Cycle 1
Health 2024-04-12 · Fire 2024-04-12
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Bronx, NY
Concourse Rehabilitation And Nursing Center Inc
1-star overall rating with 2-star inspections with $10,592 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1072 Grand Concourse, Bronx, NY
(718) 681-4000
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
240
Certified beds
Average residents
233
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-04-01
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
0.42
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.13
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
0.90
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.65
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
2.64
CMS adjusted total nurse staffing hours
Case-mix index
1.63
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,396
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.15
Composite VBP score used to determine payment impact.
Payment multiplier
0.9931
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.58
Baseline 19.17% · Performance 19.31% · Measure score 4.58 · Achievement 4.58 · Improvement 0
Healthcare-associated infections
3.86
Baseline 8.38% · Performance 6.91% · Measure score 3.86 · Achievement 3.10 · Improvement 3.86
Total nurse turnover
7.62
Baseline 24.85% · Performance 32.54% · Measure score 7.62 · Achievement 7.62 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.27 hours · Performance 2.39 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.68% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 8.89% · Lower 95% interval 6.84% |
| Discharge to community | 33.21% |
50.57%
17.4 pts worse
|
Worse than the National Rate · Eligible stays 122 · Observed rate 22.13% · Lower 95% interval 22.98% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 3.92% |
95.27%
91.3 pts worse
|
Numerator 12 · Denominator 306 |
| Falls with major injury | 0.65% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 306 |
| Discharge self-care score | 60.67% |
53.69%
7 pts better
|
Numerator 108 · Denominator 178 |
| Discharge mobility score | 71.35% |
50.94%
20.4 pts better
|
Numerator 127 · Denominator 178 |
| Pressure ulcers or injuries, new or worsened | 0.33% |
2.29%
2 pts better
|
Numerator 1 · Denominator 306 · Adjusted rate 0.3% |
| Healthcare-associated infections requiring hospitalization | 6.91% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 53 · Observed rate 9.43% · Lower 95% interval 4.08% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 291 · Denominator 291 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 66.85% |
56.45%
10.4 pts better
|
Numerator 119 · Denominator 178 |
| Transfer of health information to provider | 95.61% |
95.95%
0.3 pts worse
|
Numerator 109 · Denominator 114 |
| Transfer of health information to patient | 94.62% |
96.28%
1.7 pts worse
|
Numerator 88 · Denominator 93 |
| Resident COVID-19 vaccinations up to date | 69.01% |
25.2%
43.8 pts better
|
Numerator 98 · Denominator 142 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 2.3 · Expected 3.2 · 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 | 92.0% |
91.2%
0.8 pts better
|
93.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.9% · Q2 92.6% · Q3 92.6% · Q4 90.9% · 4Q avg 92.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.0% |
95.3%
6.3 pts worse
|
95.5%
6.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.0%
0.6 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.5% · Q3 1.9% · Q4 2.4% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 44.6% |
18.5%
26.1 pts worse
|
11.4%
33.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 71.8% · Q2 50.0% · Q3 29.5% · Q4 29.6% · 4Q avg 44.6% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
6.1%
0.5 pts better
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.6% · Q3 6.2% · Q4 7.5% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.8% |
13.5%
2.7 pts better
|
19.6%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 10.6% · Q3 11.7% · Q4 10.2% · 4Q avg 10.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.3% |
14.8%
2.5 pts better
|
16.7%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.3% · Q3 13.5% · Q4 13.2% · 4Q avg 12.3% · 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 | 18.1% |
15.1%
3 pts worse
|
16.3%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 19.5% · Q3 12.8% · Q4 21.1% · 4Q avg 18.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% |
15.5%
0.1 pts worse
|
14.9%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 11.9% · Q3 12.1% · Q4 24.3% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
0.6%
1.6 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.1% · Q3 1.1% · Q4 2.7% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.7% |
1.4%
2.3 pts worse
|
1.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 6.6% · Q3 4.8% · Q4 1.5% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.4% |
20.8%
13.4 pts better
|
19.8%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.4% · Q3 2.9% · Q4 20.3% · 4Q avg 7.4% |
| Percentage of long-stay residents with pressure ulcers | 9.4% |
6.9%
2.5 pts worse
|
5.1%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 11.7% · Q3 11.4% · Q4 5.7% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.3% |
76.7%
10.4 pts worse
|
81.7%
15.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 65.2% · Q2 71.0% · Q3 69.1% · Q4 59.1% · 4Q avg 66.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
9.7%
3.9 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 14.9% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.9% · Q3 1.3% · Q4 1.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.6% |
78.8%
14.2 pts worse
|
79.7%
15.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.7% |
20.6%
3.1 pts worse
|
23.9%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 32.5% · Expected 32.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-03-30 · Fire 2022-03-30
0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2019-08-05 · Fire 2019-08-05
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-04-12
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-31
F · Potential for more than minimal harm
2022-03-30
E18 · Emergency Preparedness Deficiencies
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-05-30
E · Potential for more than minimal harm
2022-03-30
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-05-30
E · Potential for more than minimal harm
2022-03-30
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-06-03
D · Potential for more than minimal harm
2022-03-30
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 2022-05-30
D · Potential for more than minimal harm
2022-03-30
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-05-30
E · Potential for more than minimal harm
2019-08-05
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2019-10-01
E · Potential for more than minimal harm
2019-08-05
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-10-01
E · Potential for more than minimal harm
2019-08-05
K915 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper power supply for life support equipment.
Not marked corrected
D · Potential for more than minimal harm
2019-08-05
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-10-01
Inspection history
Recent health citations
G · Actual harm
2024-04-12
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 2024-06-04
F · Potential for more than minimal harm
2024-04-12
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-06-04
D · Potential for more than minimal harm
2024-04-12
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 2024-06-04
D · Potential for more than minimal harm
2024-04-12
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 2024-06-04
D · Potential for more than minimal harm
2024-04-12
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 2024-06-04
D · Potential for more than minimal harm
2024-04-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-04
D · Potential for more than minimal harm
2024-04-12
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-06-04
D · Potential for more than minimal harm
2024-04-12
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-06-04
D · Potential for more than minimal harm
2019-08-05
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2019-10-01
D · Potential for more than minimal harm
2019-08-05
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 2019-10-01
D · Potential for more than minimal harm
2019-08-05
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 2019-11-01
D · Potential for more than minimal harm
2019-08-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-01
C · Minimal harm
2019-08-05
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 2019-10-01
Penalties and ownership
What sits behind the stars
$10,592
2024-04-12
Fine
Fine · fine $10,592
Fine
Ownership
Neiman, Marvin
5% Or Greater Direct Ownership Interest · Individual
Neiman, Marvin
Corporate Director · Individual
Neiman, Solomon
Corporate Director · Individual
Neiman, Solomon
Corporate Officer · Individual
Neiman, Solomon
W-2 Managing Employee · Individual
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