Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Springvale Nursing & Rehabilitation Center

Croton On Hudson, NY · 200 certified beds · Last Life Safety survey August 15, 2025

CMS Certification Number 335806 · first certified December 1997

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed May 5, 2023 (change of ownership)to SPRINGVALE NURSING AND REHABILITATION CENTER from THE BETHEL SPRINGVALE NURSING HOME INC
26
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within NY

26 citations — more than 86% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was August 2025. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 26 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

9 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 26 Life Safety citations above. The Physical Environment Index

  • 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility26NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility26
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
62020-10132023-0672025-08
Citations at each Life Safety survey
Survey dateCitations
October 9, 20206
June 30, 202313
August 15, 20257

Most-cited tags

Most-cited tags at this facility
K-09203K-03532K-03212K-03452K-03242E-00392K-03632E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32025-08-15
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-06-30
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22023-06-30
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-08-15
K-0324Provide properly protected cooking facilities.22025-08-15
E-0039Conduct testing and exercise requirements.22023-06-30
K-0363Install corridor and hallway doors that block smoke.22025-08-15
E-0004Develop and maintain an Emergency Preparedness Program (EP).12020-10-09

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Emergency Preparedness Deficiencies 4
  • Egress Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies6
Emergency Preparedness Deficiencies4
Egress Deficiencies3
Miscellaneous Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 15, 2025 — 7 citations

Citations issued on August 15, 2025
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (September 10, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 10, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 23, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 10, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (September 10, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 10, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 10, 2025)

June 30, 2023 — 13 citations

Citations issued on June 30, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 18, 2023)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (August 27, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 18, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 21, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 26, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 26, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 18, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 18, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 28, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (August 18, 2023)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (September 13, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 18, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 25, 2023)

October 9, 2020 — 6 citations

Citations issued on October 9, 2020
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 20, 2020)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (December 20, 2020)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 20, 2020)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (December 20, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 20, 2020)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 20, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.