Riverside Center for Rehabilitation and Nursing

Name: Riverside Center for Rehabilitation and Nursing
Address: 90 NO MAIN STREET, Castleton on Hudson, NY, 12033, US
Telephone: 5187327617

90 No Main Street, Castleton on Hudson, NY 12033 · Rensselaer County · 80 certified beds · avg 76 residents/day · certified since Jun 1, 1976

Part of chain: UPSTATE SERVICES GROUP (17 facilities, chain avg rating 2.0★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.77

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

All citations in the current public record (19)

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
Apr 14, 2026	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Apr 14, 2026	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.
Apr 14, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 14, 2026	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.
Apr 14, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 14, 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.
Apr 14, 2026	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.
Apr 14, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 14, 2026	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.
Apr 14, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jul 12, 2023	E · Potential for harm, repeated	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.
Jul 12, 2023	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.
Jul 12, 2023	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.
Jul 12, 2023	E · Potential for harm, repeated	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Jul 12, 2023	E · Potential for harm, repeated	The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed.
Jul 12, 2023	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jun 11, 2021	E · Potential for harm, repeated	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.
Jun 11, 2021	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 11, 2021	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 10).

Year	Citations	Worst severity that year
2021	3	E
2023	6	E
2026	10	E

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)

No fines or payment denials in the published 3-year window.

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)	3.77	3.58	3.95	top 34% in New York; top 50% in the U.S.
Registered Nurse hours	0.55	0.68	0.69	bottom 47% in New York; bottom 46% in the U.S.
Weekend total nurse staffing	3.38	3.13	3.50	top 29% in New York; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.48	0.48	bottom 33% in New York; bottom 26% in the U.S.
Total nursing staff turnover (%)	59.8	40.3	45.8	bottom 11% in New York; bottom 17% in the U.S.
RN turnover (%)	36.4	39.8	42.9	top 47% in New York; top 40% 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 3.24, RN 0.48, weekend 2.90. Staffing rating: 3/5.

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: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Koenig, Uri	Individual	5% or Greater Direct Ownership Interest	60%	12/22/2010
Steif, Efraim	Individual	5% or Greater Direct Ownership Interest	40%	12/22/2010
Adetona, Adetutu	Individual	Contracted Managing Employee	NOT APPLICABLE	04/01/2022
Sanzi, Caitlin	Individual	W-2 Managing Employee	NOT APPLICABLE	05/15/2023
Wuertzer, Amy	Individual	Corporate Officer	NOT APPLICABLE	09/14/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"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
Evergreen Commons Rehabilitation and Nursing Ctr	5.9 mi	East Greenbush, NY	★★☆☆☆	2/5
Rosewood Rehabilitation and Nursing Center	7.2 mi	Rensselaer, NY	★☆☆☆☆	1/5	SFF
Delmar Center for Rehabilitation and Nursing	7.8 mi	Delmar, NY	★☆☆☆☆	1/5
St Margarets Center	8.4 mi	Albany, NY	★★★★☆	3/5
The Grand Rehabilitation and Nursing at Barnwell	8.4 mi	Valatie, NY	★☆☆☆☆	1/5	SFF
St Peters Nursing and Rehabilitation Center	9.5 mi	Albany, NY	★★★★☆	4/5
Hudson Park Rehabilitation and Nursing Center	9.7 mi	Albany, NY	★☆☆☆☆	1/5
Eddy Village Green at Beverwyck	10.6 mi	Slingerlands, NY	★★★★☆	2/5	abuse
Van Rensselaer Manor	10.6 mi	Troy, NY	★☆☆☆☆	2/5	abuse
Troy Center for Rehabilitation and Nursing	11.2 mi	Troy, NY	★★☆☆☆	1/5	abuse
Daughters of Sarah Nursing Center	12.4 mi	Albany, NY	★★★★☆	4/5
Teresian House Nursing Home Co INC	12.4 mi	Albany, NY	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Castleton on Hudson →

Facility data as of CMS processing date 2026-08-01. CCN 335525.

The Care File

Visit checklist — Riverside Center for Rehabilitation and Nursing

90 No Main Street, Castleton on Hudson, NY 12033 · 5187327617

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335525 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)