Cycle 1
Health 2023-07-14 · Fire 2023-07-14
4 health deficiencies
Top issue: Environmental (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Bronx, NY
Bronx Center For Rehabilitation & Health Care
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1010 Underhill Ave, Bronx, NY
(718) 863-6700
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
200
Certified beds
Average residents
196
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Centers Health Care
Operator or chain grouping
Approved since
1977-07-01
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
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.32
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.53
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.11
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.15
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
3.37
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,759
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.79
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
0.99
Performance 20.97% · Measure score 0.99 · Achievement 0.99 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Baseline 6.84% · Performance 7.70% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 23.48% · Performance 20.91% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
1.73
Baseline 2.94 hours · Performance 3.57 hours · Measure score 1.73 · Achievement 1.73 · Improvement 1.72
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.96% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 89 · Observed rate 11.24% · Lower 95% interval 7.1% |
| Discharge to community | 40.83% |
50.57%
9.7 pts worse
|
No Different than the National Rate · Eligible stays 89 · Observed rate 26.97% · Lower 95% interval 30.92% |
| Medicare spending per beneficiary | 1.54 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 147 · Denominator 147 |
| Falls with major injury | 1.36% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 147 |
| Discharge self-care score | 56.38% |
53.69%
2.7 pts better
|
Numerator 53 · Denominator 94 |
| Discharge mobility score | 47.87% |
50.94%
3.1 pts worse
|
Numerator 45 · Denominator 94 |
| Pressure ulcers or injuries, new or worsened | 1.36% |
2.29%
0.9 pts better
|
Numerator 2 · Denominator 147 · Adjusted rate 0.94% |
| Healthcare-associated infections requiring hospitalization | 7.71% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 63 · Observed rate 11.11% · Lower 95% interval 4.66% |
| Staff COVID-19 vaccination coverage | 0.47% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 215 |
| Staff flu vaccination coverage | 76.47% |
42%
34.5 pts better
|
Numerator 208 · Denominator 272 |
| Discharge function score | 56.38% |
56.45%
0.1 pts worse
|
Numerator 53 · Denominator 94 |
| Transfer of health information to provider | 97.96% |
95.95%
2 pts better
|
Numerator 48 · Denominator 49 |
| Transfer of health information to patient | 97.44% |
96.28%
1.2 pts better
|
Numerator 38 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 15.25% |
25.2%
9.9 pts worse
|
Numerator 9 · Denominator 59 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.7
0.8 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.5 · Expected 3.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.3
0.5 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.0 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
91.2%
6.6 pts better
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 97.2% · Q3 96.5% · Q4 98.8% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
95.3%
3.7 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.0%
1.6 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.7% · Q3 1.2% · Q4 1.7% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.5% |
18.5%
About the same
|
11.4%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 19.5% · Q3 21.2% · Q4 21.7% · 4Q avg 18.5% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
6.1%
0.7 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 6.4% · Q3 4.7% · Q4 5.4% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.0% |
13.5%
11.5 pts better
|
19.6%
17.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 2.4% · Q4 2.3% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.6% |
14.8%
6.2 pts better
|
16.7%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 10.8% · Q3 7.2% · Q4 4.1% · 4Q avg 8.6% · 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 | 3.6% |
15.1%
11.5 pts better
|
16.3%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.2% · Q3 8.2% · Q4 2.1% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.1% |
15.5%
10.4 pts better
|
14.9%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 3.9% · Q3 6.8% · Q4 4.7% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.1% |
1.4%
1.3 pts better
|
1.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.3% |
20.8%
3.5 pts better
|
19.8%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 18.5% · Q3 18.1% · Q4 17.7% · 4Q avg 17.3% |
| Percentage of long-stay residents with pressure ulcers | 9.2% |
6.9%
2.3 pts worse
|
5.1%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 12.0% · Q3 9.2% · Q4 5.5% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.1% |
76.7%
18.6 pts worse
|
81.7%
23.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 51.4% · Q2 51.0% · Q3 60.2% · Q4 68.1% · 4Q avg 58.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.4% |
9.7%
5.3 pts better
|
12.0%
7.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.4% · Observed 4.1% · Expected 10.5% · 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 1.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.7% |
78.8%
5.1 pts worse
|
79.7%
6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
20.6%
1.3 pts worse
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 23.5% · Expected 25.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-05-20 · Fire 2021-05-20
2 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2019-01-10 · Fire 2019-01-10
7 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-07-14
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-08-25
E · Potential for more than minimal harm
2023-07-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-25
D · Potential for more than minimal harm
2023-07-14
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-08-25
C · Minimal harm
2023-07-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-25
C · Minimal harm
2023-07-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-25
E · Potential for more than minimal harm
2021-05-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-07-16
E · Potential for more than minimal harm
2021-05-20
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-07-16
E · Potential for more than minimal harm
2021-05-20
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2021-07-16
D · Potential for more than minimal harm
2021-05-20
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-07-16
D · Potential for more than minimal harm
2021-05-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-07-16
D · Potential for more than minimal harm
2021-05-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-16
D · Potential for more than minimal harm
2021-05-20
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-07-16
D · Potential for more than minimal harm
2021-05-20
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-07-16
E · Potential for more than minimal harm
2019-01-10
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-02-25
E · Potential for more than minimal harm
2019-01-10
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 2019-02-25
E · Potential for more than minimal harm
2019-01-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-02-25
E · Potential for more than minimal harm
2019-01-10
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-02-25
E · Potential for more than minimal harm
2019-01-10
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-02-25
D · Potential for more than minimal harm
2019-01-10
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2019-02-25
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-07-14
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 2023-08-25
D · Potential for more than minimal harm
2023-07-14
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-08-25
D · Potential for more than minimal harm
2023-07-14
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 2023-08-25
D · Potential for more than minimal harm
2023-07-14
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2023-08-25
D · Potential for more than minimal harm
2023-07-14
F761 · Pharmacy Service Deficiencies
Health
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 2023-08-25
D · Potential for more than minimal harm
2023-07-14
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-08-25
E · Potential for more than minimal harm
2021-05-20
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 2021-07-16
D · Potential for more than minimal harm
2021-05-20
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 2021-07-16
D · Potential for more than minimal harm
2019-01-10
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 2019-03-19
D · Potential for more than minimal harm
2019-01-10
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 2019-03-19
D · Potential for more than minimal harm
2019-01-10
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 2019-03-19
D · Potential for more than minimal harm
2019-01-10
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 2019-03-19
D · Potential for more than minimal harm
2019-01-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-19
Penalties and ownership
What sits behind the stars
Ownership
Rozenberg, Kenneth
5% Or Greater Direct Ownership Interest · Individual
Rozenberg, Beth
5% Or Greater Direct Ownership Interest · Individual
Rozenberg, Kenneth
Corporate Director · Individual
Sicklick, Jeffrey
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Grand Manor Nursing & Rehabilitation Center
Bronx, NY
0-star overall rating with 0-star inspections with Special Focus status with $439,923 in total fines with 15 recent health deficiencies with 5 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
Williamsbridge Center For Rehabilitation And Nrsg
Bronx, NY
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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