Nyack Ridge Rehabilitation and Nursing Center
476 Christian Herald Road, Valley Cottage, NY 10989 · Rockland County · 160 certified beds · avg 153 residents/day · certified since Nov 1, 1972
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 25, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 23, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 4, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 2, 2026 (Deficient, Provider has plan of correction)
▲ Actual harm, one-off · Nov 4, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 29, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (40)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 4, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 14, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jan 14, 2025 | E · Potential for harm, repeated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Jan 14, 2025 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jan 14, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Jan 14, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jan 14, 2025 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Sep 25, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 25, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Sep 25, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 25, 2023 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (13 → 20).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 13 | 1 | J ▲ |
| 2024 | 3 | 0 | D |
| 2025 | 22 | 1 | G ▲ |
| 2026 | 2 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $39,130.
| Date | Type | Amount / length |
|---|---|---|
| Sep 25, 2023 | Fine | $39,130 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.55 | 3.58 | 3.95 | top 43% in New York; bottom 39% in the U.S. |
| Registered Nurse hours | 0.63 | 0.68 | 0.69 | top 40% in New York; top 44% in the U.S. |
| Weekend total nurse staffing | 3.12 | 3.13 | 3.50 | top 42% in New York; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.48 | 0.48 | top 48% in New York; bottom 47% in the U.S. |
| Total nursing staff turnover (%) | 27.5 | 40.3 | 45.8 | top 21% in New York; top 10% in the U.S. |
| RN turnover (%) | 31.8 | 39.8 | 42.9 | top 36% in New York; top 32% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.32, RN 0.59, weekend 2.93. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Braunstein, Edward | Individual | 5% or Greater Direct Ownership Interest | 28% | 11/25/2016 |
| Diamond, Jessica | Individual | 5% or Greater Direct Ownership Interest | 5% | 11/25/2016 |
| Einhorn, Benjamin | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2018 |
| Gellis, Cheryl | Individual | 5% or Greater Direct Ownership Interest | 5% | 11/25/2016 |
| Zyskind, Israel | Individual | 5% or Greater Direct Ownership Interest | — | 04/01/2023 |
| Beller, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/16/2023 |
| Beller, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 10/16/2023 |
| Braunstein, Edward | Individual | Corporate Officer | NOT APPLICABLE | 11/25/2016 |
| Braunstein, Edward | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2018 |
| Braunstein, Michael | Individual | Corporate Officer | NOT APPLICABLE | 11/25/2016 |
| Braunstein, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2018 |
| Diamond, Jessica | Individual | Corporate Officer | NOT APPLICABLE | 11/25/2016 |
| Einhorn, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 11/25/2016 |
| Einhorn, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 01/16/2025 |
| Gellis, Cheryl | Individual | Corporate Officer | NOT APPLICABLE | 11/25/2016 |
| Hirsch, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 11/25/2016 |
| Silberberg, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Silberberg, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2015 |
| Zyskind, Israel | Individual | Corporate Officer | NOT APPLICABLE | 11/25/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Tolstoy Foundation Rehabilitation and Nrsg Center | 0.8 mi | Valley Cottage, NY | ★☆☆☆☆ | 1/5 | SFF |
| Northern Manor Geriatric Center INC | 3.7 mi | Nanuet, NY | ★☆☆☆☆ | 1/5 | |
| Tarrytown Hall Care Center | 4.8 mi | Tarrytown, NY | ★★★☆☆ | 3/5 | |
| Kendal on Hudson | 5.1 mi | Sleepy Hollow, NY | ★★★★★ | 4/5 | |
| Friedwald Center for Rehab and Nursing, L L C | 5.2 mi | New City, NY | ★★★☆☆ | 2/5 | |
| Pine Valley Center for Rehabilitation and Nursing | 5.2 mi | Spring Valley, NY | ★★☆☆☆ | 2/5 | |
| Northern Riverview Health Care, INC | 5.5 mi | Haverstraw, NY | ★★☆☆☆ | 1/5 | |
| Briarcliff Manor Center for Rehab and Nursing Care | 5.5 mi | Briarcliff Manor, NY | ★☆☆☆☆ | 2/5 | |
| Cedar Manor Nursing & Rehabilitation Center | 5.6 mi | Ossining, NY | ★★☆☆☆ | 2/5 | |
| Bethel Nursing Home Company INC | 6.4 mi | Ossining, NY | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 335365.