Deficiency Index

Springvale Nursing & Rehabilitation Center

Croton On Hudson, New York · CCN 335806

20 surveys since 2011, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
92
Surveys
20
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
200
Ownership
For profit - Limited Liability company
Chain
Independent
County
Westchester
Medicare-certified since
1997

CMS ratings

Overall
3
Health inspection
2
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 259 for-profit facilities with 128 or more beds in New York.

Last survey on record

Aug 15, 2025

451 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.563.37
Registered-nurse hours per resident day0.62—
Annual nurse turnover26.9%33.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3282.1%E717.9%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 39 of the 92 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6094×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

In the surveyor’s words

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

  • No harm, potential for more than minimal, patternF812Aug 15, 2025

    Based on observation, interview, and record review, conducted during the recertification survey from 8/11/2025 to 8/15/2025, the facility did not ensure proper storage, preparation, distribution, and service of food in accordance with professional standards for food safety. Specifically, 1) undated cheese and juice was stored in the refrigerator; 2) ground meat and vegetables were not dated; and 3) Food Service Workers did not wear hairnets and beard guard to prevent hair from contacting food. The findings include: A facility policy dated 5/2023 and titled Dating and Labeling Policy documented the kitchen will ensure food safety by maintaining proper dates and labels to all goods and ready to eat food products. […]

  • No harm, potential for more than minimal, patternF600Jan 23, 2025

    Based on record review and interviews during an abbreviated survey (NY00355610, NY00353621, NY00356241) the facility did not ensure residents' right to be free from abuse for 4 of 4 residents (Resident #1,#2, #3, #4) reviewed for abuse. Specifically, (1) on 9/7/2024 Resident #1 who was assessed as having aggressive behavior walked up to Resident #2 in the dining room and pushed them from behind. Resident #2 complained of back pain, was given Tylenol, and sent to the emergency room for evaluation. On 9/26/2024 Resident #1 struck Resident #2 on the right ear, and they sustained an abrasion. First aid was administered to Resident #2, and Resident #2 was transferred to the emergency room for further evaluation. […]

  • No harm, potential for more than minimal, patternF609Jan 23, 2025

    Based on record review and interviews conducted during an abbreviated survey (NY00355610, NY00353621, NY00356241), the facility did not ensure submission of the report of the results of an investigation to the New York State Department of Health within 5 working days of the incident. This was evident for 4 of 4 residents (Resident #1, #2, #3, #4) reviewed for abuse. Specifically, (1) on 9/7/2024 Resident #2 reported that they were pushed by Resident #1. The 5-day investigative conclusion report was not submitted to the New York State Department of Health until 10/3/2024; (2) On 9/26/2024 Resident #2 reported they were struck on the right ear by Resident #1 and sustained an abrasion to their right ear. […]

  • No harm, potential for more than minimal, patternF919Jun 30, 2023

    Based on observation, interview, and record review during the recertification survey from 6/26/23-6/30/23, the facility did not ensure that residents were adequately equipped to call for assistance through a communication system that relays the call directly to a staff member or to a centralized staff work area. Specifically, resident bathrooms were observed to have call bells without pull strings, making the call bell inaccessible if resident was on the floor. This was evident for 2 of 2 residential floors. The findings include but are not limited to: 1. […]

  • No harm, potential for more than minimal, isolatedF580Aug 15, 2025

    Based on interviews and record review conducted during the recertification and abbreviated (NY00359686) survey from 8/11/2025 to 8/15/2025, the facility did not ensure the resident's representative was notified when there was a need to alter the resident's treatment and transfer the resident from the facility. This was evident for 1 (Resident #194) of 4 residents reviewed for notification of change. Specifically, Resident #194's representative was not notified when the resident received intravenous hydration and was transferred to the hospital. The findings are: The facility policy titled Change in Condition dated 5/2025 documented the facility will notify the resident representative of changes in the resident's condition. […]

Read 22 findings in full →The most serious and the most recent: 22 of 92 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 15, 2025Standard and complaint15 findings
  • Apr 18, 2025Complaint4 findings
  • Jan 23, 2025Complaint3 findings
  • Dec 30, 2024Complaint1 finding
  • Jul 30, 2024Complaint2 findings
  • Feb 21, 2024Complaint3 findings
  • Jul 14, 2023Complaint1 finding
  • Jun 30, 2023Standard and complaint6 findings
Show the 12 earlier surveys
  • May 10, 2022Complaint1 finding
  • Oct 9, 2020Standard4 findings
  • Aug 31, 2018Standard12 findings
  • Mar 1, 2017Standard1 finding
  • Feb 12, 2016Standard2 findings
  • Feb 20, 2015Standard6 findings
  • Mar 18, 2014Standard7 findings · 1 harm
  • Oct 30, 2013Complaint1 finding
  • Mar 29, 2013—5 findings
  • Feb 21, 2012—5 findings
  • Nov 28, 2011—1 finding
  • Feb 23, 2011—12 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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