YONKERS, NY — Federal health inspectors identified five deficiencies at Hudson Hill Center for Rehabilitation & Nursing during a complaint investigation completed on November 26, 2025, including a failure to develop timely and complete care plans for residents. The facility has not submitted a plan of correction.
Incomplete Care Plans Put Residents at Risk
The inspection found that Hudson Hill Center failed to meet federal requirements under regulatory tag F0657, which mandates that nursing facilities develop a comprehensive care plan for each resident within seven days of completing their assessment. The care plan must be prepared, reviewed, and revised by a qualified team of health professionals.
Care plans serve as the central roadmap for every aspect of a resident's treatment. They outline specific medical needs, medication schedules, therapy goals, dietary requirements, mobility assistance, and behavioral health interventions. When a facility fails to complete these plans on time, staff members may lack clear direction on how to address a resident's individual conditions.
The deficiency was classified as Scope/Severity Level D, meaning it was isolated in nature and did not result in documented actual harm. However, inspectors determined there was potential for more than minimal harm to affected residents — a designation that signals real clinical risk.
Why Timely Care Plans Matter
A seven-day window for care plan development exists for sound medical reasons. When a resident enters or is reassessed at a skilled nursing facility, the initial comprehensive assessment captures their current medical conditions, functional abilities, cognitive status, and psychosocial needs. The care plan translates that clinical picture into actionable daily instructions for nursing staff, therapists, dietary teams, and social workers.
Without a completed care plan, critical details can fall through the gaps. A resident with diabetes may not receive properly timed blood sugar monitoring. Someone recovering from a hip fracture may miss scheduled physical therapy sessions. A resident with swallowing difficulties may be served food textures that present a choking hazard. Each of these scenarios represents a preventable adverse event that a timely care plan is designed to prevent.
Federal regulations under 42 CFR § 483.21(b) require that the interdisciplinary team — typically including a physician, registered nurse, certified nursing assistant, dietary staff, and social worker — collaborate on the care plan. This team-based approach ensures that no single dimension of a resident's health is overlooked.
Five Deficiencies and No Correction Plan
The care planning failure was one of five total deficiencies identified during the complaint investigation. The inspection was initiated in response to a complaint filed about conditions at the facility, rather than a routine annual survey, which suggests that concerns had already been raised about the quality of care at Hudson Hill Center.
What makes this situation particularly notable is the facility's response — or lack of one. According to inspection records, the provider has not submitted a plan of correction. Under federal guidelines, facilities cited for deficiencies are required to submit a written plan detailing how they will address each finding, the steps they will take to prevent recurrence, and a timeline for achieving compliance.
The absence of a correction plan raises questions about whether the facility is taking the findings seriously and what steps, if any, are being implemented to protect current residents.
Industry Context
Hudson Hill Center for Rehabilitation & Nursing is a skilled nursing facility located in Yonkers, New York. Care planning deficiencies are among the most commonly cited violations in nursing home inspections nationwide, but their frequency does not diminish their significance. Comprehensive, individualized care plans are considered a foundational element of safe nursing home operations by the Centers for Medicare & Medicaid Services (CMS).
Facilities that fail to correct identified deficiencies can face escalating enforcement actions, including civil monetary penalties, denial of payment for new admissions, and in severe cases, termination from the Medicare and Medicaid programs.
Families with loved ones at Hudson Hill Center may wish to review the full inspection report, which is available through the CMS Care Compare website, and discuss any concerns directly with facility administration or the New York State Department of Health.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hudson Hill Center For Rehabilitation & Nursing from 2025-11-26 including all violations, facility responses, and corrective action plans.
💬 Join the Discussion
Comments are moderated. Please keep discussions respectful and relevant to nursing home care quality.