Cycle 1
Health 2024-06-21 · Fire 2024-06-21
3 health deficiencies
Top issue: Environmental (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
New York, NY
Fort Tryon Center For Rehabilitation And Nursing
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
801 W 190th St, New York, NY
(212) 543-6400
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
205
Certified beds
Average residents
201
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1968-03-17
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
0.83
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.40
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.10
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.33
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.62
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
0.84
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,703
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9868
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.53
Baseline 23.43% · Performance 20.85% · Measure score 3.53 · Achievement 1.25 · Improvement 3.53
Healthcare-associated infections
0.53
Baseline 8.57% · Performance 8.20% · Measure score 0.53 · Achievement 0 · Improvement 0.53
Total nurse turnover
6.66
Baseline 36.49% · Performance 36.45% · Measure score 6.66 · Achievement 6.66 · Improvement 0
Adjusted total nurse staffing
2.07
Baseline 3.27 hours · Performance 3.67 hours · Measure score 2.07 · Achievement 2.07 · Improvement 1.07
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.22% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 147 · Observed rate 9.52% · Lower 95% interval 7.76% |
| Discharge to community | 39.79% |
50.57%
10.8 pts worse
|
Worse than the National Rate · Eligible stays 107 · Observed rate 29.91% · Lower 95% interval 29.76% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.32% |
95.27%
3 pts better
|
Numerator 234 · Denominator 238 |
| Falls with major injury | 0.42% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 238 |
| Discharge self-care score | 59.88% |
53.69%
6.2 pts better
|
Numerator 100 · Denominator 167 |
| Discharge mobility score | 54.49% |
50.94%
3.6 pts better
|
Numerator 91 · Denominator 167 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 238 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.2% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 98 · Observed rate 10.2% · Lower 95% interval 5.2% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 249 |
| Staff flu vaccination coverage | 63.77% |
42%
21.8 pts better
|
Numerator 88 · Denominator 138 |
| Discharge function score | 51.5% |
56.45%
5 pts worse
|
Numerator 86 · Denominator 167 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 64 · Denominator 64 |
| Transfer of health information to patient | 95.38% |
96.28%
0.9 pts worse
|
Numerator 62 · Denominator 65 |
| Resident COVID-19 vaccinations up to date | 8.96% |
25.2%
16.2 pts worse
|
Numerator 12 · Denominator 134 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.7
0.3 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.9 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.3
0.3 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.5% |
91.2%
0.3 pts better
|
93.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 95.5% · Q3 91.7% · Q4 85.5% · 4Q avg 91.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
95.3%
2 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.0%
0.8 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.8% · Q3 2.2% · Q4 1.7% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.8% |
18.5%
7.7 pts better
|
11.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 4.0% · Q3 11.9% · Q4 16.9% · 4Q avg 10.8% |
| 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 4.6% · Q2 5.7% · Q3 6.7% · Q4 5.1% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.7% |
13.5%
7.8 pts better
|
19.6%
13.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.1% · Q3 6.2% · Q4 5.1% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
14.8%
8.7 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 6.6% · Q3 4.7% · Q4 4.1% · 4Q avg 6.1% · 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 | 11.0% |
15.1%
4.1 pts better
|
16.3%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 7.6% · Q3 9.7% · Q4 9.4% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.4% |
15.5%
3.1 pts better
|
14.9%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 9.1% · Q3 19.5% · Q4 13.0% · 4Q avg 12.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.6%
0.5 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.4% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 10.3% |
20.8%
10.5 pts better
|
19.8%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.6% · Q3 7.9% · Q4 16.3% · 4Q avg 10.3% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
6.9%
0.1 pts better
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 5.7% · Q3 5.3% · Q4 6.3% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.4% |
76.7%
14.3 pts worse
|
81.7%
19.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 71.6% · Q3 63.9% · Q4 49.0% · 4Q avg 62.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% |
9.7%
5.3 pts worse
|
12.0%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 15.3% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 66.9% |
78.8%
11.9 pts worse
|
79.7%
12.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.7% |
20.6%
5.1 pts worse
|
23.9%
1.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 28.2% · Expected 26.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-03-17 · Fire 2022-03-17
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Cycle 3
Health 2019-06-18 · Fire 2019-06-18
5 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-06-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-12
E · Potential for more than minimal harm
2024-06-21
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-07-12
E · Potential for more than minimal harm
2024-06-21
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-07-09
D · Potential for more than minimal harm
2024-06-21
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-07-09
D · Potential for more than minimal harm
2024-06-21
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-12
E · Potential for more than minimal harm
2022-03-17
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-04-15
E · Potential for more than minimal harm
2022-03-17
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-05-19
D · Potential for more than minimal harm
2022-03-17
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-05-19
D · Potential for more than minimal harm
2022-03-17
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-05-19
D · Potential for more than minimal harm
2022-03-17
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-05-19
D · Potential for more than minimal harm
2022-03-17
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-05-19
D · Potential for more than minimal harm
2022-03-17
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-05-19
E · Potential for more than minimal harm
2019-06-18
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-08-09
E · Potential for more than minimal harm
2019-06-18
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2019-08-09
E · Potential for more than minimal harm
2019-06-18
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-08-09
E · Potential for more than minimal harm
2019-06-18
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-08-09
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-18
F584 · Resident Rights Deficiencies
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 2026-02-16
D · Potential for more than minimal harm
2024-06-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-08-19
D · Potential for more than minimal harm
2024-06-21
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-08-19
D · Potential for more than minimal harm
2022-03-17
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2022-05-06
D · Potential for more than minimal harm
2022-03-17
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-05-06
F · Potential for more than minimal harm
2019-06-18
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2019-08-05
F · Potential for more than minimal harm
2019-06-18
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 2019-08-05
D · Potential for more than minimal harm
2019-06-18
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-08-05
D · Potential for more than minimal harm
2019-06-18
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 2019-08-05
D · Potential for more than minimal harm
2019-06-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-05
Penalties and ownership
What sits behind the stars
Ownership
Webster, Helen
5% Or Greater Direct Ownership Interest · Individual
Nakdimen, Shelly
5% Or Greater Direct Ownership Interest · Individual
Karash, Michael
Corporate Director · Individual
Webster, Ben
Limited Partnership Interest · Individual
Webster, Boruch
Limited Partnership Interest · Individual
Webster, Helen
Corporate Director · Individual
Webster, Helen
W-2 Managing Employee · Individual
Webster, Moshe
Limited Partnership Interest · Individual
Webster, Moshe
Corporate Director · Individual
Webster, Yecheskel
Limited Partnership Interest · Individual
Weiss, Aharon
Corporate Officer · Individual
Nearby options
Other facilities in reach
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Isabella Geriatric Center Inc
New York, NY
2-star overall rating with 2-star inspections with $12,735 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Hope Center For H I V And Nursing Care
Bronx, NY
2-star overall rating with 1-star inspections with 13 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Highbridge Woodycrest Center
Bronx, NY
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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