8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Dobbs Ferry, NY
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
115 Broadway, Dobbs Ferry, NY
(914) 693-6800
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
304
Certified beds
Average residents
291
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1973-02-26
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
0.67
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.67
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.72
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.65
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,778
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.72
Composite VBP score used to determine payment impact.
Payment multiplier
0.9839
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.66
Baseline 16.81% · Performance 21.13% · Measure score 0.66 · Achievement 0.66 · Improvement 0
Healthcare-associated infections
0
Baseline 6.35% · Performance 8.73% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.51
Baseline 16.33% · Performance 32.97% · Measure score 7.51 · Achievement 7.51 · Improvement 0
Adjusted total nurse staffing
2.11
Baseline 3.22 hours · Performance 3.68 hours · Measure score 2.11 · Achievement 2.11 · Improvement 1.29
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.43% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 368 · Observed rate 7.61% · Lower 95% interval 7.25% |
| Discharge to community | 49.91% |
50.57%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 378 · Observed rate 44.44% · Lower 95% interval 44.45% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.36% |
95.27%
4.1 pts better
|
Numerator 312 · Denominator 314 |
| Falls with major injury | 0.32% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 314 |
| Discharge self-care score | 60.91% |
53.69%
7.2 pts better
|
Numerator 134 · Denominator 220 |
| Discharge mobility score | 65% |
50.94%
14.1 pts better
|
Numerator 143 · Denominator 220 |
| Pressure ulcers or injuries, new or worsened | 3.82% |
2.29%
1.5 pts worse
|
Numerator 12 · Denominator 314 · Adjusted rate 3.06% |
| Healthcare-associated infections requiring hospitalization | 8.73% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 258 · Observed rate 8.53% · Lower 95% interval 6.11% |
| Staff COVID-19 vaccination coverage | 0.58% |
8.2%
7.6 pts worse
|
Numerator 3 · Denominator 513 |
| Staff flu vaccination coverage | 74.43% |
42%
32.4 pts better
|
Numerator 393 · Denominator 528 |
| Discharge function score | 62.73% |
56.45%
6.3 pts better
|
Numerator 138 · Denominator 220 |
| Transfer of health information to provider | 99.46% |
95.95%
3.5 pts better
|
Numerator 183 · Denominator 184 |
| Transfer of health information to patient | 96.97% |
96.28%
0.7 pts better
|
Numerator 32 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 3.47% |
25.2%
21.7 pts worse
|
Numerator 6 · Denominator 173 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.7
0.3 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 67.7% |
91.2%
23.5 pts worse
|
93.4%
25.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 74.0% · Q2 59.5% · Q3 70.7% · Q4 66.9% · 4Q avg 67.7% |
| 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 | 5.2% |
3.0%
2.2 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.9% · Q3 4.6% · Q4 4.6% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.5% |
18.5%
15 pts better
|
11.4%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 3.6% · Q3 2.0% · Q4 2.8% · 4Q avg 3.5% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
6.1%
1 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.2% · Q3 5.9% · Q4 4.4% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.5% |
13.5%
5 pts better
|
19.6%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 8.0% · Q3 7.5% · Q4 8.6% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.0% |
14.8%
1.2 pts worse
|
16.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 16.6% · Q3 16.1% · Q4 16.4% · 4Q avg 16.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.1% |
0.2%
0.1 pts better
|
0.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.4% |
15.1%
0.3 pts worse
|
16.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 18.9% · Q3 10.9% · Q4 7.3% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.0% |
15.5%
3.5 pts better
|
14.9%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 11.9% · Q3 14.4% · Q4 5.6% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.6%
0.9 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.6% · Q3 1.1% · Q4 2.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
1.4%
1 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.8% · Q3 3.2% · Q4 3.9% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.6% |
20.8%
2.2 pts better
|
19.8%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.9% · Q2 23.6% · Q3 14.5% · Q4 10.9% · 4Q avg 18.6% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
6.9%
0.3 pts better
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 8.9% · Q3 6.2% · Q4 5.1% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 24.2% |
76.7%
52.5 pts worse
|
81.7%
57.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 24.1% · Q3 28.0% · Q4 17.6% · 4Q avg 24.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
9.7%
1.8 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 7.0% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
1.2%
1.9 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.7% · Q3 3.7% · Q4 5.2% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.3% |
78.8%
21.5 pts worse
|
79.7%
22.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.6% |
20.6%
3 pts worse
|
23.9%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 21.5% · Expected 21.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-24
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-07-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-20
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-07-21
Fire Safety
Have proper power supply for life support equipment.
Corrected 2023-07-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-06
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-07-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-07-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-21
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-07-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-06
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-06-21
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-09-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-09-20
Fire Safety
Have proper power supply for life support equipment.
Corrected 2019-09-20
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-06-21
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2019-09-20
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-06-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-07-02
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-06-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-06-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2017-09-01
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2017-09-01
Fire Safety
Have exits that are accessible at all times.
Corrected 2017-09-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2017-09-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2017-09-01
Inspection history
Health
Keep residents' personal and medical records private and confidential.
Not marked corrected
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.
Not marked corrected
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-11-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-15
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-08-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-09
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-09
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 2023-06-09
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-09
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 2019-06-17
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-06-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-06-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-06-17
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 2019-06-17
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-06-17
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2019-06-17
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2019-06-17
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-06-17
Health
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Corrected 2017-09-30
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2017-09-30
Health
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Corrected 2017-09-30
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
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