New Riverdale Rehab And Nursing
New Riverdale Rehab and Nursing in Bronx, NY — inspection on March 19, 2025.
Found 13 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
11:00 PM shift.
They stated Resident #5 is given bed baths and was never taken to the bathroom for a
shower.
On 03/19/2025 at 1:54 PM, the Director of Nursing was interviewed and stated that it is the facility's policy to shower the residents twice a week and as needed.
They stated that, it was documented that Resident #5 received bed baths and there was no documentation that Resident #5 refused showers.
The Director of Nursing stated the nurse on the unit is responsible for ensuring that care is provided to the residents as ordered. 10 NYCRR 415.5(b) (1-3)
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
stated that no one should have to ask to view the survey results as they should be easily accessible
minimal harm and the sign of the availability was removed for renovations and was not put back in the same place as staff was instructed to do.
10 NYCRR 415.3(d)(1)(vi)
to correct the environmental problems to ensure residents are provided with clean, homelike
10 NYCRR 415.5(h)(2)
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
in the hallway in front of their room and chose to use the bathroom at the same time that Resident
because Resident #242 had no actual intent to harm Resident #117.
On 03/19/2025 at 4:22 PM, the Administrator was interviewed and stated the incident on 02/08/2025 involving Residents #242 and #117 could have not been predicted or prevented. 10 NYCRR 415(b)(1)(i)
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
health condition characterized by persistent, irrational, and unfounded beliefs that others are
the heart and brain become narrowed or blocked, reducing blood flow to the extremities).
The Minimum Data Set (a resident assessment tool) dated 11/24/2024 documented Resident #242 had intact cognition, was ambulatory, and was independent in activities of daily living.
An Accident Investigation Report dated 02/08/2025 documented on 02/08/2025 at approximately 12:30 PM, Resident #117 stated another resident punched them in the forehead while they were using the toilet. Resident #242 stated they punched Resident #117 because they were taking too long, and they wanted to take a shower.
The Supervisor Investigative Summary report documented Resident #242 had history of paranoid schizophrenia and had been known to experience periods of severe aggression during which they threatened and physically attacked staff and residents. Resident #242 was erratic and displayed flat affect with no remorse for the occurrence.
The incident was reported to the New York State Department of Health on 02/09/2025 at 1:51 AM.
On 03/19/2025 at 9:44 AM, the Director of Nursing was interviewed and stated the team felt abuse had not occurred because they felt that Resident #242 had no insight and did not intend to injure Resident #117, therefore, they felt no urgency to report the incident within the 2 hour timeframe to the New York State Department of Health. 10 NYCRR 415.4(b)(2)
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
actions that can be measured.
record review and interview during the Recertification Survey conducted from 03/12/2025 to
resident was developed and implemented, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs.
This was evident in 1 (Resident #36) of 3 residents reviewed for care planning out of 31 total sampled residents.
Specifically, Resident #36 had no comprehensive care plan developed to address at risk for abuse.
The findings are: The facility policy titled Care Planning- Interdisciplinary Team with a last revised date of 01/2025 documented that the interdisciplinary team is responsible for the development of resident care plans. Resident #36 was admitted to the facility with diagnoses that included Arthritis and Hypertension.
The admission Minimum Data Set assessment dated [DATE] documented Resident #36's cognition was intact.
On 03/12/2025 at 2:14 PM, Resident #36 was interviewed and stated that 2 weeks ago, a Certified Nursing Assistant called them handicapped and reported the incident to the Assistant Director of Nursing.
The facility incident report dated 01/25/2025 documented that at approximately 12:00 PM, Resident #36 reported that the Certified Nursing Assistant called them handicapped and crippled A review of Resident #36's comprehensive care plans had no documented evidence that a care plan for at risk for abuse or victimization was developed for Resident #36.
On 03/19/2025 at 1:39 PM, the Director of Nursing was interviewed and stated Resident #36 was discharged to their home in 2024 and was readmitted to the facility in January of this year.
They stated there was no abuse care plan initiated for Resident #36 when they were again admitted to the facility.
On 03/19/2025 at 9:18 AM, the Administrator was interviewed and stated they should have opened a new medical chart when Resident #36 was again admitted to the facility in January 2025.
The alleged verbal abuse allegation should have been included in the abuse care plan. 10 NYCRR 415.11(c)(1)
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
The findings are: The facility policy titled Laboratory and Diagnostic Test Results with a revised date of 01/2025 documented that the Physician will identify and order diagnostic and laboratory testing based on the resident's diagnostic and monitoring needs.
The staff will process test requisitions and arrange for tests.
The laboratory, diagnostic radiology provider or other testing source will report test results to the facility.
Physicians or nurses who have concerns about how test results have been handled or reported should communicate such concerns to the Director of Nursing and/or the Medical Director.
Such concerns or disagreements should not prevent timely, clinically appropriate management of a current result or clinical situation.
The facility policy titled Physician Services with a reviewed date of 01/2025 documented that the physician will address laboratory and other diagnostic test results in a timely manner based on the resident's condition and the clinical significance of the results.
The physician will periodically review all medications prescribed for their patients and will monitor both for continuing indications and for possible adverse drug reactions.
The medication review should take into account observations and concerns offered by pharmacy consultants and others regarding beneficial and possible adverse impacts of medications on the resident.
The attending physician will perform accurate, timely and relevant assessments as needed.
The physician will respond to notification of and will assess and manage acute and significant changes in resident condition. Resident #39 had diagnoses of Non-Alzheimer's Dementia and Schizoaffective Disorder.
The quarterly Minimum Data Set assessment dated [DATE] documented Resident #39 had moderately impaired cognition and had received anticonvulsive and antipsychotic medications since admission/entry or reentry into the facility.
A physician order which was initiated on 01/25/2023 and renewed on 02/25/2025 documented a medication order for Depakote Sprinkles 125 milligram capsules, delayed release, 5 capsules (625 milligrams) to be administered by oral route 3 times a day with food.
A Medication Administration Record dated March 2025 documented that Resident #39 was administered 625 milligrams of Depakote Sprinkles by oral route 3 times a day.
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
During an interview with the Registered Dietician on 03/14/2025 at 12:06 PM, they stated they have not seen Resident #122's January and February weight record and was informed of the weight loss in March.
They stated they only come to the facility twice a week and cannot do everything.
During an interview with Nurse Practitioner #1 on 03/14/2025 at 12:51 PM, they stated they were not aware of Resident #122's weight loss until March.
They stated they do not remember anybody discussing the resident's weight loss with them.
They stated that the recommendations to manage weight loss should come from the dietitian.
During an interview with the Assistant Director of Nursing on 03/14/2025 at 1:14 PM, they stated changes in a resident's diet and weight loss are discussed during the morning meeting and is communicated to the dietary department.
They stated weight records are on the resident's notes and can be reviewed by the dietitian. 10 NYCRR 415.12 (i)(1)
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
03/07/2025.
The facility interventions include to monitor laboratory results for drug levels.
Resident #39 was currently receiving Depakote, unable to locate a recent serum level in the chart,
consider ordering.
A Medication Regimen Review Response progress note dated 02/12/2025 documented the Nurse Practitioner's response to the Consultant Pharmacist's recommendation for Resident #39 as follows -Agree Will do.
A Physician Laboratory Order dated 02/12/2025, documented Depakene - Serum Valproate one time 02/13/2025.
There was no documented evidence that the serum level for Depakote was drawn.
There was no documented evidence that the physician or the nurse practitioner followed up if the serum level has been completed.
On 03/19/2025 at 9:23 AM, the Nurse Practitioner was interviewed and stated that Depakote level was ordered for Resident #39 on 02/12/2025 as recommended by the pharmacy consultant.
The Nurse Practitioner stated they wait for the Registered Nurse to inform them of the laboratory test results.
They stated they were not notified of the results or the reason why was the serum level not obtained.
On 03/19/2025 at 12:23 PM, the Medical Director was interviewed and stated the Nurse Practitioner should have followed up timely when they had not received the laboratory results. 10 NYCRR 415.15 (b)(2)(iii)
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
Practitioner's response to the Consultant Pharmacist's recommendation for Resident #39 as follows
A Physician Laboratory Order dated 02/12/2025, documented Depakene - Serum Valproate one time
There was no documented evidence that the serum level for Depakote was drawn.
On 03/19/2025 at 9:23 AM, the Nurse Practitioner was interviewed and stated that Depakote level was ordered for Resident #39 on 02/12/2025 as recommended by the pharmacy consultant.
The Nurse Practitioner stated they wait for the Registered Nurse to inform them of the laboratory test results.
They stated they were not notified of the results or the reason why was the serum level not obtained.
On 03/19/25 at 10:58 AM, the Director of Nursing was interviewed and stated if the sample was not collected, the laboratory should communicate with the nurse.
The Director of Nursing stated a follow up should have been done for laboraory requests that were not completed. 10 NYCRR 415.18(c)(2)
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New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
F-F658 Services Meet Professional Standards
The findings are:
The facility policy titled Laboratory and Diagnostic Test Results with a revised date of 01/2025 documented that the Physician will identify and order diagnostic and laboratory testing based on the resident's diagnostic and monitoring needs.
The staff will process test requisitions and arrange for tests.
The laboratory, diagnostic radiology provider or other testing source will report test results to the facility.
Physicians or nurses who have concerns about how test results have been handled or reported should communicate such concerns to the Director of Nursing and/or the Medical Director.
Such concerns or disagreements should not prevent timely, clinically appropriate management of a current result or clinical situation.
The facility policy titled Physician Services with a reviewed date of 01/2025 documented that the physician will address laboratory and other diagnostic test results in a timely manner based on the resident's condition and the clinical significance of the results.
The physician will periodically review all medications prescribed for their patients and will monitor both for continuing indications and for possible adverse drug reactions.
The medication review should take into account observations and concerns offered by pharmacy consultants and others regarding beneficial and possible adverse impacts of medications on the resident.
The attending physician will perform accurate, timely and relevant assessments as needed.
The physician will respond to notification of and will assess and manage acute and significant changes in resident condition.
Resident #39 had diagnoses of Non-Alzheimer's Dementia and Schizoaffective Disorder.
The quarterly Minimum Data Set assessment dated [DATE] documented Resident #39 had moderately impaired cognition and had received anticonvulsive and antipsychotic medications since admission/entry or reentry into the facility.
A physician order which was initiated on 01/25/2023 and renewed on 02/25/2025 documented a medication order for Depakote Sprinkles 125 milligram capsules, delayed release, 5 capsules (625 milligrams) to be administered by oral route 3 times a day with food.
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Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 335096 B.
Wing 03/19/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
During an interview with the Registered Dietician on 03/14/2025 at 12:06 PM, they stated they have not seen Resident #122's January and February weight record and was informed of the weight loss in March.
They stated they only come to the facility twice a week and cannot do everything.
During an interview with Nurse Practitioner #1 on 03/14/2025 at 12:51 PM, they stated they were not aware of Resident #122's weight loss until March.
They stated they do not remember anybody discussing the resident's weight loss with them.
They stated that the recommendations to manage weight loss should come from the dietitian.
During an interview with the Assistant Director of Nursing on 03/14/2025 at 1:14 PM, they stated changes in a resident's diet and weight loss are discussed during the morning meeting and is communicated to the dietary department.
They stated weight records are on the resident's notes and can be reviewed by the dietitian.
10 NYCRR 415.12 (i)(1)
335096
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 335096 B.
Wing 03/19/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
New Riverdale Rehab and Nursing 641 West 230th St Bronx, NY 10463
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.