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Nursing HomeMedicaid Investigative

Riverside Center for Rehabilitation and Nursing

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

90 no Main Street, Castleton on Hudson, NY 1203380 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 112 Google reviews

5
4
3
2
1
Riverside Center for Rehabilitation and Nursing Nursing Home in Castleton on Hudson, NY — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • High staff turnover (56%)

Below average in NY · Below recommended RN staffing · Above average staffing · No penalties on record

Source: Medicare data

What this means for your family

This facility has a dedicated core of staff who receive high praise for their compassion, particularly in rehab and palliative care. However, the recurring reports of neglect and staffing shortages are serious red flags. If you choose this facility, ensure you have a plan for frequent, unannounced visits to monitor your loved one's hygiene and wound care, and maintain direct communication with the unit manager.

Google Reviews

Google Reviews

112 reviews on Google
Riverside Center for Rehabilitation and Nursing receives highly polarized feedback, with many reviewers praising the staff's kindness and the facility's cleanliness, while others report severe neglect and unprofessionalism. Families often express deep gratitude for the palliative and rehab care, yet a significant number of critical reviews cite dangerous issues such as unaddressed bedsores, poor hygiene, and chronic understaffing. Prospective families should be aware of this inconsistency, as experiences appear to vary drastically depending on the unit and the specific staff on duty.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean6.0Activities8.0Meds4.0MemoryN/AComms4.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Active and engaging recreation programs
  • Effective rehabilitation therapy team

Concerns

  • Chronic understaffing leading to slow response times (mentioned by 9 reviewers)
  • Neglect regarding hygiene, wound care, and toileting (mentioned by 11 reviewers)
  • Unprofessional staff behavior and poor communication (mentioned by 6 reviewers)
  • Poor food quality and nutritional management (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(3)'19(13)'21(6)'23(8)'25(29)'26(6)

Distribution · 97 analyzed

5
65
4
5
3
5
2
2
1
20

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the importance of consistent care, what specific protocols are in place to ensure timely assistance with hygiene and toileting needs throughout the day and night?
  • 2I noticed the facility has a strong reputation for rehabilitation therapy; how do you integrate that clinical focus with daily recreation programs to keep residents engaged?
  • 3With the current staffing levels, what is your process for ensuring that residents receive prompt responses to call lights, especially during shift changes?
  • 4How do you manage communication with families regarding changes in a resident's health status or medication adjustments to ensure we are always kept in the loop?
  • 5We understand that nutrition is vital for recovery; what steps is the facility taking to improve the variety and quality of the dining experience for residents?
  • 6Could you walk us through your internal process for addressing and resolving any concerns regarding the quality of wound care or personal hygiene?

Personalized based on this facility's data


Key Review Excerpts

The staff at Riverside were very kind to her and to me. I think that is the standout thing about it, the people. I observed them to be patient and kind even with some of the more difficult residents.

Long-term resident's family · 2022★★★★★

The treatment that my friend has gotten in this facility has been abysmal. Lack of care with associated skin breakdown, not being included in her own care plan, lack of staff. Physical therapy not received, basically left in her bed for 7 ½ months.

Friend of resident · 2024☆☆☆☆

After a short stay at this facility, in the North unit, our sister passed away in peace, with dignity, and with exceptional care. Staff are diligent, knowledgeable and always visible.

Family member · 2026★★★★★
Source: 112 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
66%
Registered nurses for medical care
Total Nursing
3.53hrs
86%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
NY
18.9%
Rensselaer
7.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility30.1%
Worse than Avg
Here
30.1%
US
15.5%
NY
13.8%
Rensselaer
19.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NY
91.3%
Rensselaer
84.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NY
95.3%
Rensselaer
89.9%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility11.8%
Worse than Avg
Here
11.8%
US
4.9%
NY
6.8%
Rensselaer
5.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
19.5%
NY
13.3%
Rensselaer
13.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.7%
Better than Avg
Here
83.7%
US
81.8%
NY
77.0%
Rensselaer
75.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.2%
Mixed vs Avgs
Here
76.2%
US
79.8%
NY
78.8%
Rensselaer
72.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Mixed vs Avgs
Here
1.2%
US
1.6%
NY
1.2%
Rensselaer
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (7.6)
7 complaint-triggered

Families filed complaints in 2023 that triggered an inspection revealing serious issues with resident rights, food safety, infection control, and facility cleanliness including pest problems. The facility has recurring problems with food service, infection control, and fire safety maintenance across multiple surveys, though all violations have correction dates. Visit to assess current conditions given the pattern of repeat deficiencies.

Apr 14, 2026Complaint
1
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Jul 12, 2023Complaint
6
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0882Potential for harm · PatternCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0914Potential for harm · PatternCorrected

Environmental Deficiencies

Provide bedrooms that don't allow residents to see each other when privacy is needed.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Jul 12, 2023Routine
2
0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Jun 11, 2021Routine
6
0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Jun 18, 2019Routine
17
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0813Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0026Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Riverside Center for Rehabilitation and Nursing

Organization Type

for profit

Chain Affiliation

Chain Name

Upstate Services Group

Chain Size

17 facilities nationwide

Chain avg rating: 1.9/5 · Rank 9 of 16

Ownership & Management

Owners

Koenig, Uri

Owner

60%

Steif, Efraim

Owner

40%

Key personnel

Adetona, AdetutuContracted Managing EmployeeSanzi, CaitlinW-2 Managing EmployeeWuertzer, AmyOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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