6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Hastings On Hudson, NY
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
185 Old Broadway, Hastings On Hudson, NY
(914) 478-3700
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
197
Certified beds
Average residents
192
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-01-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.78
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.43
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.78
CMS adjusted RN staffing hours
Adjusted total hours
3.43
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
24%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
4,002
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9947
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.86
Baseline 19.48% · Performance 19.18% · Measure score 4.86 · Achievement 4.86 · Improvement 0.74
Healthcare-associated infections
1.01
Baseline 6.24% · Performance 7.53% · Measure score 1.01 · Achievement 1.01 · Improvement 0
Total nurse turnover
10
Baseline 27.41% · Performance 21.74% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0.85
Baseline 3.08 hours · Performance 3.32 hours · Measure score 0.85 · Achievement 0.85 · Improvement 0.40
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.83% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 249 · Observed rate 10.84% · Lower 95% interval 7.94% |
| Discharge to community | 46.51% |
50.57%
4.1 pts worse
|
No Different than the National Rate · Eligible stays 218 · Observed rate 41.28% · Lower 95% interval 41.1% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.53% |
95.27%
4.3 pts better
|
Numerator 213 · Denominator 214 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 214 |
| Discharge self-care score | 46.15% |
53.69%
7.5 pts worse
|
Numerator 66 · Denominator 143 |
| Discharge mobility score | 40.56% |
50.94%
10.4 pts worse
|
Numerator 58 · Denominator 143 |
| Pressure ulcers or injuries, new or worsened | 0.93% |
2.29%
1.4 pts better
|
Numerator 2 · Denominator 214 · Adjusted rate 0.83% |
| Healthcare-associated infections requiring hospitalization | 7.53% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 168 · Observed rate 7.74% · Lower 95% interval 4.66% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 307 |
| Staff flu vaccination coverage | 66.45% |
42%
24.5 pts better
|
Numerator 206 · Denominator 310 |
| Discharge function score | 42.66% |
56.45%
13.8 pts worse
|
Numerator 61 · Denominator 143 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 59 · Denominator 59 |
| Transfer of health information to patient | 97.33% |
96.28%
1 pts better
|
Numerator 73 · Denominator 75 |
| Resident COVID-19 vaccinations up to date | 47.83% |
25.2%
22.6 pts better
|
Numerator 55 · Denominator 115 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.3
About the same
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
91.2%
8.1 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 99.4% · Q3 99.4% · Q4 99.4% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.3%
4.7 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.0%
0.2 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.5% · Q3 2.9% · Q4 2.3% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
18.5%
18.5 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
6.1%
0.4 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 6.7% · Q3 9.1% · Q4 5.9% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.5% |
13.5%
About the same
|
19.6%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 13.3% · Q3 13.7% · Q4 12.4% · 4Q avg 13.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.0% |
14.8%
0.8 pts better
|
16.7%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 14.6% · Q3 14.2% · Q4 14.0% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.2% |
15.1%
4.9 pts better
|
16.3%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 16.4% · Q3 7.5% · Q4 0.9% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.4% |
15.5%
4.1 pts better
|
14.9%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 16.4% · Q3 8.8% · Q4 3.9% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.4%
0.7 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.6% · Q3 0.6% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.3% |
20.8%
12.5 pts better
|
19.8%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 7.5% · Q3 7.5% · Q4 10.2% · 4Q avg 8.3% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
6.9%
0.9 pts better
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 6.6% · Q3 4.9% · Q4 5.2% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.7% |
76.7%
14 pts better
|
81.7%
9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 91.4% · Q3 92.7% · Q4 90.3% · 4Q avg 90.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.2% |
9.7%
4.5 pts better
|
12.0%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 5.0% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 0.0% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.9% |
78.8%
16.1 pts better
|
79.7%
15.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.9% |
20.6%
0.3 pts worse
|
23.9%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 21.5% · Expected 24.5% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Environmental (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-15
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-05-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-05-15
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-05-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-05-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-15
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-15
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-05-15
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-05-15
Fire Safety
Use approved construction type or materials.
Corrected 2023-05-15
Fire Safety
Have correct number of accessible exits for each story.
Corrected 2023-05-15
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-05-15
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-05-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-05-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-15
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-09-26
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-09-26
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-09-26
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-09-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-09-26
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2017-11-27
Fire Safety
Install proper backup exit lighting.
Corrected 2017-11-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2017-11-27
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2017-11-27
Inspection history
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-08-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-25
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-01
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-07-15
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-05-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-15
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-15
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-08-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-08-19
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2019-08-19
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-08-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-08-19
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-08-19
Health
Provide or obtain dental services for each resident.
Corrected 2019-08-19
Health
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Corrected 2017-10-05
Penalties and ownership
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
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