4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Bronx, NY
2-star overall rating with 2-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3220 Henry Hudson Parkway, Bronx, NY
(718) 549-9400
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
167
Certified beds
Average residents
154
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Citadel Care Centers
Operator or chain grouping
Approved since
1979-06-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 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
RN hours / resident day
0.46
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.47
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.85
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.78
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
0.93
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.57
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.19
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
3,600
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.59
Composite VBP score used to determine payment impact.
Payment multiplier
0.9966
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.28
Baseline 24.27% · Performance 19.36% · Measure score 6.28 · Achievement 4.47 · Improvement 6.28
Healthcare-associated infections
3.51
Baseline 10.33% · Performance 8.19% · Measure score 3.51 · Achievement 0 · Improvement 3.51
Total nurse turnover
7.65
Baseline 20.39% · Performance 32.43% · Measure score 7.65 · Achievement 7.65 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.95 hours · Performance 3.06 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.99% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 115 · Observed rate 8.7% · Lower 95% interval 6.67% |
| Discharge to community | 42.36% |
50.57%
8.2 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 32.94% · Lower 95% interval 33.23% |
| Medicare spending per beneficiary | 1.4 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 92.4% |
95.27%
2.9 pts worse
|
Numerator 158 · Denominator 171 |
| Falls with major injury | 0.58% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 171 |
| Discharge self-care score | 74.49% |
53.69%
20.8 pts better
|
Numerator 73 · Denominator 98 |
| Discharge mobility score | 71.43% |
50.94%
20.5 pts better
|
Numerator 70 · Denominator 98 |
| Pressure ulcers or injuries, new or worsened | 1.17% |
2.29%
1.1 pts better
|
Numerator 2 · Denominator 171 · Adjusted rate 0.82% |
| Healthcare-associated infections requiring hospitalization | 8.19% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 11.11% · Lower 95% interval 4.54% |
| Staff COVID-19 vaccination coverage | 4.32% |
8.2%
3.9 pts worse
|
Numerator 6 · Denominator 139 |
| Staff flu vaccination coverage | 81.14% |
42%
39.1 pts better
|
Numerator 142 · Denominator 175 |
| Discharge function score | 76.53% |
56.45%
20.1 pts better
|
Numerator 75 · Denominator 98 |
| Transfer of health information to provider | 98.51% |
95.95%
2.6 pts better
|
Numerator 66 · Denominator 67 |
| Transfer of health information to patient | 96.3% |
96.28%
About the same
|
Numerator 26 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 11.34% |
25.2%
13.9 pts worse
|
Numerator 11 · Denominator 97 |
Quality measures
| 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 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 72.8% |
91.2%
18.4 pts worse
|
93.4%
20.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 76.6% · Q2 73.8% · Q3 71.8% · Q4 69.0% · 4Q avg 72.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.5% |
95.3%
1.8 pts worse
|
95.5%
2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.0%
0.3 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.8% · Q3 2.8% · Q4 2.8% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.0% |
18.5%
8.5 pts better
|
11.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 6.8% · Q3 17.8% · Q4 4.5% · 4Q avg 10.0% |
| Percentage of long-stay residents who lose too much weight | 8.4% |
6.1%
2.3 pts worse
|
5.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.2% · Q3 8.1% · Q4 5.7% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.9% |
13.5%
5.6 pts better
|
19.6%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 7.9% · Q3 7.1% · Q4 7.1% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.8% |
14.8%
1 pts better
|
16.7%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 13.6% · Q3 14.2% · Q4 15.3% · 4Q avg 13.8% · 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 | 6.1% |
15.1%
9 pts better
|
16.3%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 1.7% · Q3 8.4% · Q4 8.6% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.1% |
15.5%
9.4 pts better
|
14.9%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.4% · Q3 7.8% · Q4 8.9% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.6%
0.3 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.5% · Q4 0.5% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
1.4%
1.2 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.5% |
20.8%
2.3 pts better
|
19.8%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 13.6% · Q3 26.5% · Q4 19.2% · 4Q avg 18.5% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
6.9%
0.4 pts better
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.1% · Q3 8.3% · Q4 4.2% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25.6% |
76.7%
51.1 pts worse
|
81.7%
56.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 27.0% · Q3 32.6% · Q4 27.3% · 4Q avg 25.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.4% |
9.7%
6.7 pts worse
|
12.0%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 18.9% · Expected 12.9% · 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 3.8% · Q2 1.9% · Q3 5.7% · Q4 5.3% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 33.3% |
78.8%
45.5 pts worse
|
79.7%
46.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 33.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
20.6%
3.2 pts worse
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 27.0% · Expected 27.0% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-02
Fire Safety
Install proper backup exit lighting.
Corrected 2024-10-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-02
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-10-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-02
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-07-22
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-07-22
Fire Safety
Use approved construction type or materials.
Corrected 2022-07-22
Fire Safety
Install proper backup exit lighting.
Corrected 2022-07-22
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-07-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-07-22
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-07-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-07-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-07-22
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2022-07-22
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-07-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-22
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-07-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-09-25
Fire Safety
Have proper power supply for life support equipment.
Corrected 2019-09-25
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-09-25
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2019-09-25
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2019-09-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-25
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2019-09-25
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-28
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-09-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-09-17
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 2024-09-17
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-04-24
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-04-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-24
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-08-12
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-08-12
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-08-12
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-08-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-08-12
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-10-02
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-02
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 Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Nearby options
Bronx, NY
2-star overall rating with 2-star inspections with abuse icon flag with $60,997 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Bronx, NY
3-star overall rating with 2-star inspections with $36,529 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Riverdale, NY
2-star overall rating with 2-star inspections with $66,859 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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