10 health deficiencies
Top issue: Administration (3 deficiencies)
3 fire-safety deficiencies
Top issue: Electrical (1 deficiency)
Bronx, NY
2-star overall rating with 2-star inspections with $14,819 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2323 Eastchester Road, Bronx, NY
(718) 655-2848
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
200
Certified beds
Average residents
191
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-05-01
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
RN hours / resident day
0.70
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.20
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.85
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
0.91
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.43
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
2.95
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
29%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
10,542
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.99
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.96% · Performance 24.32% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.15% · Performance 8.89% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.99
Baseline 24.06% · Performance 35.12% · Measure score 6.99 · Achievement 6.99 · Improvement 0
Adjusted total nurse staffing
1.01
Baseline 3.38 hours · Performance 3.36 hours · Measure score 1.01 · Achievement 1.01 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.62% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 84 · Observed rate 9.52% · Lower 95% interval 7.51% |
| Discharge to community | 43.04% |
50.57%
7.5 pts worse
|
No Different than the National Rate · Eligible stays 28 · Observed rate 28.57% · Lower 95% interval 29.2% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 98.33% |
95.27%
3.1 pts better
|
Numerator 118 · Denominator 120 |
| Falls with major injury | 1.67% |
0.77%
0.9 pts worse
|
Numerator 2 · Denominator 120 |
| Discharge self-care score | 52% |
53.69%
1.7 pts worse
|
Numerator 39 · Denominator 75 |
| Discharge mobility score | 46.67% |
50.94%
4.3 pts worse
|
Numerator 35 · Denominator 75 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 120 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.89% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 13.11% · Lower 95% interval 5.03% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 204 |
| Staff flu vaccination coverage | 54.46% |
42%
12.5 pts better
|
Numerator 110 · Denominator 202 |
| Discharge function score | 56% |
56.45%
0.5 pts worse
|
Numerator 42 · Denominator 75 |
| Transfer of health information to provider | 97.56% |
95.95%
1.6 pts better
|
Numerator 40 · Denominator 41 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 50% |
25.2%
24.8 pts better
|
Numerator 31 · Denominator 62 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.7
0.8 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.2 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.3
0.8 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · 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 99.4% · Q2 98.9% · Q3 96.5% · Q4 96.5% · 4Q avg 97.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.5% |
95.3%
4.2 pts better
|
95.5%
4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
3.0%
2.3 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.6% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
18.5%
17.1 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.7% · Q3 0.6% · Q4 2.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
6.1%
2.5 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 7.3% · Q3 3.6% · Q4 1.9% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.7% |
13.5%
6.8 pts better
|
19.6%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.5% · Q3 5.8% · Q4 5.8% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.5% |
14.8%
0.7 pts worse
|
16.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 15.9% · Q3 15.2% · Q4 15.0% · 4Q avg 15.5% · 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 | 10.7% |
15.1%
4.4 pts better
|
16.3%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 11.7% · Q3 9.0% · Q4 10.1% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.4% |
15.5%
2.9 pts worse
|
14.9%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 14.4% · Q3 14.4% · Q4 21.3% · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.6%
0.1 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.1% · Q3 0.0% · Q4 0.5% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.4%
0.7 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.6% · Q3 0.6% · Q4 1.2% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.1% |
20.8%
2.3 pts worse
|
19.8%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 18.7% · Q3 23.9% · Q4 28.4% · 4Q avg 23.1% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
6.9%
4.2 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.6% · Q3 2.8% · Q4 3.6% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 35.0% |
76.7%
41.7 pts worse
|
81.7%
46.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 44.7% · Q2 35.8% · Q3 24.1% · Q4 37.5% · 4Q avg 35.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.0% |
9.7%
7.7 pts better
|
12.0%
10 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.0% · Observed 2.3% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.1% |
1.2%
2.9 pts worse
|
1.6%
2.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.8% · Q3 3.0% · Q4 3.1% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 43.3% |
78.8%
35.5 pts worse
|
79.7%
36.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 43.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.9% |
20.6%
4.3 pts worse
|
23.9%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 29.1% · Expected 27.9% · Used in QM five-star |
Survey summary
Top issue: Administration (3 deficiencies)
3 fire-safety deficiencies
Top issue: Electrical (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-03-04
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-03-04
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2025-03-04
Fire Safety
Use approved construction type or materials.
Corrected 2023-04-07
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-07
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-04-07
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 2023-04-07
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-07
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-04-07
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-04-07
Fire Safety
Install proper backup exit lighting.
Corrected 2023-04-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-04-07
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-12
Inspection history
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-04-04
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-04-04
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 2025-04-04
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-04-04
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2025-04-04
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-04-04
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 2025-04-04
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-04
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-04-04
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 2023-05-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-12
Health
Respond appropriately to all alleged violations.
Corrected 2023-05-12
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-05-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-12
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-05-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-05-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-04-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-05-22
Health
Provide and implement an infection prevention and control program.
Corrected 2020-06-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-06-06
Health
Keep residents' personal and medical records private and confidential.
Corrected 2020-06-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-06-06
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 2020-05-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2020-06-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-06-27
Penalties and ownership
Fine · fine $3,176
Fine
Fine · fine $2,823
Fine
Fine · fine $2,470
Fine
Fine · fine $2,117
Fine
Fine · fine $4,233
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Bronx, NY
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2-star overall rating with 2-star inspections with $9,770 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Bronx, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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