Hudson Hill Center for Rehabilitation & Nursing

In the surveyor’s words

From the most serious findings on record at Hudson Hill Center for Rehabilitation & Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 29, 2026

  Based on observation, interviews and record review, the facility failed to ensure each resident received adequate supervision and/or assistive devices to prevent elopement for two of six residents (Resident #1, Resident # 2) reviewed for elopement. Specifically, 1) Resident #1 was assessed as an elopement risk on 05/20/2026, refused a wander guard and was placed on hourly head counts. On 06/19/2026, Resident # 1 eloped from the facility with the last hourly head count for Resident #1 documented at 10:00 AM. […]

• Immediate jeopardy, isolatedF689Feb 25, 2025

  Based on record review and interviews during an abbreviated survey (NY00372408) the facility failed to ensure the resident environment remains free of accident hazards as is possible and each resident receives adequate supervision to prevent accidents for one (1) of three (3) residents (Resident #1) reviewed for safety and supervision. Specifically, on 1/5/2025, Resident #1 obtained hot water from the hot liquid cart, filled their basin and carried it to a room and immersed their feet without the knowledge or detection of unit staff. Resident #1 was found with blisters to bilateral feet and sustained second- and third-degree burns. On 1/15/2025, Resident #1 was transferred to the hospital with a fever and for burn evaluation. […]

• Actual harm, isolatedF689Apr 14, 2026

  Based on observation, record review, and interviews during survey, the facility failed to ensure that the residents' environment remained as free of accident hazards as is possible with the use of assistive device for one (1) (Resident #169) of four (4) residents reviewed for accidents. Specifically, the use of a left-enabler bar (bar attached to the bed designed to facilitate movement, improve safety) was not implemented as per physician order for Resident #169, which resulted in a 04/05/2025 fall from bed when Certified Nurse Aide #8 turned Resident #169 onto their left side during care. Subsequently, Resident #169 was transferred to the hospital and diagnosed with a right intertrochanteric (thigh bone) fracture (broken bone). […]

• Actual harm, isolatedF689Nov 4, 2025

  Based on observation, record review, and interviews conducted during an abbreviated survey (2621561), the facility failed to ensure that the residents' environment remained as free of accident hazards as possible for one (1) of three (3) residents reviewed for accidents. Specifically, on 09/02/2025 Resident #1 who had a history of being combative with care and required two (2) staff assistance for bed mobility, fell out of bed and sustained a laceration to the left eyebrow when Certified Nurse Aide # 1 turned around to retrieve a mechanical lift pad from the resident's chair. […]

• No harm, potential for more than minimal, widespreadF812Apr 14, 2026

  Based on observation and interviews during recertification survey and abbreviated survey (# 649776), the facility failed to ensure that food was stored and prepared in accordance with professional standards for food service safety. Specifically, 1) Resident #153 had complaint of expired milk in July 2025 2) the kitchen refrigerator/freezer and unit 4/unit 5 pantries contained unlabeled and undated food, 3) the unit 4 pantry and the kitchen contained expired foods and 4) milk was not maintained at the proper temperature. […]