Northern Riverview Health Care: Care Plan Failures - NY
The resident, identified in inspection records only as Resident 1, received ciprofloxacin ophthalmic drops for right-eye redness on August 29, 2025. Ciprofloxacin is a fluoroquinolone antibiotic. It is not an over-the-counter medication. It requires a clinical reason to administer.
Nobody documented one.
When inspectors pressed Registered Nurse Supervisor 1 on why the drops were given without any clinical indicators in the record, the supervisor did not dispute the finding. There was no documentation, the supervisor confirmed, to support why the resident needed the antibiotic eye drops in the first place.
The explanation for the missing care plan update was blunt: they were probably rushing to complete an admission.
That answer captures something inspectors and families who have watched nursing home care up close recognize immediately. The admission process, with its paperwork and intake demands, pulls staff attention away from the resident already in the building. Resident 1 had a change in condition, right-eye redness significant enough that someone ordered prescription antibiotic drops, and the care plan, the document that is supposed to guide every nurse and aide who walks into that room, was never updated to reflect it.
Registered Nurse Supervisor 1 acknowledged what should have happened. Every time there is a change in condition, the supervisor told inspectors, the care plan should be updated to reflect new interventions and appropriate goals. The supervisor said it plainly, as a statement of fact, describing a standard that had not been met in this case.
The deficiency was cited at a level of minimal harm or potential for actual harm, affecting few residents. That classification sits near the lower end of the federal severity scale. It does not mean nothing went wrong.
What it means, in practice, is that inspectors found no documented evidence that Resident 1 suffered a measurable injury from receiving the eye drops without an assessment. What it cannot rule out is whether the drops were the right treatment, whether the redness had a cause that warranted a different response, or whether anyone followed up. None of that appears in the record because no assessment was ever written down.
A care plan exists precisely for the moments when a different nurse walks in on a different shift, when the aide who has never met this resident needs to know what is going on with this person's eye, when a family member asks what is being done. Without it, each of those people is working without information that should have been there.
The inspection covered a single deficiency tag, F0657, tied to New York's care planning requirement. The facility's address is 87 South Route 9W in Haverstraw, a small city on the west bank of the Hudson River in Rockland County.
Northern Riverview had a chance to explain its plan of correction. Inspection records indicate that information is available through the facility or the state survey agency.
Resident 1's right eye was red. Someone decided that warranted a prescription antibiotic. Nobody wrote down why, nobody assessed the condition, and nobody updated the plan of care. The supervisor's word for it was rushing.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Northern Riverview Health Care, Inc from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 31, 2026 · Our methodology
Northern Riverview Health Care, Inc in Haverstraw, NY was cited for violations during a health inspection on November 18, 2025.
The resident, identified in inspection records only as Resident 1, received ciprofloxacin ophthalmic drops for right-eye redness on August 29, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.