Cycle 1
Health 2025-03-07 · Fire 2025-03-07
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Bronx, NY
Archcare At Providence Rest
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
3304 Waterbury Avenue, Bronx, NY
(718) 931-3000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
200
Certified beds
Average residents
195
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Archcare
Operator or chain grouping
Approved since
1976-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.87
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.32
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.99
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.19
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.67
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.66
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
2.81
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
37%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,575
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.55
Composite VBP score used to determine payment impact.
Payment multiplier
1.0106
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.65% · Performance 16.61% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
5.25
Baseline 5.68% · Performance 6.26% · Measure score 5.25 · Achievement 5.25 · Improvement 0
Total nurse turnover
6.97
Baseline 35.53% · Performance 35.20% · Measure score 6.97 · Achievement 6.97 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.94 hours · Performance 2.84 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.69% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 253 · Observed rate 7.91% · Lower 95% interval 7.12% |
| Discharge to community | 49.21% |
50.57%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 244 · Observed rate 43.44% · Lower 95% interval 42.47% |
| Medicare spending per beneficiary | 1.32 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 251 · Denominator 251 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 251 |
| Discharge self-care score | 80% |
53.69%
26.3 pts better
|
Numerator 152 · Denominator 190 |
| Discharge mobility score | 75.79% |
50.94%
24.9 pts better
|
Numerator 144 · Denominator 190 |
| Pressure ulcers or injuries, new or worsened | 0.8% |
2.29%
1.5 pts better
|
Numerator 2 · Denominator 251 · Adjusted rate 0.52% |
| Healthcare-associated infections requiring hospitalization | 6.26% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 152 · Observed rate 5.26% · Lower 95% interval 3.91% |
| Staff COVID-19 vaccination coverage | 0.94% |
8.2%
7.3 pts worse
|
Numerator 2 · Denominator 212 |
| Staff flu vaccination coverage | 76.33% |
42%
34.3 pts better
|
Numerator 158 · Denominator 207 |
| Discharge function score | 81.58% |
56.45%
25.1 pts better
|
Numerator 155 · Denominator 190 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 76 · Denominator 76 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 87 · Denominator 87 |
| Resident COVID-19 vaccinations up to date | 20.44% |
25.2%
4.8 pts worse
|
Numerator 28 · Denominator 137 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.5 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.3
0.8 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
91.2%
4.8 pts better
|
93.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 98.1% · Q3 97.0% · Q4 91.8% · 4Q avg 96.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
95.3%
2.9 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.0%
0.4 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.5% · Q3 2.4% · Q4 3.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 38.0% |
18.5%
19.5 pts worse
|
11.4%
26.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.2% · Q2 36.0% · Q3 30.4% · Q4 44.3% · 4Q avg 38.0% |
| Percentage of long-stay residents who lose too much weight | 8.9% |
6.1%
2.8 pts worse
|
5.4%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.6% · Q3 4.9% · Q4 8.2% · 4Q avg 8.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.7% |
13.5%
5.8 pts better
|
19.6%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 8.8% · Q3 6.0% · Q4 8.3% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.5% |
14.8%
7.3 pts better
|
16.7%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 7.1% · Q3 8.1% · Q4 8.3% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.9% |
15.1%
2.2 pts better
|
16.3%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 14.5% · Q3 11.4% · Q4 13.3% · 4Q avg 12.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% |
15.5%
2.7 pts better
|
14.9%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 12.5% · Q3 11.8% · Q4 12.9% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.6%
0.2 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 1.4% · Q4 1.3% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 0.6% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.4% |
20.8%
2.6 pts worse
|
19.8%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 27.3% · Q3 28.3% · Q4 18.4% · 4Q avg 23.4% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
6.9%
3.5 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.2% · Q3 2.9% · Q4 2.7% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.9% |
76.7%
3.2 pts better
|
81.7%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 89.8% · Q2 82.7% · Q3 74.2% · Q4 71.9% · 4Q avg 79.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
9.7%
3.7 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 5.4% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.9% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.2% |
78.8%
5.4 pts better
|
79.7%
4.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.0% |
20.6%
7.6 pts better
|
23.9%
10.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 12.3% · Expected 22.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-01-26 · Fire 2023-01-26
8 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Cycle 3
Health 2020-01-13 · Fire 2020-01-13
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-03-07
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-09
D · Potential for more than minimal harm
2025-03-07
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-08
E · Potential for more than minimal harm
2023-01-26
K222 · Egress Deficiencies
Fire Safety
Add 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.
Corrected 2023-03-24
E · Potential for more than minimal harm
2023-01-26
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-03-24
E · Potential for more than minimal harm
2023-01-26
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-01-26
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-01-26
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-03-24
E · Potential for more than minimal harm
2020-01-13
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-03-10
D · Potential for more than minimal harm
2020-01-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-03-10
Inspection history
Recent health citations
G · Actual harm
2025-03-07
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-21
F · Potential for more than minimal harm
2025-03-07
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-04-21
D · Potential for more than minimal harm
2025-03-07
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-04-21
D · Potential for more than minimal harm
2025-03-07
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-21
D · Potential for more than minimal harm
2025-03-07
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-04-21
D · Potential for more than minimal harm
2025-03-07
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-21
D · Potential for more than minimal harm
2025-02-27
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-03-23
E · Potential for more than minimal harm
2023-01-26
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-24
E · Potential for more than minimal harm
2023-01-26
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-01-26
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-01-26
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-01-26
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-03-24
D · Potential for more than minimal harm
2023-01-26
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-03-24
B · Minimal harm
2023-01-26
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-03-24
D · Potential for more than minimal harm
2020-01-13
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-03-10
D · Potential for more than minimal harm
2020-01-13
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2020-03-10
D · Potential for more than minimal harm
2020-01-13
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2020-03-10
Penalties and ownership
What sits behind the stars
Ownership
Alberto, Thomas
Corporate Director · Individual
Augustine, Gemma
Operational/Managerial Control · Individual
Biscotti, Richard
Operational/Managerial Control · Individual
Bujno, Stephen
Corporate Director · Individual
Cahill, John
Corporate Director · Individual
Catholic Health Care Systems
Operational/Managerial Control · Organization
Cortes, Tara
Corporate Director · Individual
Covone, Annmarie
Corporate Director · Individual
Fahey, Thomas
Corporate Director · Individual
Feldmann, Eric
Corporate Director · Individual
Gleason, John
Corporate Officer · Individual
Gray, Karen
Corporate Director · Individual
Johnson, Clarion
Corporate Director · Individual
Kasergrande, Leslie
Corporate Director · Individual
Kelleher, Rory
Corporate Director · Individual
Lamorte, Joseph
Corporate Director · Individual
Larue, Scott
Operational/Managerial Control · Individual
Larue, Scott
Corporate Officer · Individual
O'brien, Thomas
Corporate Director · Individual
Park, Richard
Corporate Director · Individual
Rizvi, Hammad
Operational/Managerial Control · Individual
Roberti, Cynthia
Corporate Director · Individual
Rooney, Kathryn
Corporate Director · Individual
Saporito, Joseph
Corporate Director · Individual
Serbaroli, Frank
Corporate Director · Individual
Sweeney, Gerald
Corporate Director · Individual
Tooker, Patricia
Corporate Director · Individual
Walsh, Gerald
Corporate Director · Individual
Whiston, William
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Throgs Neck Extended Care Facility
Bronx, NY
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Rebekah Rehab And Extended Care Center
Bronx, NY
3-star overall rating with 2-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Gold Crest Care Center
Bronx, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out