Riverside Center for Rehabilitation and Nursing
90 No Main Street · Castleton on Hudson, NY · 12033 · 5187327617
80 certified beds For profit - Limited Liability company Chain: Upstate Services Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · E April 14, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has no plan of correction · Nutrition and Dietary
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Potential for harm · E July 12, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 22, 2023 · Resident Rights
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Potential for harm · E July 12, 2023 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 26, 2023 · Resident Rights
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Potential for harm · E July 12, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 24, 2023 · Nutrition and Dietary
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Potential for harm · E July 12, 2023 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected August 22, 2023 · Infection Control
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Potential for harm · E July 12, 2023 · found via complaint
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected August 22, 2023 · Environmental
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Potential for harm · E July 12, 2023 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 22, 2023 · Environmental
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Potential for harm · D June 11, 2021
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 27, 2021 · Resident Rights
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Potential for harm · E June 11, 2021
Respond appropriately to all alleged violations.
Corrected July 27, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 11, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 27, 2021 · Quality of Life and Care
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Potential for harm · D June 18, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 8, 2019 · Resident Rights
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Potential for harm · E June 18, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 8, 2019 · Resident Assessment and Care Planning
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Potential for harm · D June 18, 2019
Provide activities to meet all resident's needs.
Corrected August 8, 2019 · Quality of Life and Care
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Potential for harm · E June 18, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 8, 2019 · Quality of Life and Care
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Potential for harm · D June 18, 2019
Provide enough food/fluids to maintain a resident's health.
Corrected August 8, 2019 · Quality of Life and Care
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Potential for harm · D June 18, 2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected August 8, 2019 · Quality of Life and Care
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Potential for harm · D June 18, 2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected August 8, 2019 · Quality of Life and Care
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Potential for harm · D June 18, 2019
Ensure medication error rates are not 5 percent or greater.
Corrected August 8, 2019 · Pharmacy Service
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Potential for harm · E June 18, 2019
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected August 8, 2019 · Nutrition and Dietary
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Potential for harm · E June 18, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 8, 2019 · Nutrition and Dietary
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Potential for harm · E June 18, 2019
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected August 8, 2019 · Nutrition and Dietary
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Potential for harm · D June 18, 2019
Dispose of garbage and refuse properly.
Corrected August 8, 2019 · Nutrition and Dietary
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Potential for harm · D June 18, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 8, 2019 · Resident Assessment and Care Planning
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Potential for harm · E June 18, 2019
Provide and implement an infection prevention and control program.
Corrected August 8, 2019 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335525 · certified since June 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.