Riverside Center for Rehabilitation and Nursing — nursing home in Castleton on Hudson, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 80 CMS-certified beds (not state-licensed beds)
Licensed beds: 80 state-licensed beds · New York State Department of Health
State license: 4124301N active · licensee RSRNC, LLC
Average residents per day: 75.7 CMS, MDS-derived
CMS Certification Number: 335525
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 1, 1976
Ownership type: For profit - Limited Liability company
Operator (legal business name): Rsrnc, LLC
CMS chain: Upstate Services Group 17 facilities
Phone: (518) 732-7617
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Apr 14, 2026

Citations

30

19 health · 11 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E17	F4
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 335525
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 80
First approved: Jun 1, 1976
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 1, 2026
Evidence: Verified

State license

Authority: New York State Department of Health (NYSDOH)
License number: 4124301N
State facility ID: 767
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 80
Bed certifications: RHCF: 80
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: RSRNC, LLC · LLC
As of: Oct 23, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 14, 2026	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Apr 14, 2026	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Jul 12, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 12, 2023	Health	Health Standard	6	Potential harm	—	Open →
Jun 11, 2021	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 11, 2021	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E17	F4
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 14, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2026
Apr 14, 2026	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2026	IDR
Apr 14, 2026	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 12, 2026	IDR
Apr 14, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 12, 2026
Apr 14, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2026
Apr 14, 2026	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 12, 2026	IDR
Apr 14, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2026
Apr 14, 2026	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2026	IDR
Apr 14, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2026
Apr 14, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2026
Apr 14, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2026
Apr 14, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2026
Apr 14, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 31, 2026
Apr 14, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 31, 2026
Apr 14, 2026	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 31, 2026	Complaint
Apr 14, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 31, 2026
Jul 12, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 26, 2023
Jul 12, 2023	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 22, 2023
Jul 12, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 22, 2023
Jul 12, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 26, 2023
Jul 12, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 24, 2023
Jul 12, 2023	F-0882	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 22, 2023
Jul 12, 2023	F-0914	Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 22, 2023
Jul 12, 2023	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 22, 2023
Jun 11, 2021	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 27, 2021
Jun 11, 2021	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 27, 2021
Jun 11, 2021	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 27, 2021
Jun 11, 2021	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 27, 2021
Jun 11, 2021	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 27, 2021
Jun 11, 2021	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 27, 2021

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 2.9

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.45

State avg 3.69US avg 3.90

Registered nurse (RN)0.52

State avg 0.73US avg 0.69

Licensed practical nurse1.15

State avg 0.76US avg 0.86

Nurse aide1.78

State avg 2.20US avg 2.35

Weekend total nurse3.17

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.95 (case-mix index 1.22).

Staff turnover

Total nursing staff turnover61.1%

State avg 40.3%US avg 45.3%

Registered nurse turnover30.8%

State avg 39.6%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 14, 2026
Cycle 1 health score: 44
Total weighted score: 51

Operating entity

Rsrnc, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Upstate Services Group

17 facilities in 1 states. CMS chain ID 538.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2

Ownership disclosures

Disclosures

5

Organizations

0

Individuals

5

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Uri Koenig	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	60%	Dec 22, 2010
Efraim Steif	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	40%	Dec 22, 2010

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Uri Koenig	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	60%	Dec 22, 2010
Efraim Steif	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	40%	Dec 22, 2010
Amy Wuertzer	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 14, 2017
Adetutu Adetona	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Apr 1, 2022
Caitlin Sanzi	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	May 15, 2023

Same chain in New York

All 16 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Beechtree Center for Rehabilitation and Nursing 318 South Albany Street, Ithaca, NY 14850 CCN 335017	120		Aug 29, 2025	43	—
Evergreen Commons Rehabilitation and Nursing Ctr 1070 Luther Road, East Greenbush, NY 12061 CCN 335110	240		Jul 3, 2026	331 harm	—
Van Duyn Center for Rehabilitation and Nursing 5075 West Seneca Turnpike, Syracuse, NY 13215 CCN 335184SFFAbuse icon	513	Not rated	Aug 20, 2026	1108 IJ8 harm2 open	$447k
Highland Park Rehabilitation and Nursing Center 160 Seneca St, Wellsville, NY 14895 CCN 335210	80		Jul 31, 2026	191 harm	—
Cortland Park Rehabilitation and Nursing Center 193 Clinton Avenue, Cortland, NY 13045 CCN 335218	120		May 30, 2025	30	—
Vestal Park Rehabilitation and Nursing Center 1501 Route 26 South,, Vestal, NY 13850 CCN 335226	180		Jul 10, 2026	44	—
Bridgewater Center for Rehab & Nursing L L C 159 163 Front Street, Binghamton, NY 13902 CCN 335228	356		Jun 12, 2026	686 open	—
Colonial Park Rehabilitation and Nursing Center 950 Floyd Avenue, Rome, NY 13440 CCN 335233	80		Apr 17, 2026	791 harm	$59k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS (geocoding footnote 22).

Address: 90 No Main Street, Castleton on Hudson, NY 12033
ZIP: 12033
County: Rensselaer County FIPS 36083
State: New York
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Evergreen Commons Rehabilitation and Nursing Ctr 1070 Luther Road, East Greenbush, NY 12061 CCN 335110	9.5 km	240	Jul 3, 2026	331 harm	—
Rosewood Rehabilitation and Nursing Center 284 Troy Road, Rensselaer, NY 12144 CCN 335693SFF Candidate	11.6 km	80	Feb 25, 2026	822 IJ1 harm	$158k
Delmar Center for Rehabilitation and Nursing 125 Rockefeller Road, Delmar, NY 12054 CCN 335735	12.6 km	120	Mar 13, 2026	99	—
St Margarets Center 27 Hackett Blvd, Albany, NY 12208 CCN 335830	13.5 km	92	Feb 18, 2025	29	—
The Grand Rehabilitation and Nursing at Barnwell 3230 Church Street, Valatie, NY 12184 CCN 335565SFF Candidate	13.5 km	236	Jun 30, 2026	1252 IJ2 harm	$299k
Hudson Park Rehabilitation and Nursing Center 325 Northern Boulevard, Albany, NY 12204 CCN 335812	15.6 km	169	Jun 12, 2024	50	—
Eddy Village Green at Beverwyck 40 Autumn Drive, Slingerlands, NY 12159 CCN 335860Abuse icon	17 km	24	May 1, 2026	221 harm	$52k
Van Rensselaer Manor 85 Bloomingrove Drive, Troy, NY 12180 CCN 335265Abuse icon	17.1 km	362	Apr 1, 2026	511 IJ1 harm	$22k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335525	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335525	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
New York DOH Health Facility Information NY	767	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 23, 2026	Nov 7, 2026
New York DOH Bed Certifications NY	767	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335525

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction