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Complaint Investigation

Yorktown Rehabilitation & Nursing Center

August 28, 2025 · Cortlandt Manor, NY · 2300 Catherine Street
Citations 2
CMS Rating 4/5
Beds 200
Provider ID 335078
Healthcare Facility
Yorktown Rehabilitation & Nursing Center
Cortlandt Manor, NY  ·  View full profile →
Inspection Summary

YORKTOWN REHABILITATION & NURSING CENTER in CORTLANDT MANOR, NY — inspection on August 28, 2025.

Found 2 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.

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Inspection Findings

FF0641
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

they completed Resident #1's admission and fall risk assessments on 05/06/2024.

Registered Nurse #2 stated during the admission assessment they asked the resident questions to check their mental capacity, and this is how they determine the resident's cognitive status.

Registered Nurse #2 stated they documented Resident #1's mental status based on their answers to questions asked. On the fall risk score evaluation, Registered nurse #2 stated sometimes there are glitches within point click care (the electronic medical record system) and the system will generate a different score.

The fall risk score of 6 for Resident #1 was inaccurate as it indicates the resident is a low fall risk.

The facility is now using a different version of the fall risk assessment form which is shorter and all information to be gathered are located on the same form to avoid errors such as this.

Registered Nurse #2 stated some of the errors encountered with the new system was when a section of the form was not completed, the system does not allow you to return to the uncompleted portion of the form to enter any updates.

These omissions then generate inaccurate scores/tallies because of the omissions.

The scores/tallies do not reflect the complete assessment.Registered Nurse #2 did not provide an answer as to why they documented Resident #1's cognitive status as alert and oriented x3 on the admission assessment and chronic confusion with mild cognitive impairment on the fall assessment on 05/08/202510 NYCRR 415.11(b)

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Yorktown Rehabilitation & Nursing Center

2300 Catherine Street Cortlandt Manor, NY 10567

SUMMARY STATEMENT OF DEFICIENCIES

were assigned to Resident #1.

That was their first time taking care of the resident.

The resident was a fall risk, so they were the first resident provided cares to and got them up.

Certified Nurse Aide #1 stated they were informed during shift report from other certified nurse aides and Licensed Practical Nurse #1 that Resident #1 was a fall risk.

Certified Nurse Aide #1 stated after they finished with Resident #1, they handed them their call bell and their urinal and left the resident in their wheelchair with the wheels locked.

Certified Nurse Aide #1 stated they handed out the breakfast trays to the residents on the unit and there was a thirty-to-forty-minute time gap since they had last saw the resident.

Certified Nurse Aide #1 stated they heard a commotion and went to Resident #1's room and found the resident on the floor.

They wheeled the resident out to the nurses' station after their care and the nurse told them the family does not like it and wheel the resident back into their room.

Certified Nurse Aide #1 stated Resident #1's representatives requested Resident #1 not be placed by the nurse's station and to leave them in their room.

Certified Nurse Aide #1 stated usually residents that are a fall risk are left by the nurse's station so they can be observed by staff. 10 NYCRR 415.12(h)(1)

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CORTLANDT MANOR, NY, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from YORKTOWN REHABILITATION & NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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