Hudson Pointe at Riverdale Center for Nursing and

In the surveyor’s words

From the most serious findings on record at Hudson Pointe at Riverdale Center for Nursing and, in the surveyor’s own words.

• Immediate jeopardy, patternF604Jul 12, 2022

  Based on observation, record review and interviews conducted during the extended recertification and abbreviated (NY 309) survey from 6/27/2022 through 7/12/2022, the facility did not ensure that each resident remained free from physical restraints not required to treat the resident's medical symptoms. This was evident for 14 of 14 residents reviewed for Physical Restraints (Resident #s 85, 95, 42, 190, 23, 69, 76, 121, 63, 136, 71, 12, 40 and 31) out of a sample of 43 residents. Specifically, Resident #42 had severely impaired cognition and required extensive assist of one person for bed mobility and transfers. Resident #42 had orders for bilateral ½ side rails SR, and the SR were not identified as a restraint. […]

• No harm, potential for more than minimal, widespreadF700Jul 12, 2022

  Based upon observation, interview, and record review during the extended recertification and abbreviated (NY 309) survey from 6/27/2022 to 7/12/2022, the facility did not ensure appropriate alternatives to bed/SR (SR) were implemented and that residents were adequately assessed prior to bed/side rails (SR) use. This was evident in 14 (Resident #s 85, 95, 42, 190, 23, 69, 76, 121, 63, 136, 71, 12, 40 and 31) of 14 reviewed for SR out of a sample of 43 residents. Specifically, Resident #s 85, 95, 42, 190, 23, 69, 76, 121, 63, 136, 71, 12, 40 and 31 were observed with SR in use without assessments that included risk of entrapment and ensure the bed's dimensions are appropriate for resident's size and weight prior to SR installation. […]

• No harm, potential for more than minimal, isolatedF609Dec 1, 2025

  Based on record review and staff interview, conducted during the abbreviated survey (#2651294) the facility did not ensure that all alleged violations involving abuse, neglect, including injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the New York State Department of Health. This was evident for one (1) of four (4) residents (Resident #1) sampled. Specifically, on 10/12/2025 Resident #1 had an unwitnessed fall out of bed and sustained discoloration of the left eye which the facility did not report. […]

• No harm, potential for more than minimal, isolatedF561Jul 26, 2024

  Based on observations, record review, and interviews conducted during the Recertification survey from 07/21/2024 to 07/26/2024, the facility did not ensure that it promoted and facilitated resident self-determination by supporting resident choice. Specifically, residents' bathing preferences were not honored. This was evident for 2 of the 4 residents reviewed for Choices out of 38 sampled residents. (Resident #88, and #46). The findings are: The facility policy and procedures titled ADL-Shower with the last revised date February 2024 documented that it is the policy of the facility to shower residents, to cleanse, and refresh resident, observe the skin and to provide increased circulation. Place resident in a shower chair and drape with a bath blanket or other form of cover. 1. […]

• No harm, potential for more than minimal, isolatedF641Jul 26, 2024

  Based on observations, record reviews and interviews conducted during the Recertification survey, the facility did not ensure that Minimum Data Set (MDS) 3.0 assessments accurately reflected the residents' status. Specifically, the most recent Minimum Data Set (MDS) 3.0 assessments did not reflect that wander/elopement alarms were used for 2 residents. This was evident for 2 of 2 residents reviewed for Elopement Risk out of a sample of 38 residents. (Resident # 103 and #135). The findings are: 1.) Resident #103 was admitted to the facility with diagnoses which include Dementia, Depression, and Psychotic Disorder. The quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] documented the resident had impaired cognition and was dependent in performing activities of daily living. […]