Cycle 1
Health 2025-07-18 · Fire 2025-07-18
3 health deficiencies
Top issue: Infection Control (1 deficiency)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
New Rochelle, NY
Bayberry Nursing Home
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
40 Keogh Lane, New Rochelle, NY
(914) 636-3947
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
60
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.91
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.53
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.44
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.89
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.41
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.87
CMS adjusted RN staffing hours
Adjusted total hours
3.72
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,667
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.06
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.02% · Performance 21.97% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.79% · Performance 9.76% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.78
Baseline 42.00% · Performance 27.78% · Measure score 8.78 · Achievement 8.78 · Improvement 7.79
Adjusted total nurse staffing
1.64
Baseline 4.42 hours · Performance 3.54 hours · Measure score 1.64 · Achievement 1.64 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.34% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 8% · Lower 95% interval 6.8% |
| Discharge to community | 42.86% |
50.57%
7.7 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 33.75% · Lower 95% interval 32.82% |
| Medicare spending per beneficiary | 1.38 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 62 · Denominator 62 |
| Falls with major injury | 1.61% |
0.77%
0.8 pts worse
|
Numerator 1 · Denominator 62 |
| Discharge self-care score | 43.48% |
53.69%
10.2 pts worse
|
Numerator 20 · Denominator 46 |
| Discharge mobility score | 56.52% |
50.94%
5.6 pts better
|
Numerator 26 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 6.45% |
2.29%
4.2 pts worse
|
Numerator 4 · Denominator 62 · Adjusted rate 4.95% |
| Healthcare-associated infections requiring hospitalization | 9.76% |
7.12%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 15.07% · Lower 95% interval 5.88% |
| Staff COVID-19 vaccination coverage | 7.5% |
8.2%
0.7 pts worse
|
Numerator 6 · Denominator 80 |
| Staff flu vaccination coverage | 87.88% |
42%
45.9 pts better
|
Numerator 87 · Denominator 99 |
| Discharge function score | 45.65% |
56.45%
10.8 pts worse
|
Numerator 21 · Denominator 46 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 42.86% |
25.2%
17.7 pts better
|
Numerator 12 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.7
0.9 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.3
0.9 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
91.2%
8.3 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.0% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
95.3%
2.8 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.0%
About the same
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.9% · Q3 3.9% · Q4 2.0% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.7% |
18.5%
11.8 pts better
|
11.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 4.1% · Q3 2.0% · Q4 2.1% · 4Q avg 6.7% |
| Percentage of long-stay residents who lose too much weight | 4.7% |
6.1%
1.4 pts better
|
5.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.1% · Q3 2.0% · Q4 6.2% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.7% |
13.5%
7.2 pts worse
|
19.6%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 17.6% · Q3 17.6% · Q4 22.4% · 4Q avg 20.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.1% |
14.8%
1.7 pts better
|
16.7%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.8% · Q3 14.6% · Q4 12.5% · 4Q avg 13.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 3.0% |
0.2%
2.8 pts worse
|
0.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.9% · Q3 2.0% · Q4 2.0% · 4Q avg 3.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.1% |
15.1%
2 pts worse
|
16.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 7.4% · Q3 28.0% · Q4 27.6% · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.8% |
15.5%
2.3 pts worse
|
14.9%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 15.2% · Q3 30.4% · Q4 15.0% · 4Q avg 17.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.6%
0.3 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.2% · Q4 1.1% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.4%
0.4 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 2.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.9% |
20.8%
13.1 pts worse
|
19.8%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.6% · Q2 41.2% · Q3 35.7% · Q4 25.1% · 4Q avg 33.9% |
| Percentage of long-stay residents with pressure ulcers | 15.5% |
6.9%
8.6 pts worse
|
5.1%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 17.4% · Q3 13.1% · Q4 14.3% · 4Q avg 15.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.9% |
76.7%
10.8 pts worse
|
81.7%
15.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.2% · Q2 66.7% · Q3 69.2% · Q4 60.0% · 4Q avg 65.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
9.7%
9.7 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.0% |
78.8%
28.8 pts worse
|
79.7%
29.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.6% |
20.6%
8 pts better
|
23.9%
11.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 11.4% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-30 · Fire 2023-05-30
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2020-09-11 · Fire 2020-09-11
2 health deficiencies
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-18
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-11
F · Potential for more than minimal harm
2025-07-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-11
F · Potential for more than minimal harm
2025-07-18
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-11
E · Potential for more than minimal harm
2025-07-18
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-07-18
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-07-18
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-07-18
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-07-18
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-07-18
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-07-18
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-07-18
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-11
C · Minimal harm
2025-07-18
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-09-11
E · Potential for more than minimal harm
2020-09-11
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2020-11-10
D · Potential for more than minimal harm
2020-09-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-11-10
D · Potential for more than minimal harm
2020-09-11
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-11-10
C · Minimal harm
2020-09-11
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2020-11-10
C · Minimal harm
2020-09-11
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2020-11-10
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-18
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-14
D · Potential for more than minimal harm
2025-07-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-14
D · Potential for more than minimal harm
2025-07-18
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-08-14
D · Potential for more than minimal harm
2023-05-30
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 2023-07-07
D · Potential for more than minimal harm
2023-05-30
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-07-07
F · Potential for more than minimal harm
2020-09-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-11-18
E · Potential for more than minimal harm
2020-09-11
F836 · Administration Deficiencies
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2020-11-18
Penalties and ownership
What sits behind the stars
Ownership
Russ, Leonard
5% Or Greater Direct Ownership Interest · Individual
Russ, Leonard
General Partnership Interest · Individual
Russ, Leonard
Operational/Managerial Control · Individual
Russ, Linda
General Partnership Interest · Individual
Nearby options
Other facilities in reach
#1
Glen Island Center For Nursing And Rehabilitation
New Rochelle, NY
2-star overall rating with 2-star inspections with $36,299 in total fines with 8 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Dumont Center For Rehabilitation And Nursing Care
New Rochelle, NY
3-star overall rating with 2-star inspections with 13 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
#3
United Hebrew Geriatric Center
New Rochelle, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Jump out