River Ridge Living Center

100 Sandy Drive · Amsterdam, NY · 12010 · 5188433503

120 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 100
Staffing 20% 54
Federal penalties 15% 81
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.373.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day2.96≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)1 · $3,387

Inspection citations (36 in the current record)

  • Potential for harm · E March 27, 2026 · found via complaint

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

    Corrected May 22, 2026 · Environmental

  • Potential for harm · E March 18, 2025

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

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · D March 18, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · D March 18, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · E March 18, 2025

    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.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · E March 18, 2025

    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.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · E March 18, 2025

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

    Corrected May 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 18, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 18, 2025

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

    Corrected May 27, 2025 · Quality of Life and Care

  • Potential for harm · E March 18, 2025

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected May 27, 2025 · Nursing and Physician Services

  • Potential for harm · E March 18, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected May 27, 2025 · Pharmacy Service

  • Potential for harm · E March 18, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 27, 2025 · Pharmacy Service

  • Potential for harm · E March 18, 2025

    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.

    Corrected May 27, 2025 · Pharmacy Service

  • Potential for harm · E March 18, 2025

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected May 27, 2025 · Nutrition and Dietary

  • Potential for harm · E March 18, 2025

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

    Corrected May 27, 2025 · Nutrition and Dietary

  • Potential for harm · E March 18, 2025

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

    Corrected May 27, 2025 · Nutrition and Dietary

  • Potential for harm · E March 18, 2025

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

    Corrected May 27, 2025 · Environmental

  • Potential for harm · D March 18, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 18, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 18, 2025 · found via complaint

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

    Corrected May 27, 2025 · Quality of Life and Care

  • Potential for harm · E March 18, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 27, 2025 · Quality of Life and Care

  • Potential for harm · E March 18, 2025 · found via complaint

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

    Corrected May 27, 2025 · Nutrition and Dietary

  • Potential for harm · E March 18, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 27, 2025 · Infection Control

  • Potential for harm · D March 18, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 10, 2023

    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.

    Corrected February 24, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 30, 2024Fine$3,387

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335422 · certified since December 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.