Inspection Reports for
SKY View Rehabilitation and Health Care Center, LLC
1280 Albany Post Road, Croton On Hudson, NY, 10520
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% better than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Oct 10, 2025
Visit Reason
The visit was conducted as an abbreviated survey to investigate the facility's compliance with ensuring adequate supervision and accident prevention for residents.
Findings
The facility failed to ensure adequate supervision for one resident requiring two-person assistance, resulting in a fall from bed causing fractures and a head laceration. Certified Nurse Aide #10 did not follow the care plan and was terminated.
Deficiencies (1)
F 0689: The facility failed to ensure that Resident #1, who required two-person assistance for bed mobility, received adequate supervision, resulting in a fall causing L1 and L2 lumbar fractures and a scalp laceration. Certified Nurse Aide #10 attempted care alone despite the care plan and was terminated.
Report Facts
Residents reviewed for accidents: 3
Residents affected: 1
Person assistance required: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #10 | Certified Nurse Aide | Named in finding for inadequate supervision leading to resident fall and termination |
| Licensed Practical Nurse #12 | Licensed Practical Nurse | Responded to fall incident and notified supervisor |
| Registered Nurse Supervisor #9 | Registered Nurse Supervisor | Assessed fall incident and provided statements on supervision failure |
| Physician #2 | Physician | Aware of resident fall and injury |
| Licensed Practical Nurse Unit Manager #3 | Licensed Practical Nurse Unit Manager | Commented on preventability of incident and supervision failure |
Inspection Report
Annual Inspection
Capacity: 60
Deficiencies: 1
Date: Jul 10, 2024
Visit Reason
Abuse reporting documentation deficiency noted.
Findings
Abuse reporting documentation deficiency noted.
Deficiencies (1)
R9-10-803.J — Abuse reporting documentation
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Nov 2, 2023
Visit Reason
The inspection was a recertification survey conducted from 10/26/2023 to 11/2/2023 to assess compliance with regulatory standards for nursing home care and food service safety.
Findings
The facility failed to provide appropriate care to maintain or improve range of motion for a resident with limited mobility, specifically not providing bilateral hand splints as ordered. Additionally, the facility did not maintain food service equipment in sanitary condition, stored expired and undated food, and had food contamination risks due to improper hand hygiene by food service staff.
Deficiencies (2)
F 0688: The facility did not provide bilateral hand splint devices as ordered for a resident with limited range of motion, risking contracture progression and possible pain.
F 0812: Food service equipment was unsanitary, nourishment refrigerators contained expired and undated food, and a food server contaminated food by touching it with an ID tag and failing to perform hand hygiene between glove changes.
Report Facts
Residents affected: 1
Residents affected: 4
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Rehabilitation | Informed about missing hand rolls and corrected the situation | |
| Director of Nursing | Director of Nursing (DON) | Stated directions for hand rolls were written on care plan and resident should have hand rolls in both hands |
| Food Service Director | Food Service Director (FSD) | Interviewed about food service sanitation and cleaning schedules |
| Food server/cook #1 | Observed contaminating food and failing to perform hand hygiene | |
| Certified Nurse Aide #1 | Certified Nurse Aide (CNA) | Interviewed about care instructions for hand rolls |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Nov 2, 2023
Visit Reason
Two Level 2 standard health citations related to food sanitation and mobility, both corrected by January 2, 2024.
Findings
Two Level 2 standard health citations related to food sanitation and mobility, both corrected by January 2, 2024.
Deficiencies (2)
Food procurement,store/prepare/serve-sanitary
Increase/prevent decrease in rom/mobility
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 10, 2023
Visit Reason
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Findings
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 24, 2023
Visit Reason
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Findings
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Aug 8, 2022
Visit Reason
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Findings
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 25, 2022
Visit Reason
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Findings
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: May 16, 2022
Visit Reason
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Findings
One Level 2 standard health citation for reporting to the national health safety network; deficiency not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Dec 19, 2019
Visit Reason
The inspection was a recertification survey to assess compliance with regulatory requirements for the nursing home.
Findings
The facility was found deficient in maintaining resident dignity related to drainage bag privacy, ensuring adequate hydration for a resident with a urinary tract infection, availability of emergency respiratory equipment, and proper storage temperatures for medications in the refrigerator.
Deficiencies (4)
F 0550: The facility did not ensure residents' drainage bags were concealed to maintain dignity for 3 residents. Privacy covers were only used when residents left their rooms, leaving drainage bags visible in rooms and hallways.
F 0692: The facility failed to provide adequate hydration and monitoring for Resident #211 with a urinary tract infection. Fluid intake was poor at meals and no supplemental fluids were offered between meals.
F 0695: Emergency respiratory equipment, specifically an Ambu bag, was not available at the bedside for Resident #158 with a tracheostomy. Staff could not identify responsibility for equipment checks.
F 0761: One refrigerator storing medications had temperatures below manufacturer specifications (as low as 20°F), risking drug efficacy. Staff were unaware of proper temperature ranges and did not notify maintenance.
Report Facts
Temperature readings below specification: 13
Fluid intake percentage: 25
BUN level: 55
Sodium level: 146
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #1 | Interviewed regarding training on covering residents' drainage bags | |
| Registered Nurse Manager #2 | Interviewed about facility policy on privacy bag use | |
| Registered Dietitian | Interviewed about fluid supplementation and monitoring | |
| Registered Nurse Manager (RNM) #3 | Interviewed about fluid intake monitoring | |
| Licensed Practical Nurse (LPN) #1 | Observed tracheostomy care and absence of Ambu bag | |
| Unit Manager | Observed tracheostomy care and absence of Ambu bag | |
| Registered Nurse (RN) #1 | Observed refrigerator temperature and interviewed about temperature control | |
| Nurse Manager #1 | Interviewed about refrigerator temperature control and awareness | |
| Licensed Practical Nurse (LPN) #2 | Interviewed about refrigerator temperature logging | |
| Licensed Practical Nurse (LPN) #1 | Interviewed about refrigerator temperature logging | |
| Assistant Maintenance Director | Interviewed about refrigerator maintenance issues |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Mar 9, 2018
Visit Reason
The inspection was a recertification survey to assess compliance with federal regulations for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to revise nutrition care plans for weight loss, delayed x-ray after a resident fall, failure to provide care according to the resident's plan, unnecessary psychotropic medication use without trial gradual dose reduction, and inadequate coordination and documentation of hospice services.
Deficiencies (5)
F 0657: The facility did not ensure the nutrition care plan was reviewed and revised to address unplanned weight loss for 1 of 7 residents. No new interventions were initiated despite continued weight loss.
F 0658: The facility failed to provide timely x-rays after a resident's fall, resulting in a 12-hour delay before diagnosis of a left femur fracture.
F 0659: The facility did not provide care according to the resident's comprehensive care plan for falls; a resident was transferred and dressed without required assistance.
F 0758: The facility did not ensure psychotropic medication regimens were free from unnecessary medications; trial gradual dose reduction was not attempted despite documented behavioral improvement.
F 0849: The facility failed to ensure ongoing communication and coordination of hospice care; hospice aide visits were inconsistent and documentation of care was inadequate.
Report Facts
Weight loss: 14
Delay in x-ray: 12
Antipsychotic medication days: 6
Antipsychotic medication days: 7
Hospice aide visits per week: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse Supervisor | Assessed resident after fall and notified physician; gave instructions to staff. |
| CNA #2 | Certified Nursing Aide | Transferred resident without assistance after fall; educated for not following care guide. |
| Psychiatric Nurse Practitioner | NP | Interviewed regarding psychotropic medication management and resident behavior. |
| RN Unit Manager | Registered Nurse Unit Manager | Interviewed regarding hospice aide schedule and communication. |
| Director of Nursing | DON | Interviewed regarding hospice contract and aide documentation. |
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