Cycle 1
Health 2023-11-02 · Fire 2019-12-19
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Croton On Hudson, NY
Sky View Rehabilitation & Health Care Center L L C
4-star overall rating with 3-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1280 Albany Post Rd, Croton On Hudson, NY
(914) 271-5151
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
192
Certified beds
Average residents
174
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-05-01
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
Hours and turnover
RN hours / resident day
0.44
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.84
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.10
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.25
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.69
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
2.93
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,627
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9922
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.76
Baseline 20.30% · Performance 19.23% · Measure score 4.76 · Achievement 4.76 · Improvement 2.79
Healthcare-associated infections
0.92
Baseline 8.65% · Performance 8.13% · Measure score 0.92 · Achievement 0 · Improvement 0.92
Total nurse turnover
10
Baseline 35.21% · Performance 18.26% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0
Baseline 2.85 hours · Performance 2.54 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.09% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 439 · Observed rate 10.48% · Lower 95% interval 8.06% |
| Discharge to community | 56.18% |
50.57%
5.6 pts better
|
Better than the National Rate · Eligible stays 462 · Observed rate 47.4% · Lower 95% interval 51.33% |
| Medicare spending per beneficiary | 1.35 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.4% |
95.27%
4.1 pts better
|
Numerator 333 · Denominator 335 |
| Falls with major injury | 0.6% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 335 |
| Discharge self-care score | 58.25% |
53.69%
4.6 pts better
|
Numerator 113 · Denominator 194 |
| Discharge mobility score | 69.07% |
50.94%
18.1 pts better
|
Numerator 134 · Denominator 194 |
| Pressure ulcers or injuries, new or worsened | 2.69% |
2.29%
0.4 pts worse
|
Numerator 9 · Denominator 335 · Adjusted rate 2.03% |
| Healthcare-associated infections requiring hospitalization | 8.13% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 319 · Observed rate 9.09% · Lower 95% interval 5.81% |
| Staff COVID-19 vaccination coverage | 4.95% |
8.2%
3.2 pts worse
|
Numerator 16 · Denominator 323 |
| Staff flu vaccination coverage | 40.96% |
42%
1 pts worse
|
Numerator 145 · Denominator 354 |
| Discharge function score | 59.79% |
56.45%
3.3 pts better
|
Numerator 116 · Denominator 194 |
| Transfer of health information to provider | 99.03% |
95.95%
3.1 pts better
|
Numerator 102 · Denominator 103 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 153 · Denominator 153 |
| Resident COVID-19 vaccinations up to date | 16.28% |
25.2%
8.9 pts worse
|
Numerator 28 · Denominator 172 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.7
0.7 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.3
0.8 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.2% |
91.2%
7 pts worse
|
93.4%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.3% · Q2 83.1% · Q3 76.8% · Q4 92.8% · 4Q avg 84.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
95.3%
2.6 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.0%
0.1 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.9% · Q3 2.1% · Q4 2.9% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.9% |
18.5%
11.6 pts better
|
11.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 7.3% · Q3 6.8% · Q4 6.2% · 4Q avg 6.9% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
6.1%
1.2 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 6.1% · Q3 5.0% · Q4 4.5% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.0% |
13.5%
1.5 pts better
|
19.6%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 12.5% · Q3 10.6% · Q4 11.6% · 4Q avg 12.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.1% |
14.8%
4.7 pts better
|
16.7%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 10.4% · Q3 10.4% · Q4 9.5% · 4Q avg 10.1% · 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 | 19.0% |
15.1%
3.9 pts worse
|
16.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.5% · Q2 28.4% · Q3 8.0% · Q4 8.8% · 4Q avg 19.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.4% |
15.5%
0.1 pts better
|
14.9%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 22.1% · Q3 6.6% · Q4 9.2% · 4Q avg 15.4% · 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 | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 26.4% |
20.8%
5.6 pts worse
|
19.8%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 31.6% · Q3 28.1% · Q4 19.0% · 4Q avg 26.4% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
6.9%
3.7 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.1% · Q3 2.8% · Q4 1.6% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.6% |
76.7%
7.9 pts better
|
81.7%
2.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 75.0% · Q2 80.3% · Q3 88.9% · Q4 93.9% · 4Q avg 84.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
9.7%
2.1 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.1% · Expected 9.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.6% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.9% |
78.8%
6.1 pts better
|
79.7%
5.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
20.6%
0.9 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 17.6% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-12-19 · Fire 2018-03-09
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2018-03-09 · Fire 2016-11-18
5 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2019-12-19
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-03-16
E · Potential for more than minimal harm
2019-12-19
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-03-16
D · Potential for more than minimal harm
2019-12-19
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-03-16
D · Potential for more than minimal harm
2019-12-19
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-03-16
E · Potential for more than minimal harm
2018-03-09
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2018-04-27
D · Potential for more than minimal harm
2018-03-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2018-04-27
E · Potential for more than minimal harm
2016-11-18
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2017-01-17
D · Potential for more than minimal harm
2016-11-18
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2017-01-17
D · Potential for more than minimal harm
2016-11-18
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2017-01-17
D · Potential for more than minimal harm
2016-11-18
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2017-01-17
Inspection history
Recent health citations
G · Actual harm
2025-10-10
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 2025-12-05
E · Potential for more than minimal harm
2023-11-02
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 2024-01-02
D · Potential for more than minimal harm
2023-11-02
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-01-02
D · Potential for more than minimal harm
2019-12-19
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 2020-02-14
D · Potential for more than minimal harm
2019-12-19
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-02-14
D · Potential for more than minimal harm
2019-12-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-02-14
D · Potential for more than minimal harm
2019-12-19
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 2020-02-14
D · Potential for more than minimal harm
2018-03-09
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 2018-05-04
D · Potential for more than minimal harm
2018-03-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2018-05-04
D · Potential for more than minimal harm
2018-03-09
F659 · Resident Assessment and Care Planning Deficiencies
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2018-05-04
D · Potential for more than minimal harm
2018-03-09
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2018-05-04
D · Potential for more than minimal harm
2018-03-09
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2018-05-04
Penalties and ownership
What sits behind the stars
Ownership
Jozefovic, Herbert
5% Or Greater Direct Ownership Interest · Individual
Neuman, Mark
5% Or Greater Direct Ownership Interest · Individual
Neuman, Gerald
5% Or Greater Direct Ownership Interest · Individual
Brach, Samuel
5% Or Greater Direct Ownership Interest · Individual
Fagenson, Robert
5% Or Greater Direct Ownership Interest · Individual
Michael T Stynes Estate
5% Or Greater Direct Ownership Interest · Organization
Brach, Samuel
Corporate Officer · Individual
Fagenson, Robert
Corporate Officer · Individual
Jozefovic, Herbert
Corporate Officer · Individual
Jozefovic, Herbert
W-2 Managing Employee · Individual
Neuman, Gerald
Corporate Officer · Individual
Neuman, Mark
Corporate Officer · Individual
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#3
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