59% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info 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 2m
−5% State avg: 2h 8m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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 59m
−5% State avg: 3h 8m per day · National avg: 3h 30m per day
Physical Therapist Info 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.
5m
−34% State avg: 7m per day · National avg: 4m per day
Weekend RN Info 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.
42m
+42% State avg: 30m per day · National avg: 29m per day

4 of 6 metrics below state avg

Capacity and availability

Residents per day (avg)
365
Avg. Length of Stay Info 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.
153 days
Bed community size
69-bed community Rank #612 / 736Bed count — State benchmarkedThis home is ranked 612th out of 736 homes we track in New York for bed count. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 56 / 100 Rank #736 / 1150Walk Score — State benchmarkedThis home is ranked 736th out of 1,150 homes we track in New York for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New York facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

License Details

Facility TypeEnriched Housing Program
StatusActive
CountyBronx
License Number020-S-007

Ownership & Operating Entity

Owner NameThe Hebrew Home For The Aged At Riverdale

Safety & Compliance

Wheelchair Accessible
Secured Perimeter
Emergency SystemsEmergency alert system in every unit.
Safety Features24-hour onsite security.

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Nursing Services
24-Hour Staffing

Additional Policies & Features

Minimum Age65
HousekeepingYes
Linen ServiceYes
Utilities IncludedYes

Amenities & Lifestyle

Dining
Fitness Center
Salon
Concierge
Scheduled Transportation
Activities
Upscale Apartments
ActivitiesEngaging daily events and activities
Specific ProgramsIndependent Living 65+, Assisted Living Medicaid, Certified Home Health Aide, Licensed Home Care Services, Geriatric Care Management

Contact RiverSpring Residences

Inspection History

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 Scorecard Info 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.

Overall vs. NY average 2 Worse Metrics worse than New York average:
• Inspection violation rate (14% above)
• Inspection violation rate (14% above)
4 Better Metrics better than New York average:
• Total violations (95% below)
• Violations per inspection (78% below)
• Inspections with violations (75% below)
• Inspections with violations (75% below)

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNY Averagevs. NY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 29 This facility has had 78% fewer total inspections than the New York average (2 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 78% fewer
Inspections with violations Info Inspections that resulted in at least one regulatory violation. 14 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 Info Percentage of inspections that resulted in at least one violation. 50%44% This facility has 6 percentage points higher inspection violation rate than a typical New York assisted living residence (50% vs. NY avg 44%).↑ 6% worse Rank #160 / 316 Inspection violation rate — State benchmarked This home is ranked 160th out of 316 homes we track in New York for % of inspections with violations. Shows this facility's % of inspections with violations compared to the New York average among 316 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Inspections with violations Info Inspections that uncovered at least one regulatory violation. 14 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 Info Percentage of inspections that resulted in at least one violation. 50%44% This facility has 6 percentage points higher inspection violation rate than a typical New York assisted living residence (50% vs. NY avg 44%).↑ 6% worse Rank #160 / 316 Inspection violation rate — State benchmarked This home is ranked 160th out of 316 homes we track in New York for % of inspections with violations. Shows this facility's % of inspections with violations compared to the New York average among 316 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 06 This facility has had 100% fewer complaint visits than the New York average (0 vs. NY avg 6). More inspections can mean more regulatory scrutiny rather than worse care.↓ 100% fewer Rank #1 / 316 Complaint visits — State benchmarked This home is ranked 1st out of 316 homes we track in New York for complaint-related visits. Shows this facility's complaint-related visits compared to the New York average among 316 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.

Violations Info Violations are formal regulatory issues recorded during state inspections.

This FacilityNY Averagevs. NY Avg
Total violations Info Formal regulatory issues recorded by inspectors across all inspection types. 121 This facility has 95% fewer total violations than a typical New York assisted living residence (1 vs. NY avg 21).↓ 95% better Rank #31 / 316 Total violations — State benchmarked This home is ranked 31st out of 316 homes we track in New York for violations. Shows this facility's violations compared to the New York average among 316 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Violations per inspection Info Average violations per inspection. 0.52.3 This facility has 78% fewer violations per inspection than a typical New York assisted living residence (0.5 vs. NY avg 2.3).↓ 78% better Rank #76 / 316 Violations per inspection — State benchmarked This home is ranked 76th out of 316 homes we track in New York for violations per inspection. Shows this facility's violations per inspection compared to the New York average among 316 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data
Total health inspections 3

New York average 3.6


Last Health inspection on May 2024

Total health citations
13 Rank #124 / 397Health citations — State benchmarkedThis home is ranked 124th out of 397 homes we track in New York for health citations. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 397 NY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York average 18.5

Citations per inspection
4.33 Rank #149 / 397Citations per inspection — State benchmarkedThis home is ranked 149th out of 397 homes we track in New York for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 397 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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.

Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than New York average

New York average: 0.2


Serious health citations
0
100% better than New York average

New York average: 0.2

0 critical citations New York average: 0.2

0 serious citations New York average: 0.2

12 moderate citations New York average: 17.4

1 minor citation New York average: 0.7
Citations history (last 7 years)
Abuse/Neglect moderate citation May 30, 2024
Corrected

Nutrition moderate citation May 03, 2022
Corrected

Resident Rights moderate citation May 03, 2022
Corrected

Infection Control moderate citation Aug 12, 2019
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 447
Employees 374
Contractors 73
Staff to resident ratio 1.01 : 1
477% more staff per resident than New York average
New York average ratio: 0.18 : 1 New York average ratio: 0.18 : 1See full New York ranking
Avg staff/day 212
Average shift 6.6 hours
14% worse than New York average
New York average: 7.7 hours New York average shift: 7.7 hoursSee full New York ranking
Total staff hours (quarter) 129,089

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 90 total: 83 full-time employees and 7 contractors. 90
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 26 total: 24 full-time employees and 2 contractors. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 225 total: 203 full-time employees and 22 contractors. 225
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

11.7%

15,140 contractor hours this quarter

Certified Nursing Assistant: 22 Respiratory Therapy Technician: 8 Physical Therapy Aide: 8 Speech Language Pathologist: 8 Physical Therapy Assistant: 8 Registered Nurse: 7 Occupational Therapy Aide: 5 Qualified Social Worker: 4 Licensed Practical Nurse: 2 Therapeutic Recreation Specialist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2032222573,91492100%6.4
Registered Nurse8379022,11292100%6.8
Licensed Practical Nurse242269,27692100%7
Clinical Nurse Specialist250256,98992100%6.8
Mental Health Service Worker140143,4036773%7
Speech Language Pathologist0882,6548997%7.2
Physical Therapy Aide0882,56292100%7.2
Respiratory Therapy Technician0882,0529098%7.8
Occupational Therapy Aide0551,3246571%6.3
Physical Therapy Assistant0881,0627885%6.6
Qualified Social Worker0448777480%6.5
Administrator2027896267%6.9
Other Physician3035606470%7
Therapeutic Recreation Specialist0115026672%7.6
Nurse Practitioner1014065863%7
Medical Director1013294751%7
Other Dietary Services Staff1001012744%6.4
Dental Services Staff5058933%6.9
Dietitian2024233%7
Other Social Services Staff1012133%7
225 Certified Nursing Assistant
% of Days 100%
90 Registered Nurse
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
25 Clinical Nurse Specialist
% of Days 100%

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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

Functional decline score Info 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

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info 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%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.8%
23% better than New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info 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%

Falls with Major Injury Info 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%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.9%
In line with New York average

New York average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
46% better than New York average

New York average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.5%
26% better than New York average

New York average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.4%
76% better than New York average

New York average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.1%
35% better than New York average

New York average: 12.6%

Pneumococcal Vaccine Info 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%

Influenza Vaccine Info 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%

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info 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%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.5%
63% better than New York average

New York average: 1.3%

Influenza Vaccine Info 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%

Breakdown by payment type

Medicare

47% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

49% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 11 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 442
Medicare
41
9.3% of residents
Medicaid
311
70.4% of residents
Private pay or other
90
20.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info 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."
$81.5M
Net patient income Info 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."
-$39.9M
Nonprofit Nonprofit Corporation
Net patient revenue Info 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."
$81.5M Rank #9 / 383Net patient revenue — State benchmarkedThis home is ranked 9th out of 383 homes we track in New York. Shows this facility's net patient revenue compared to the New York average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info 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."
-$39.9M
Other income Info 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.
$24.3M
Payroll costs Info 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 #9 / 383Payroll costs — State benchmarkedThis home is ranked 9th out of 383 homes we track in New York. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New York average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$53.3M 65.4% of net patient revenue Info 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 #80 / 382Payroll % of net patient revenue — State benchmarkedThis home is ranked 80th out of 382 homes we track in New York. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info 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).
$68.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$121.5M

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

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.

Admissions
840 total

Coverage residents most often arrive under.

Medicare 47%
Private pay 49%
Medicaid 4%
Discharges
1,202 total

Coverage residents most often leave under.

Medicare 30%
Private pay 45%
Medicaid 26%

Living Spaces & Floor Plans for RiverSpring Residences

Places of interest near RiverSpring Residences

Address 5901 Palisade Avenue, New York, NY 10471

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Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New York average is: 55.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Amsterdam Nursing Home
NH
SNF
New York (Manhattan)
409
Facility 409
NY AVG 160
Rank #23 / 736
98.0%
Facility 98.0%
NY AVG 90.6%
Rank #61 / 392
+8%
3.13
Facility 3.13
NY AVG 3.58
Rank #249 / 395
+5%-12%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
14
Facility 14
NY AVG 18.5
Rank #146 / 397
7.0
Facility 7.0
NY AVG 5.1
Rank #326 / 397
-401-
93
Facility 93
NY AVG 64
Rank #191 / 1,150
Judith Fenster
$81.1MFiscal year ending 12/2023
Facility $81.1MFiscal year ending 12/2023
NY AVG $29.2M
Rank #10 / 383
$30.1MFiscal year ending 12/2023
Facility $30.1MFiscal year ending 12/2023
NY AVG $15.4M
Rank #35 / 383
37.1%Fiscal year ending 12/2023
Facility 37.1%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #336 / 382
335570
Upper East Side Rehabilitation and Nursing Center
NH
PC
SNF
New York (Manhattan)
499
Facility 499
NY AVG 160
Rank #14 / 736
92.0%
Facility 92.0%
NY AVG 90.6%
Rank #257 / 392
+1%
2.65
Facility 2.65
NY AVG 3.58
Rank #341 / 395
+85%-26%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
9
Facility 9
NY AVG 18.5
Rank #57 / 397
3.0
Facility 3.0
NY AVG 5.1
Rank #59 / 397
-459-
97
Facility 97
NY AVG 64
Rank #80 / 1,150
Celma Dumaguing
$88.6MFiscal year ending 12/2023
Facility $88.6MFiscal year ending 12/2023
NY AVG $29.2M
Rank #8 / 383
$30.0MFiscal year ending 12/2023
Facility $30.0MFiscal year ending 12/2023
NY AVG $15.4M
Rank #36 / 383
33.9%Fiscal year ending 12/2023
Facility 33.9%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #361 / 382
335232
Dry Harbor Nursing Home and Rehabilitation Center
NH
SNF
Middle Village (Flushing)
360
Facility 360
NY AVG 160
Rank #34 / 736
98.0%
Facility 98.0%
NY AVG 90.6%
Rank #61 / 392
+8%
3.50
Facility 3.50
NY AVG 3.58
Rank #139 / 395
+66%-2%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
15
Facility 15
NY AVG 18.5
Rank #164 / 397
5.0
Facility 5.0
NY AVG 5.1
Rank #211 / 397
-35-
86
Facility 86
NY AVG 64
Rank #358 / 1,150
Jonathan Strasser
$65.4MFiscal year ending 12/2023
Facility $65.4MFiscal year ending 12/2023
NY AVG $29.2M
Rank #23 / 383
$26.5MFiscal year ending 12/2023
Facility $26.5MFiscal year ending 12/2023
NY AVG $15.4M
Rank #48 / 383
40.6%Fiscal year ending 12/2023
Facility 40.6%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #312 / 382
335416
ArchCare at Mary Manning Walsh Nursing Home & Rehabilitation Center
NH
MC
RC
SNF
New York (Manhattan)
360
Facility 360
NY AVG 160
Rank #34 / 736
91.1%
Facility 91.1%
NY AVG 90.6%
Rank #268 / 392
+1%
3.34
Facility 3.34
NY AVG 3.58
Rank #189 / 395
+81%-7%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
14
Facility 14
NY AVG 18.5
Rank #146 / 397
3.5
Facility 3.5
NY AVG 5.1
Rank #97 / 397
-328-
98
Facility 98
NY AVG 64
Rank #46 / 1,150
Catholic Healthcare Systems
$68.5MFiscal year ending 12/2023
Facility $68.5MFiscal year ending 12/2023
NY AVG $29.2M
Rank #21 / 383
$33.9MFiscal year ending 12/2023
Facility $33.9MFiscal year ending 12/2023
NY AVG $15.4M
Rank #28 / 383
49.5%Fiscal year ending 12/2023
Facility 49.5%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #224 / 382
335050
RiverSpring Residences
NH
AL
HC
HOS
IL
MC
PC
SNF
New York
69
Facility 69
NY AVG 160
Rank #612 / 736
--
3.17
Facility 3.17
NY AVG 3.58
Rank #213 / 395
+59%-12%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
13
Facility 13
NY AVG 18.5
Rank #124 / 397
4.3
Facility 4.3
NY AVG 5.1
Rank #149 / 397
-365-
56
Facility 56
NY AVG 64
Rank #736 / 1,150
Lawrence Burian
$81.5MFiscal year ending 12/2023
Facility $81.5MFiscal year ending 12/2023
NY AVG $29.2M
Rank #9 / 383
$53.3MFiscal year ending 12/2023
Facility $53.3MFiscal year ending 12/2023
NY AVG $15.4M
Rank #9 / 383
65.4%Fiscal year ending 12/2023
Facility 65.4%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #80 / 382
335020

Financial Assistance for
Nursing Home in New York

RiverSpring Residences is located in New York City, New York State.
Here are the financial assistance programs available to residents in New York City.

Get Financial aid guidance

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

Cost-sharing required above certain income; urban/rural balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Senior Citizen Rent Increase Exemption (SCRIE)

NY SCRIE

Age 62+
General NYC resident, live in rent-controlled/stabilized apartment, spend >1/3 of income on rent.
Income Limits (2025) $50,000/year household
Asset Limits No strict asset cap, but income-focused eligibility.
NY

Limited to NYC’s rent-regulated units; high demand in urban areas.

Benefits
Rent freeze (e.g., covers increases of $50-$200+/month); tax credit for landlord

Senior Citizen Homeowners’ Exemption (SCHE)

NY SCHE

Age 65+
General NYC resident, own and live in a 1-3 family home, co-op, or condo.
Income Limits (2025) $58,399/year household
Asset Limits No strict asset cap, income-driven eligibility.
NY

Applies only in NYC; excludes large apartment buildings.

Benefits
Property tax reduction (5-50%, e.g., $500-$5,000/year based on income and property value)

New York Foundation for Senior Citizens (NYFSC) Home Sharing Program

NYFSC Home Sharing

Age One participant must be 60+ (host or guest)
General NYC resident, able to share living space.
Income Limits No strict limit, but targets those needing cost relief.
Asset Limits Not applicable; focus on housing need.
NY

Primarily NYC-focused; limited slots due to demand.

Benefits
Shared housing (reduces rent/living costs by 30-50%, e.g., $500-$1,000/month savings); optional light assistance between housemates

Frequently Asked Questions about RiverSpring Residences

Who is the owner of RiverSpring Residences?

RiverSpring Residences is legally operated by The Hebrew Home for the Aged at Riverdale.

Is RiverSpring Residences in a walkable area?

RiverSpring Residences has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of RiverSpring Residences?

According to NY state health department records, RiverSpring Residences's license number is 020-S-007.

What is the occupancy rate at RiverSpring Residences?

RiverSpring Residences's occupancy is 91.2%.

Does RiverSpring Residences have different floorplan options?

Yes — see the floorplan options available at RiverSpring Residences on this page.

Are pets allowed at RiverSpring Residences?

Yes, RiverSpring Residences allows residents to bring their pets.

Does RiverSpring Residences operate as a for-profit or non-profit?

RiverSpring Residences is registered as a non-profit in NY.

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