RIVER RIDGE LIVING CENTER Inspection Report, Violations & Safety Grade (AMSTERDAM, New York)

100 SANDY DRIVE, AMSTERDAM, New York 12010

Phone: 5188433503

CMS Overall:1/5

Overview & Bed Count

Certified Beds

120

Avg Residents/Day

105.2

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Montgomery

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall1/5

Health1/5

Staffing2/5

Quality3/5

Nurse Staffing Check

Metric	This Facility	New York Avg	Difference
RN Hours per Resident per Day	0.33	0.73	-0.40
Total Nurse Hours per Resident per Day	3.22	3.69	-0.46
CMS Staffing Rating	2/5	2.9/5	-
Nursing Staff Turnover	74.0%	40.3%	-

Health Citation History

37 health citations on record

Date	Category	Description	Severity
2026-05-05	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.	D – Moderate Harm Potential
2026-03-27	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E – Moderate Harm Potential
2025-03-18	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E – Moderate Harm Potential
2025-03-18	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.	E – Moderate Harm Potential
2025-03-18	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E – Moderate Harm Potential
2025-03-18	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.	E – Moderate Harm Potential
2025-03-18	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E – Moderate Harm Potential
2025-03-18	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2025-03-18	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E – Moderate Harm Potential
2025-03-18	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E – Moderate Harm Potential
2025-03-18	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E – Moderate Harm Potential
2025-03-18	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E – Moderate Harm Potential
2025-03-18	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E – Moderate Harm Potential
2025-03-18	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E – Moderate Harm Potential
2025-03-18	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	E – Moderate Harm Potential
2025-03-18	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2025-03-18	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	E – Moderate Harm Potential
2025-03-18	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2025-03-18	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E – Moderate Harm Potential
2025-03-18	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D – Moderate Harm Potential
2025-03-18	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D – Moderate Harm Potential
2025-03-18	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D – Moderate Harm Potential
2025-03-18	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2025-03-18	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D – Moderate Harm Potential
2025-03-18	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2023-01-10	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2023-01-10	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	E – Moderate Harm Potential
2023-01-10	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D – Moderate Harm Potential
2023-01-10	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2023-01-10	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D – Moderate Harm Potential
2023-01-10	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D – Moderate Harm Potential
2020-09-25	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2020-09-25	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2020-09-25	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2020-09-25	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D – Moderate Harm Potential
2020-09-25	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D – Moderate Harm Potential
2020-09-25	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.	D – Moderate Harm Potential

Fire Safety Citation History

26 fire safety citations on record

Date	Category	Description	Severity
2025-03-18	Emergency Preparedness Deficiencies	Develop and maintain an Emergency Preparedness Program (EP).	F – Moderate Harm Potential
2025-03-18	Emergency Preparedness Deficiencies	Establish staff and initial training requirements.	F – Moderate Harm Potential
2025-03-18	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	F – Moderate Harm Potential
2025-03-18	Egress Deficiencies	Have exits that are accessible at all times.	F – Moderate Harm Potential
2025-03-18	Egress Deficiencies	Install proper backup exit lighting.	F – Moderate Harm Potential
2025-03-18	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2025-03-18	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2025-03-18	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	F – Moderate Harm Potential
2025-03-18	Electrical Deficiencies	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.	F – Moderate Harm Potential
2025-03-18	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2025-03-18	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that testing and maintenance of electrical equipment is performed.	F – Moderate Harm Potential
2025-03-18	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	F – Moderate Harm Potential
2025-03-18	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	F – Moderate Harm Potential
2025-03-18	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2025-03-18	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2025-03-18	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2025-03-18	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2023-01-10	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	F – Moderate Harm Potential
2023-01-10	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	F – Moderate Harm Potential
2023-01-10	Emergency Preparedness Deficiencies	Establish staff and initial training requirements.	E – Moderate Harm Potential
2023-01-10	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2023-01-10	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential
2020-09-25	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	E – Moderate Harm Potential
2020-09-25	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2020-09-25	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	E – Moderate Harm Potential
2020-09-25	Smoke Deficiencies	Install an approved automatic sprinkler system.	D – Moderate Harm Potential

Total Penalties & Fines

$3,387

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-01-30	Fine	$3,387	-

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