13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
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
676 Pelham Road, New Rochelle, NY
(914) 632-9600
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
Beds
196
Certified beds
Average residents
187
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Center Management Group
Operator or chain grouping
Approved since
1968-11-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
1.09
Registered nurse staffing
LPN hours / resident day
0.47
Licensed practical nurse staffing
Aide hours / resident day
2.45
Nurse aide staffing
Weekend hours
3.66
Weekend nurse staffing
RN turnover
26%
Annual RN turnover
Total nurse turnover
21%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.3
1.1 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
91.2%
6.3 pts better
|
93.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.0% |
95.3%
3.3 pts worse
|
95.5%
3.5 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
3.0%
1.7 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 33.5% |
18.5%
15 pts worse
|
11.4%
22.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 7.2% |
6.1%
1.1 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.5% |
13.5%
8 pts better
|
19.6%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.4% |
14.8%
7.4 pts better
|
16.7%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.1% |
15.1%
11 pts better
|
16.3%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.4% |
15.5%
10.1 pts better
|
14.9%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.4%
1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.2% |
20.8%
3.4 pts worse
|
19.8%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 13.0% |
6.9%
6.1 pts worse
|
5.1%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.3% |
76.7%
2.6 pts better
|
81.7%
2.4 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% |
9.7%
0.7 pts better
|
12.0%
3 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.6% |
78.8%
3.8 pts better
|
79.7%
2.9 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.9% |
20.6%
1.7 pts better
|
23.9%
5 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
No concentrated health issue counts in this cycle.
7 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2024-06-14
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-05-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-06
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-06-14
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-06-05
Fire Safety
Install proper backup exit lighting.
Corrected 2024-05-23
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-06-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-06-06
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-06-03
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-05-21
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-05-21
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-05-21
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2021-11-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-11-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-11-23
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2021-11-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-11-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-06
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-05-06
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-05-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-05-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-05-06
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-05-06
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2019-05-06
Inspection history
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Not marked corrected
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Not marked corrected
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Not marked corrected
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not marked corrected
Health
Respond appropriately to all alleged violations.
Not marked corrected
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Not marked corrected
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Not marked corrected
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-06-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-26
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-06-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-26
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-11-17
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 2021-11-17
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 2021-11-17
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
New Rochelle, NY
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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
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
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