Cycle 1
Health 2024-10-28 · Fire 2024-10-28
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Bronx, NY
Fordham Nursing And Rehabilitation Center
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2678 Kingsbridge Terrace, Bronx, NY
(718) 796-5800
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
240
Certified beds
Average residents
230
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cassena Care
Operator or chain grouping
Approved since
1982-10-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
0.97
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.12
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.98
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.09
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.71
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.78
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.85
CMS adjusted RN staffing hours
Adjusted total hours
2.61
CMS adjusted total nurse staffing hours
Case-mix index
1.56
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,538
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.01
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
How the VBP score is built
Readmission
0.86
Baseline 18.03% · Performance 21.03% · Measure score 0.86 · Achievement 0.86 · Improvement 0
Healthcare-associated infections
1.10
Baseline 7.97% · Performance 7.51% · Measure score 1.10 · Achievement 1.10 · Improvement 1.06
Total nurse turnover
6.04
Baseline 40.26% · Performance 39.01% · Measure score 6.04 · Achievement 6.04 · Improvement 0.31
Adjusted total nurse staffing
0
Baseline 2.96 hours · Performance 2.79 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.73% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 88 · Observed rate 6.82% · Lower 95% interval 6.64% |
| Discharge to community | 44.45% |
50.57%
6.1 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 34.62% · Lower 95% interval 33.6% |
| Medicare spending per beneficiary | 1.24 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 283 · Denominator 283 |
| Falls with major injury | 1.41% |
0.77%
0.6 pts worse
|
Numerator 4 · Denominator 283 |
| Discharge self-care score | 79.04% |
53.69%
25.4 pts better
|
Numerator 132 · Denominator 167 |
| Discharge mobility score | 70.66% |
50.94%
19.7 pts better
|
Numerator 118 · Denominator 167 |
| Pressure ulcers or injuries, new or worsened | 0.71% |
2.29%
1.6 pts better
|
Numerator 2 · Denominator 283 · Adjusted rate 0.5% |
| Healthcare-associated infections requiring hospitalization | 7.51% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 9.43% · Lower 95% interval 3.97% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 282 |
| Staff flu vaccination coverage | 79.86% |
42%
37.9 pts better
|
Numerator 230 · Denominator 288 |
| Discharge function score | 74.25% |
56.45%
17.8 pts better
|
Numerator 124 · Denominator 167 |
| Transfer of health information to provider | 96.97% |
95.95%
1 pts better
|
Numerator 160 · Denominator 165 |
| Transfer of health information to patient | 62.5% |
96.28%
33.8 pts worse
|
Numerator 15 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 5.04% |
25.2%
20.2 pts worse
|
Numerator 7 · Denominator 139 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.7
0.4 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.3
0.2 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
91.2%
8.7 pts better
|
93.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9% |
| 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 | 2.4% |
3.0%
0.6 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 2.5% · Q4 5.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 75.4% |
18.5%
56.9 pts worse
|
11.4%
64 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 53.5% · Q2 64.9% · Q3 86.3% · Q4 94.7% · 4Q avg 75.4% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
6.1%
2.1 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.9% · Q3 4.9% · Q4 2.1% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.3% |
13.5%
10.2 pts better
|
19.6%
16.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 2.6% · Q3 2.6% · Q4 4.6% · 4Q avg 3.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.5% |
14.8%
1.3 pts better
|
16.7%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 14.3% · Q3 13.5% · Q4 12.1% · 4Q avg 13.5% · 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 | 6.6% |
15.1%
8.5 pts better
|
16.3%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 9.3% · Q3 10.0% · Q4 3.2% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.8% |
15.5%
7.7 pts better
|
14.9%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 7.4% · Q3 8.6% · Q4 7.1% · 4Q avg 7.8% · 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 | 0.4% |
1.4%
1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.7% |
20.8%
5.1 pts better
|
19.8%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 13.7% · Q3 10.6% · Q4 15.8% · 4Q avg 15.7% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
6.9%
3.5 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 1.9% · Q3 3.9% · Q4 3.3% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% |
76.7%
18.5 pts better
|
81.7%
13.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 95.3% · Q3 93.0% · Q4 95.9% · 4Q avg 95.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.7% |
9.7%
1 pts better
|
12.0%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 8.5% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.2%
0.4 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 0.9% · Q4 2.1% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
78.8%
15 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.5% |
20.6%
10.9 pts worse
|
23.9%
7.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.5% · Observed 34.0% · Expected 25.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-09-14 · Fire 2022-09-14
2 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-12-12 · Fire 2019-12-12
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-28
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-11-26
D · Potential for more than minimal harm
2022-09-14
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-11-04
D · Potential for more than minimal harm
2022-09-14
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2022-11-04
D · Potential for more than minimal harm
2019-12-12
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-01-07
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-10-28
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-24
D · Potential for more than minimal harm
2024-10-28
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-12-24
D · Potential for more than minimal harm
2024-10-28
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 2024-12-24
D · Potential for more than minimal harm
2024-10-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-24
D · Potential for more than minimal harm
2024-10-28
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-12-24
D · Potential for more than minimal harm
2024-10-28
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 2024-12-24
D · Potential for more than minimal harm
2024-10-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-24
D · Potential for more than minimal harm
2022-09-14
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-10-31
D · Potential for more than minimal harm
2019-12-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-02-06
D · Potential for more than minimal harm
2019-12-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-02-06
D · Potential for more than minimal harm
2019-12-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-01-09
Penalties and ownership
What sits behind the stars
Ownership
Rutenberg, Solomon
5% Or Greater Direct Ownership Interest · Individual
Debenedictis, Pasquale
5% Or Greater Direct Ownership Interest · Individual
Solovey, Alex
5% Or Greater Direct Ownership Interest · Individual
Schrieber, Michael
5% Or Greater Direct Ownership Interest · Individual
Debenedictis, Pasquale
Corporate Officer · Individual
Derosa, Anthony
Operational/Managerial Control · Individual
Rutenberg, Solomon
Corporate Officer · Individual
Skoczylas, Eli
Operational/Managerial Control · Individual
Skoczylas, Eli
W-2 Managing Employee · Individual
Solovey, Alex
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
The Plaza Rehab And Nursing Center
Bronx, NY
5-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
University Center For Rehabilitation And Nursing
Bronx, NY
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Manhattanville Health Care Center
Bronx, NY
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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