Cycle 1
Health 2024-02-05 · Fire 2024-02-05
10 health deficiencies
Top issue: Resident Rights (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Bronx, NY
Beth Abraham Center For Rehabilitation And Nursing
3-star overall rating with 2-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
612 Allerton Avenue, Bronx, NY
(718) 519-4125
Overall
3 / 5
CMS overall stars
Health inspections
2 / 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
448
Certified beds
Average residents
430
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Centers Health Care
Operator or chain grouping
Approved since
1967-03-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
35 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.47
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.59
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.07
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.68
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.43
CMS adjusted RN staffing hours
Adjusted total hours
3.78
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
23%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,741
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.83
Composite VBP score used to determine payment impact.
Payment multiplier
0.9867
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.92% · Performance 22.16% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.60
Baseline 5.65% · Performance 7.65% · Measure score 0.60 · Achievement 0.60 · Improvement 0
Total nurse turnover
10
Baseline 21.07% · Performance 24.75% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
2.13
Baseline 3.48 hours · Performance 3.68 hours · Measure score 2.13 · Achievement 2.13 · Improvement 0.39
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.05% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 202 · Observed rate 8.42% · Lower 95% interval 6.37% |
| Discharge to community | 33.98% |
50.57%
16.6 pts worse
|
Worse than the National Rate · Eligible stays 122 · Observed rate 24.59% · Lower 95% interval 26.43% |
| Medicare spending per beneficiary | 1.35 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.39% |
95.27%
4.1 pts better
|
Numerator 327 · Denominator 329 |
| Falls with major injury | 0.3% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 329 |
| Discharge self-care score | 53.33% |
53.69%
0.4 pts worse
|
Numerator 112 · Denominator 210 |
| Discharge mobility score | 38.57% |
50.94%
12.4 pts worse
|
Numerator 81 · Denominator 210 |
| Pressure ulcers or injuries, new or worsened | 1.82% |
2.29%
0.5 pts better
|
Numerator 6 · Denominator 329 · Adjusted rate 1.51% |
| Healthcare-associated infections requiring hospitalization | 7.65% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 121 · Observed rate 9.09% · Lower 95% interval 4.95% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 500 |
| Staff flu vaccination coverage | 27.52% |
42%
14.5 pts worse
|
Numerator 164 · Denominator 596 |
| Discharge function score | 55.71% |
56.45%
0.7 pts worse
|
Numerator 117 · Denominator 210 |
| Transfer of health information to provider | 99.14% |
95.95%
3.2 pts better
|
Numerator 115 · Denominator 116 |
| Transfer of health information to patient | 89.09% |
96.28%
7.2 pts worse
|
Numerator 49 · Denominator 55 |
| Resident COVID-19 vaccinations up to date | 38.06% |
25.2%
12.9 pts better
|
Numerator 51 · Denominator 134 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.3
About the same
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
91.2%
6.7 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 97.3% · Q3 98.5% · Q4 98.5% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
95.3%
2.7 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
3.0%
1.8 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.5% · Q3 1.0% · Q4 1.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 24.8% |
18.5%
6.3 pts worse
|
11.4%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 20.2% · Q3 31.9% · Q4 29.8% · 4Q avg 24.8% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
6.1%
2.4 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.5% · Q3 4.1% · Q4 2.9% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.6% |
13.5%
9.9 pts better
|
19.6%
16 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.0% · Q3 3.0% · Q4 2.8% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.6% |
14.8%
8.2 pts better
|
16.7%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 5.8% · Q3 6.9% · Q4 7.3% · 4Q avg 6.6% · 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 | 4.3% |
15.1%
10.8 pts better
|
16.3%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.7% · Q3 4.7% · Q4 6.5% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.2% |
15.5%
8.3 pts better
|
14.9%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 9.1% · Q3 5.6% · Q4 5.2% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.6%
0.5 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.2% · Q4 0.0% · 4Q avg 0.1% · 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 0.3% · Q2 0.2% · Q3 0.2% · Q4 0.3% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.5% |
20.8%
2.3 pts better
|
19.8%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 19.4% · Q3 19.8% · Q4 16.5% · 4Q avg 18.5% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
6.9%
2.2 pts better
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.2% · Q3 4.8% · Q4 4.5% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.1% |
76.7%
15.4 pts better
|
81.7%
10.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.3% · Q2 91.2% · Q3 93.2% · Q4 93.0% · 4Q avg 92.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% |
9.7%
0.6 pts better
|
12.0%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 9.7% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.2%
1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.0% |
78.8%
11.2 pts better
|
79.7%
10.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
20.6%
1.1 pts worse
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 25.6% · Expected 28.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-12-09 · Fire 2021-12-09
4 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cycle 3
Health 2019-05-03 · Fire 2019-05-03
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-02-05
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-03-14
F · Potential for more than minimal harm
2024-02-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-14
E · Potential for more than minimal harm
2024-02-05
K379 · Smoke Deficiencies
Fire Safety
Have proper openings in smoke barrier doors.
Corrected 2024-03-14
D · Potential for more than minimal harm
2024-02-05
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-03-14
E · Potential for more than minimal harm
2021-12-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-28
E · Potential for more than minimal harm
2021-12-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-01-28
D · Potential for more than minimal harm
2021-12-09
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 2022-01-28
D · Potential for more than minimal harm
2021-12-09
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-01-28
D · Potential for more than minimal harm
2021-12-09
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-01-28
D · Potential for more than minimal harm
2021-12-09
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-01-28
D · Potential for more than minimal harm
2021-12-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-01-28
D · Potential for more than minimal harm
2021-12-09
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-01-28
D · Potential for more than minimal harm
2021-12-09
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-01-28
C · Minimal harm
2021-12-09
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-01-28
C · Minimal harm
2021-12-09
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-01-28
E · Potential for more than minimal harm
2019-05-03
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-06-14
E · Potential for more than minimal harm
2019-05-03
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2019-05-24
E · Potential for more than minimal harm
2019-05-03
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-06-25
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-02-05
F570 · Resident Rights Deficiencies
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2024-03-19
E · Potential for more than minimal harm
2024-02-05
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-03-19
E · Potential for more than minimal harm
2024-02-05
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-03-19
E · Potential for more than minimal harm
2024-02-05
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2024-03-19
D · Potential for more than minimal harm
2024-02-05
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-03-19
D · Potential for more than minimal harm
2024-02-05
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-03-19
D · Potential for more than minimal harm
2024-02-05
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 2024-03-19
D · Potential for more than minimal harm
2024-02-05
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-19
D · Potential for more than minimal harm
2024-02-05
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-03-19
D · Potential for more than minimal harm
2024-02-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-19
D · Potential for more than minimal harm
2023-04-10
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 2023-05-24
D · Potential for more than minimal harm
2021-12-09
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 2022-01-27
D · Potential for more than minimal harm
2021-12-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-01-27
D · Potential for more than minimal harm
2021-12-09
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 2022-01-27
D · Potential for more than minimal harm
2021-12-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-27
E · Potential for more than minimal harm
2019-05-03
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2019-06-26
E · Potential for more than minimal harm
2019-05-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-28
D · Potential for more than minimal harm
2019-05-03
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-06-28
D · Potential for more than minimal harm
2019-05-03
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 2019-06-28
D · Potential for more than minimal harm
2019-05-03
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2019-06-28
Penalties and ownership
What sits behind the stars
Ownership
Light Operational Holdings Associates Ll
5% Or Greater Direct Ownership Interest · Organization
Blackstein, Moshe
W-2 Managing Employee · Individual
Nearby options
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4-star overall rating with 3-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
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Bronx, NY
3-star overall rating with 2-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
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2-star overall rating with 1-star inspections with $3,174 in total fines with 11 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
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