Springvale Nursing & Rehab: Missing Phone, Property Failures - NY
The inspection, completed August 15, 2025, was triggered in part by a complaint. Inspectors reviewed personal property protections for six residents and found the facility fell short for one of them, identified in the report as Resident 194.
The resident's phone disappeared in October 2024. A social work note from October 14 of that year documented that Resident 194 reported the phone went missing while being charged. The Director of Social Work discussed the matter with a family member. That is the extent of what the record shows. There was no documentation that the facility had taken any step to protect the phone from loss or theft before it vanished, and no evidence it was ever recovered.
The facility's own policy, dated January 2025, states each resident will be offered a locked drawer or equivalent with a key for small valuables. Inspectors found no evidence that offer was ever made to Resident 194.
When inspectors interviewed the Director of Social Work on August 14, the director said they had started at the facility in July 2024, three months before the phone went missing. They described a system where clothing brought to the facility was labeled by housekeeping and logged on an inventory checklist, with copies kept on file and given to residents or their families. For residents who lacked capacity, nursing staff would sometimes take valuables for safekeeping, or pass them to the Director of Social Work. But when families insisted a resident keep their own phone, the director said they could offer the resident access to a phone stored in the Social Work Office, on a limited basis.
The Director of Social Work told inspectors they were unaware whether Resident 194 had ever been offered a personal storage area or lockbox for the phone in October 2024, and said they would check with housekeeping for copies of the resident's inventory checklists.
A licensed practical nurse interviewed the following morning described a separate system: bedside dresser drawers equipped with locks, available to residents, with keys held either by the resident or by nursing staff if the resident couldn't manage them. The Maintenance Department could provide a lockable drawer for any resident who didn't already have one.
The Administrator, interviewed later that same morning, said residents were allowed to keep their phones and that possessions were documented on personal property inventory checklists. When asked about Resident 194's missing phone specifically, the Administrator said they could not recall the details.
What the inspection report describes is a facility with multiple overlapping systems for protecting resident property, none of which appear to have been applied consistently or documented reliably in this case. The Social Work Office lockup. The bedside dresser drawer. The inventory checklist. The offer of a locked storage space. Each staff member described a different piece of the system. Nobody could confirm which, if any, had been offered to a cognitively impaired resident whose phone disappeared while plugged in to charge.
The complaint that triggered the inspection came from someone who told inspectors that Resident 194's cell phone and clothing both went missing at the facility in October 2024. The administrator had been in direct communication with the complainant about the facility's investigation into the matter, according to the report. What that investigation found, or whether it reached any conclusion, is not documented in the inspection record.
Resident 194 has diagnoses of cerebral infarction and schizoaffective disorder. The most recent assessment described them as moderately cognitively impaired. The phone was charging when it disappeared. It was never found.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Springvale Nursing & Rehabilitation Center from 2025-08-15 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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: September 22, 2026 · Our methodology
Springvale Nursing & Rehabilitation Center in Croton On Hudson, NY was cited for violations during a health inspection on August 15, 2025.
The inspection, completed August 15, 2025, was triggered in part by a complaint.
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.