Amsterdam, NY

River Ridge Living Center

1-star overall rating with 1-star inspections with $3,387 in total fines with 23 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle

100 Sandy Drive, Amsterdam, NY

(518) 843-3503

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

109

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1974-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.48

Registered nurse staffing

LPN hours / resident day

1.01

Licensed practical nurse staffing

Aide hours / resident day

2.23

Nurse aide staffing

Weekend hours

3.16

Weekend nurse staffing

RN turnover

62%

Annual RN turnover

Total nurse turnover

61%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
1.7
0.1 pts worse
1.9
0.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.8
1.3
0.5 pts worse
1.8
About the same
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.2%
8.8 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0%
95.3%
3.7 pts better
95.5%
3.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.3%
3.0%
2.7 pts better
3.3%
3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 17.2%
18.5%
1.3 pts better
11.4%
5.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.9%
6.1%
5.2 pts better
5.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.2%
13.5%
4.7 pts worse
19.6%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.8%
14.8%
2 pts worse
16.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 11.3%
15.1%
3.8 pts better
16.3%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.6%
15.5%
2.9 pts better
14.9%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
0.6%
0.3 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.3%
1.4%
1.1 pts better
1.7%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.1%
20.8%
7.7 pts better
19.8%
6.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 14.7%
6.9%
7.8 pts worse
5.1%
9.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
76.7%
22.7 pts better
81.7%
17.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.2%
9.7%
0.5 pts better
12.0%
2.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.2%
0.9 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.5%
78.8%
14.7 pts better
79.7%
13.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.2%
20.6%
1.4 pts better
23.9%
4.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-18 · Fire 2025-03-18

23 health deficiencies

Top issue: Resident Rights (5 deficiencies)

17 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)

Cycle 2 Health 2023-01-10 · Fire 2023-01-10

6 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2020-09-25 · Fire 2020-09-25

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-18

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-18

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-05-26

F · Potential for more than minimal harm 2025-03-18

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-18

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-18

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-18

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-06-11

F · Potential for more than minimal harm 2025-03-18

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-06-17

F · Potential for more than minimal harm 2025-03-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-03-18

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-03-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-12

E · Potential for more than minimal harm 2025-03-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-03-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-03-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-16

F · Potential for more than minimal harm 2023-01-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-10

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-03-08

E · Potential for more than minimal harm 2023-01-10

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-02-24

E · Potential for more than minimal harm 2023-01-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-03-07

D · Potential for more than minimal harm 2023-01-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-24

E · Potential for more than minimal harm 2020-09-25

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2020-11-24

E · Potential for more than minimal harm 2020-09-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2020-11-24

E · Potential for more than minimal harm 2020-09-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-11-24

D · Potential for more than minimal harm 2020-09-25

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-11-24

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F584 · Resident Rights Deficiencies

Health

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 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-18

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-03-18

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-03-18

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-03-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-03-18

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-03-18

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-03-18

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-27

D · Potential for more than minimal harm 2023-04-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-13

E · Potential for more than minimal harm 2023-01-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-28

E · Potential for more than minimal harm 2023-01-10

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2023-02-24

D · Potential for more than minimal harm 2023-01-10

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-02-24

D · Potential for more than minimal harm 2023-01-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-02-24

D · Potential for more than minimal harm 2023-01-10

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-02-24

D · Potential for more than minimal harm 2023-01-10

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-02-25

E · Potential for more than minimal harm 2020-09-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2020-11-24

D · Potential for more than minimal harm 2020-09-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2020-11-24

D · Potential for more than minimal harm 2020-09-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-11-24

D · Potential for more than minimal harm 2020-09-25

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2020-11-24

D · Potential for more than minimal harm 2020-09-25

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2020-11-24

D · Potential for more than minimal harm 2020-09-25

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-11-24

Penalties and ownership

What sits behind the stars

$3,387 2024-01-30

Fine

Fine · fine $3,387

Fine

Ownership

Braunstein, Edward

5% Or Greater Direct Ownership Interest · Individual

25% 2 facilities 2013-02-13
Braunstein, Michael

5% Or Greater Direct Ownership Interest · Individual

25% 2 facilities 2013-02-13
Einhorn, Benjamin

5% Or Greater Direct Ownership Interest · Individual

25% 4 facilities 2013-02-13
Gellis, Louis

5% Or Greater Direct Ownership Interest · Individual

14% 10 facilities 2013-02-13
Daw, Heather

W-2 Managing Employee · Individual

0% 1 facilities 2014-02-01

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