New Riverdale Rehab: Weight Loss Ignored for Months - NY
Resident #122 weighed 117 pounds as of February 28, 2025. A dietary progress note from March 11 put the full picture in writing: 16 pounds lost, 12 percent of his body weight, in three months. Over five months, the loss was 20.4 pounds, nearly 15 percent. The note documented that the resident said he had a good appetite and that he had been losing weight before admission because of his illness. The plan going forward was to monitor his intake and check his weight weekly.
There was no intervention in his care plan. There were no dietary notes addressing the January weight loss at all.
When inspectors interviewed the facility's registered dietitian on March 14, she told them she had not seen Resident #122's weight records from January or February and had only been informed of the weight loss in March. Then she said something that inspectors recorded verbatim: she only comes to the facility twice a week and cannot do everything.
The nurse practitioner, interviewed the same afternoon, said she was not aware of the weight loss until March either. She did not remember anyone discussing it with her. She told inspectors that recommendations for managing weight loss should come from the dietitian.
The assistant director of nursing said weight changes are discussed at morning meetings and communicated to the dietary department. She said the weight records are in the resident's notes and the dietitian can review them.
Three clinicians. Three explanations. None of them described a system that had actually caught a man losing a fifth of his body weight.
What the records show is a gap that ran for months. The January weights existed. The February weights existed. The dietitian, by her own account, had not looked at them. The nurse practitioner had not been told. And when the dietary note was finally written on March 11, the response it described, monitoring and weekly weights, was the kind of plan that might have been appropriate in October, before 20 pounds were already gone.
Significant weight loss in nursing home residents carries serious consequences. Muscle wasting, weakened immunity, increased fall risk, pressure injuries that won't heal. For a man who already arrived at the facility sick and already losing weight, the months between his admission and March represented time when intervention was possible and didn't happen.
The facility's assistant director of nursing framed the system as functional: morning meetings, communication to dietary, records available for review. What she described is a system that requires the dietitian to go looking for problems rather than one that surfaces them. The dietitian, coming in twice a week, said she couldn't do everything. The nurse practitioner waited for someone to bring the information to her.
Resident #122 told the dietitian he had a good appetite. He knew he was losing weight. He had been losing weight before he arrived. He was 117 pounds at the end of February, down from wherever he started, and the clinical team responsible for reversing that trend had not yet had a conversation about it.
The inspection was completed March 19, 2025. The deficiency was cited under New York's nursing home regulations governing the maintenance of acceptable nutritional status. The level of harm was recorded as minimal harm or potential for actual harm.
His March weight, the note said, was still pending.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for New Riverdale Rehab and Nursing from 2025-03-19 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.
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Last verified: November 4, 2026 · Our methodology
New Riverdale Rehab and Nursing in Bronx, NY was cited for violations during a health inspection on March 19, 2025.
Resident #122 weighed 117 pounds as of February 28, 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.